Explore 2 coder jobs from 2 hiring companies in Edgar, WI, US. Filter by remote, salary, experience, and company, then open any listing to apply.

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Coder Jobs

Aspirus Health

Sanford Health

Onsite

Remote

Compassion. Accountability. Collaboration. Foresight. Joy.These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.Aspirus Health in Wausau, WI is seeking a PROFESSIONAL FEE CODER to join our CODING team! The Professional Fee Coder accurately processes professional service charges, including verification of CPT and ICD codes through our EPIC Workques. May process technical component charges in compliance with Provider Based or RHC Billing requirements. The Professional Fee Coder will perform coding functions for either primary care or specialty focused areas. HOURS: Full Time 1.0 FTE, 80 Hours BiweeklyExperience/Qualifications<ul><li>Knowledge of coding principles normally acquired through an Associate’s Degree in Health Information Management, Healthcare Business Services, or an equivalent program with emphasis in coding or a minimum of two years coding experience.</li><li>Experience or certification in a specialty area is beneficial.</li><li>Additional appropriate education may be substituted for the prior medical office experience.</li><li>Certification in coding by a recognized professional organization is required within 18 months of date of hire.<a name="OLE_LINK3"></a></li><li>Knowledge of medical terminology, coding, billing practices, reimbursement practices, and clinic policies and procedures.</li><li>Previous computer experience required.</li><li>Knowledge of grammar, spelling, and punctuation to generate correspondence.</li><li>Ability to assess medical record documentation for accuracy and completeness.</li><li>Possesses ability to work and communicate effectively with co-workers and physicians.</li><li>Ability to read, understand, and follow oral and written instructions.</li><li>Skill in use of resource materials.</li><li>Knowledge of professional component documentation, coding and billing regulations and reimbursement systems.</li><li>Knowledge of technical component documentation, coding and billing regulations and reimbursement systems per Hospital Outpatient Medicare guidelines and regulations.</li><li>Knowledge of EMR process/workflows.</li></ul>Employee Benefits <ul><li>Full benefits packages available for part- and full-time status.</li><li>Time away from work accrual.</li><li>Retirement plans available.</li><li>Wellness program for employees and their families.</li></ul> Our Mission: We heal people, promote health and strengthen communities.Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others. As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.Click <a href="https://www.aspirus.org/about" class="hyperlink has-tooltip" target="_blank" rel="noopener noreferrer">here</a> to learn more.

PROFESSIONAL FEE CODER - CODING

Professional Fee Coder

Associate’s Degree in Health Information Management or at least two years coding experience; certification in coding within 18 months; knowledge of CPT/ICD, EMR, and medical terminology; strong communication and documentation skills.

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift:Day (United States of America)Scheduled Weekly Hours:40Union Position: NoDepartment DetailsSummaryThe Revenue Management Educator is accountable for the successful development, implementation and delivery of educational and training resource materials to assist providers in coding accuracy. The Educator develops and implements strategic action, quality improvement and risk management plans. The Educator provides overall educational support and coding quality assurance activities to both internal and external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the accuracy and integrity of risk adjustment data submitted to the Centers for Medicare &amp; Medicaid Services (CMS) and the Department of Health Services (DHS).Job DescriptionDevelops educational materials for providers in relation to diagnostic coding and risk adjustment revenue management to educate providers on thorough documentation and accurate coding. Identifies inadequate or erroneous documentation and/or coding to determine process improvement and educational opportunities. 
Research's appropriate material (terminology, testing, abbreviations) to accurately assess documentation. 
Analyzes coding and documentation to make appropriate judgments based on coding/ guidelines and policies. Monitors and audit performance in areas of compliance risk ensuring that established policies and procedures are being followed. Identifies the root cause of any errors to determine process improvement opportunities that may result in training, reference material revisions, and process changes. Assists in audits as it related to risk adjustment revenue management to address clinical issues related to documentation and coding. Assesses health insurance products, compliance, or operational risks and develop risk management strategies to improve revenue and reduce audit risk. Reviews, interprets and disseminates information relating to pending industry changes, trends and best practices to include CMS and DHS guidelines related to revenue management to anticipate necessary audits and education for providers.QualificationsBachelor’s degree required with an emphasis in a business or medical field, or a registered nurse degree. Completion of courses in Current Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category (HCC) coding required
 
Bachelor of Science in Nursing preferred. Three years’ experience required in a health insurance, nursing, compliance, or auditing related position. Knowledge of CPT coding rules, ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding, use of modifiers, documentation guidelines, CMS Policy requirements, and other reimbursement guidelines. Demonstrated knowledge of anatomy/physiology, medical terminology, Word, Excel, Power Point and Access. 

Adult education/training and curriculum development preferred.
 Certified Professional Coder certification awarded by American Academy of Professional Coders required within one year required. State of Wisconsin Registered Nurse license (if applicable). 

Certified Risk Adjustment Coder awarded by American Academy of Professional Coders preferred.Sanford is an EEO/AA Employer M/F/Disability/Vet.  If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent&#64;sanfordhealth.org.

Revenue Management Educator

Bachelor’s degree required in business or medical field; RN degree preferred. CPT, ICD‑9/10, HCC coding knowledge; 3 years in health insurance, nursing, compliance, or auditing. CPR coder certification within 1 year; Wisconsin RN license optional.

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Coder Jobs in Edgar, WI, US

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