Coder (Clinic - II)

ThedaCare • Neenah, WI

2d • Remote

About The Position

The Coder (Clinic - II) reviews and processes charges for primary care or specialty services for ThedaCare Physician Services, ensuring that coding accurately reflects the services rendered. The role uses industry-standard methodologies, including CPT, ICD-10-CM, and HCPCS, and follows Standards of Ethical Coding (AAPC/AHIMA), official coding guidelines, and other regulatory requirements. The coder audits medical record documentation for completeness and accuracy and educates or collaborates with providers and clinical staff when documentation needs completion or clarification.

This is a part-time, benefits-eligible remote position scheduled for 20 hours per week, with flexible Central Time business hours. Preferred experience includes primary care, hospital inpatient coding, and/or a strong E&M background.

Requirements

• Must be at least 18 years of age.
• Coding certificate or associate’s degree in medical business or coding/health information.
• One year of experience in general medical or specialty coding.
• Coding certification through AAPC or AHIMA: CPC, CPC-A, CCS, or CCS-P.

Nice To Haves

• High school diploma or GED is preferred.
• Experience in primary care, hospital inpatient coding, and/or a strong E&M background.

Responsibilities

• Review and/or assign CPT and diagnosis codes, including ICD-10-CM and HCC risk adjustment, for primary care and/or specialty clinic services such as E&M, office procedures, inpatient hospital rounding, OB services, and outpatient general practice procedures.
• Review documentation using department auditing tools, share results with providers and the auditing team, and identify educational opportunities.
• Collaborate with providers, clinical team members, and other departments when medical record completion or clarification is needed to complete coding accurately.
• Manage coding inventory related to payer denials and claim edits to support timely reimbursement, and research payer policies.
• Manage operational coding functions to ensure charge capture of all billable services.
• Respond to customer inquiries in a timely and professional manner.

Benefits

• Benefits eligibility
• Lifestyle wellness resources, including health coaches, relaxation rooms, health-focused apps, and mental health support
• Access and affordability resources, including minimal or zero copays, team member cost-sharing premiums, and daycare
• Learning and development opportunities
• Support for work/life balance

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Associate degree