Job Description
SCHEDULE
Full time, benefit eligble
40 hrs/week
Flexible scheduling, suggested hours between 7:00am - 5:00pm CT
Fully remote
Preferred Experience: previous work with clinicians, hospital coding experience, coding inpatient charges, and/or HCC Coding.
KEY ACCOUNTABILITIES
Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy.
Educates providers on documentation improvement opportunities. Conducts and reports internal documentation audits to ensure ThedaCare compliance by providers and team members.
Performs internal reviews in response to third party data summaries and/or investigations. Creates mitigation plan to reduce future risk.
Manages and maintains coding inventory responsibilities, internal reporting and payer denials, and claim edits to ensure timely reimbursement for services provided. Researches policy and communicates with payers.
Mentors and trains team members to skills matrix requirements. Provides orientation training to new team members.
Performs world class service to our customers, responding timely and professionally to inquiries.
QUALIFICATIONS
High School diploma or GED preferred
Must be 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
PHYSICAL DEMANDS
Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
WORK ENVIRONMENT
Normally works in climate controlled office environment
Frequent sitting with movement throughout office space
Use of computers throughout the work day
Frequent use of keyboard with repetitive motion of hands, wrists, and fingers
Scheduled Weekly Hours
- 40
- Scheduled FTE:
- 1
- Location:
- CIN 3 Neenah Center - Appleton,Wisconsin
- Overtime Exempt:
- No
- Worker Shift Details: