Coder (Clinic - II)

Thedacare•Neenah, WI

6d•Remote

About The Position

The Coder (Clinic - II) performs coding review for primary care or specialty services for ThedaCare Physician Services to accurately reflect services rendered. The role reviews and processes charges using industry-standard methodologies, including CPT, ICD-10-CM, and HCPCS, follows AAPC/AHIMA Standards of Ethical Coding, and complies with official coding guidelines and regulatory requirements. The coder audits medical record documentation for completeness and accuracy and educates or collaborates with providers and clinical staff when clarification or completion is needed. This is a full-time, benefit-eligible remote position scheduled for 40 hours per week. The schedule is flexible, with suggested working hours between 7:00 a.m. and 5:00 p.m. Central Time.

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 preferred.

Responsibilities

Review and/or assign CPT and diagnosis codes (ICD-10-CM, including HCC risk adjustment) for primary care and/or specialty clinic services, including E&M, office procedures, inpatient hospital rounding, OB services, and outpatient general practice procedures, with a high degree of accuracy.
Perform documentation reviews 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 responsibilities related to payer denials and claim edits to support timely reimbursement, and research payer policies.
Maintain operational coding functions to ensure charge capture of all billable services.
Respond to customer inquiries in a timely and professional manner.