Professional Coder

Winona Health • Winona, MN

3d • Remote

About The Position

The Professional Coder is responsible for analyzing medical documentation, researching and reviewing medical and coding guidelines, and assigning codes for claim submission under the supervision of the HIM Office Manager. The role resolves coding issues identified during billing and recommends data queries and coaching feedback to clinicians to support correct coding compliance. It also performs performance-improvement screening and abstraction using established criteria and assists with public reporting of measures.

The position supports clinicians in improving the quality and completeness of clinical documentation, reviews records for required documentation, assigns deficiencies when applicable, and works with the care team to resolve charting issues. This is a 1.0 FTE role, equivalent to 80 hours per pay period, with hours between 8:00 a.m. and 4:30 p.m. It is fully remote for candidates located in Minnesota, Wisconsin, or South Dakota. The position has no direct reports.

Requirements

• Associate degree in Coding/Health Information Technology, or equivalent education and experience sufficient to pass the AAPC Certification Exam.
• National coding certification, or ability to become certified within one year of hire.
• Advanced computer skills with Word, Excel, Access, Outlook, and the Patient Information Database (Cerner).

Responsibilities

• Code medical claims according to correct coding initiatives and certified coding rules and regulations to support prompt claims payment.
• Review claim denials, appeal and resubmit denied claims, and track denial trends to support prompt payment.
• Recommend and provide training to provider staff on maximizing revenue through use of Correct Coding Initiatives.
• Work with providers to complete documentation, support compliance, and encourage revenue growth opportunities.
• Assist with data abstraction for quality measures and report measures to appropriate organizations.
• Review records for required documentation and assign deficiencies when applicable.
• Resolve charting issues with the care team.
• Perform performance-improvement screening and abstraction using established criteria and assist with public reporting of measures.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision coverage, mental health support, and wellness incentives.
• Short- and long-term disability coverage, plus optional accident, critical illness, hospital indemnity, legal assistance, and identity protection plans.
• 403(b) retirement plan with employer contributions once eligibility requirements are met.
• Flexible scheduling, paid time off, and earned sick time.
• Paid training, tuition reimbursement, scholarships, and sponsored seminars.
• Special offers with local businesses, including the YMCA and cell phone providers.

What This Job Offers

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