Coding Educator

ThedaCare • Neenah, WI

10h • Remote

About The Position

The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. The role reviews and processes charges using industry-standard methodologies (CPT, ICD-10-CM, and HCPCS), follows Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. The Coding Educator audits medical record documentation, educates providers about documentation improvement opportunities and risks, and educates and trains new team members to department standards. The role also mentors and observes team members and upholds department expectations for coding accuracy, payer denials, and claim edits.

This is a full-time, benefit-eligible position scheduled for 40 hours per week. Scheduling is flexible, with suggested hours between 7:00 a.m. and 5:00 p.m. CT. The position is fully remote. Preferred experience includes working with clinicians, hospital coding, inpatient charge coding, and/or HCC coding.

Requirements

• Must be at least 18 years of age.
• Coding certificate or associate’s degree in medical business or coding/health information.
• Three years of experience in general medical or specialty coding.
• Dual certifications through AAPC and/or AHIMA.

Nice To Haves

• High school diploma or GED preferred.
• Previous work with clinicians.
• Hospital coding experience.
• Experience coding inpatient charges.
• HCC coding experience.

Responsibilities

• Review and/or assign appropriate CPT procedure and ICD-10-CM diagnosis codes, including HCC risk-adjustment diagnoses, for professional services such as specialty medical services, inpatient and outpatient E&M, and surgical procedures.
• Educate providers on documentation improvement opportunities.
• Conduct and report internal documentation audits to help ensure compliance by providers and team members.
• Perform internal reviews in response to third-party data summaries and/or investigations, and create mitigation plans to reduce future risk.
• Manage and maintain coding inventory responsibilities, internal reporting, payer denials, and claim edits to support timely reimbursement.
• Research policies and communicate with payers.
• Mentor and train team members to skills-matrix requirements and provide orientation training to new team members.
• Respond to customer inquiries in a timely and professional manner.

Benefits

• Lifestyle engagement resources, including health coaches, relaxation rooms, health-focused apps (Wonder, Ripple), 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: Mid Level
• Education Level: Associate degree