Professional Coder

Winona Health • Winona, MN

1d • Remote

About The Position

Under the supervision of the Director of Health Information Management (HIM) this position is responsible for the coding analysis of medical documentation, including research and review of medical and coding guidelines and assignment of codes for claim submission. Recommends data queries/coaching feedback to clinicians to maximize correct coding compliance with the Correct Coding Initiatives. Responsible to resolve coding issues on claims identified in the billing process. Performance Improvement screening/abstraction utilizing established criteria. Assists with public reporting of these measures. Assists clinicians in improving the overall quality and completeness of clinical documentation. Assigns deficiencies for chart completion when applicable.

Requirements

• Associates degree in coding or health information technology, or equivalent education/experience to successfully pass the AAPC certification exam
• National coding certification or equivalent experience with a plan to become certified within one year of hire

Responsibilities

• Coding of all medical claims according to correct coding initiatives and certified coding rules and regulations to ensure prompt claims payment on a daily basis
• Reviewing of claim denials appeals and resubmission of denied claims, tracking of trends in denials to ensure prompt payments
• Suggestions and training to provider staff on the maximization of revenue billed through utilization of Correct Coding Initiatives
• Works with providers regarding completion of documentation in order to appropriately remain compliant and encourage revenue growth opportunities
• Assists with data abstraction of quality measures and reporting to appropriate organization
• Reviews records for required documentation and assigns deficiencies when applicable
• Resolves charting issues with care team

Benefits

• Health Insurance: Options for medical, dental, and vision coverage, as well as mental health support and wellness incentives
• Income Protection: Short and long-term disability, plus additional benefits like accident, critical illness, hospital indemnity, legal assistance, and identity protection plans
• Retirement Planning: Access to a 403(b) retirement plan with employer contributions once eligibility requirements are met
• Work/Life Balance: Flexible scheduling, paid time off, and earned sick time to support personal well-being
• Education & Development: Paid training, tuition reimbursement, scholarships, and sponsored seminars to foster both personal and professional growth
• Employee Discounts: Special offers with local businesses, including the YMCA and cell phone providers

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 251-500 employees