Coder (Clinic - II)

ThedaCare • Neenah, WI

1d • 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 Standards of Ethical Coding (AAPC/AHIMA), official coding guidelines, and other regulatory requirements; and audits medical record documentation for completeness and accuracy. The coder educates and collaborates with providers and clinical staff when documentation needs completion or clarification.

This is a full-time, benefit-eligible remote position scheduled for 40 hours per week. The schedule is flexible, with suggested hours between 7:00 a.m. and 5:00 p.m. Central Time. The position supports accurate coding, documentation quality, timely reimbursement, and customer service.

Requirements

• Must be 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.
• Ability to move freely, including standing, stooping, walking, bending, pushing, and pulling, and to lift up to 25 pounds without assistance.

Nice To Haves

• High school diploma or GED preferred.

Responsibilities

• Reviews and/or assigns CPT and diagnosis codes, including ICD-10-CM and HCC risk adjustment, for primary care and/or specialty clinic services with a high degree of accuracy.
• Performs documentation reviews using department auditing tools, shares results with providers and the auditing team, and identifies educational opportunities.
• Collaborates with providers, clinical team members, and other departments when medical-record completion or clarification is needed for coding.
• Manages coding inventory related to payer denials and claim edits to support timely reimbursement, and researches payer policies.
• Manages operational coding functions to ensure charge capture of all billable services.
• Responds to customer inquiries in a timely and professional manner.

Benefits

• Lifestyle engagement resources, including health coaches, relaxation rooms, health-focused apps, and mental health support.
• Access and affordability offerings, including minimal or zero copays, team member cost-sharing premiums, and daycare.
• Continued opportunities for learning and development.
• Accessible and transparent leadership.
• Commitment to work/life balance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree