Explore 3 coder jobs from 1 hiring companies in Waupaca, WI, US. Filter by remote, salary, experience, and company, then open any listing to apply.

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Coder Jobs

ThedaCare

Remote

Onsite

Why ThedaCare?   Living A Life Inspired!Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility.  A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.<a href="https://careers.thedacare.org/us/en/benefits" target="_blank">Benefits</a>, with a whole-person approach to wellness –<ul><li>Lifestyle Engagement<ul><li>e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support  </li></ul></li></ul><ul><li>Access &amp; Affordability<ul><li>e.g. minimal or zero copays, team member cost sharing premiums, daycare</li></ul></li></ul><a href="https://www.youtube.com/watch?v&#61;stbOByBBON0" target="_blank">About ThedaCare!</a><h2>Summary :</h2>The Coder (Hospital - II) reviews patient medical record documentation and assigns and sequences ICD-10-CM diagnosis codes and ICD-10-PCS or CPT/HCPCS procedure codes, when applicable, to inpatient, observation, and/or outpatient surgical accounts, abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and in compliance with official coding guidelines and other regulatory requirements. Communicates with providers when needed to obtain complete and specific documentation to accurately assign codes. Follows up and obtains clarification on charge issues. Works with providers and/or clinical documentation improvement (CDI) specialists to achieve a high level of documentation specificity. Maintains department standards for timely coding completion.<h2>Job Description:</h2>SCHEDULE:<ul><li>Part time, benefit eligible</li><li>20 hrs/week</li><li>Flexible hours</li><li>Remote eligible</li></ul>KEY ACCOUNTABILITIES: <ul><li>Reviews patient medical records for inpatient, observation, and/or outpatient surgical accounts.</li><li>Assigns ICD-10-CM diagnosis codes and ICD-10-PCS or CPT/HCPCS procedure codes, when applicable, to all accounts, and sequences as outlined in the ICD Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS), CPT/HCPCS Guidelines, and other regulatory requirements.</li><li>Communicates with providers and other clinical team members to obtain additional information, diagnoses specificity, or completion needed to accurately assign codes.</li><li>Manages follow up work queues to ensure timely coding completion.</li></ul>QUALIFICATIONS:<ul><li>High School diploma or GED preferred</li><li>Must be 18 years of age</li><li>One year of hospital coding experience.</li><li>Current or obtained within one year of hire — Certified Coding Credential obtained through AHIMA or AAPC, or RHIT (Registered Health Information Technologist/AHIMA), or RHIA (Registered Health Information Administrator/AHIMA).  Minimum certification requirement is either CCA (Certified Coding Associate/AHIMA) or CPC-A (Certified Professional Coder - Apprentice/AAPC).</li></ul>PHYSICAL DEMANDS: <ul><li>Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance</li><li>Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties</li></ul>WORK ENVIRONMENT: <ul><li>Normally works in climate controlled office environment</li><li>Frequent sitting with movement throughout office space</li><li>Use of computers throughout the work day</li><li>Frequent use of keyboard with repetitive motion of hands, wrists, and fingers</li></ul><h2>Scheduled Weekly Hours:</h2>20<h2>Scheduled FTE:</h2>0.5<h2>Location:</h2>ThedaCare Regional Medical Center - Appleton - Appleton,Wisconsin<h2>Overtime Exempt:</h2>No<h2>Worker Shift Details:</h2>Days

Coder (Hospital - II)

Part-time hospital coder with at least 1 year of hospital coding experience; certified coding credentials preferred.

Why ThedaCare?   Living A Life Inspired!Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility.  A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.<a href="https://careers.thedacare.org/us/en/benefits" target="_blank">Benefits</a>, with a whole-person approach to wellness –<ul><li>Lifestyle Engagement<ul><li>e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support  </li></ul></li></ul><ul><li>Access &amp; Affordability<ul><li>e.g. minimal or zero copays, team member cost sharing premiums, daycare</li></ul></li></ul><a href="https://www.youtube.com/watch?v&#61;stbOByBBON0" target="_blank">About ThedaCare!</a><h2>Summary :</h2>The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits.<h2>Job Description:</h2>KEY ACCOUNTABILITIES: <ul><li>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&amp;M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy.</li><li>Educates providers on documentation improvement opportunities. Conducts and reports internal documentation audits to ensure ThedaCare compliance by providers and team members.</li><li>Performs internal reviews in response to third party data summaries and/or investigations. Creates mitigation plan to reduce future risk.</li><li>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.</li><li>Mentors and trains team members to skills matrix requirements. Provides orientation training to new team members.</li><li>Performs world class service to our customers, responding timely and professionally to inquiries.</li></ul>QUALIFICATIONS: <ul><li>High School diploma or GED preferred</li><li>Must be 18 years of age</li><li>Coding certificate or associate’s degree in medical business or coding/health information</li><li>Three years of experience in general medical or specialty coding</li><li>Dual certifications through AAPC and/or AHIMA</li></ul>PHYSICAL DEMANDS: <ul><li>Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance</li><li>Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties</li></ul>WORK ENVIRONMENT: <ul><li>Normally works in climate controlled office environment</li><li>Frequent sitting with movement throughout office space</li><li>Use of computers throughout the work day</li><li>Frequent use of keyboard with repetitive motion of hands, wrists, and fingers</li></ul>Preferred Qualifications<ul><li>At least one of the following, or a combination: CDI experience, surgical specialty experience, HCC/Risk Adjustment experience, or clinical background (e.g., RN)</li></ul><h2>Scheduled Weekly Hours:</h2>40<h2>Scheduled FTE:</h2>1<h2>Location:</h2>CIN 3 Neenah Center - Appleton,Wisconsin<h2>Overtime Exempt:</h2>No<h2>Worker Shift Details:</h2>Days

Coding Educator - Remote

Coding Educator

Coder with 3+ years of medical coding experience; requires coding certification or an associate degree; HS diploma preferred.

Thedacare

Why ThedaCare?   Living A Life Inspired!Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility.  A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.<a href="https://careers.thedacare.org/us/en/benefits" target="_blank">Benefits</a>, with a whole-person approach to wellness –<ul><li>Lifestyle Engagement<ul><li>e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support  </li></ul></li></ul><ul><li>Access &amp; Affordability<ul><li>e.g. minimal or zero copays, team member cost sharing premiums, daycare</li></ul></li></ul><a href="https://www.youtube.com/watch?v&#61;stbOByBBON0" target="_blank">About ThedaCare!</a><h2>Summary :</h2>The Coding Auditor performs coding quality audits of records to ensure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education needs for providers and coding team members. Monitors for compliance with regulatory requirements and works closely with corporate compliance. Provides feedback and education to coders when discrepancies and areas of opportunity are identified through auditing and payer denial review<h2>Job Description:</h2>KEY ACCOUNTABILITIES:<ul><li>Performs compliance monitoring and auditing of billing, coding, and documentation related to inpatient, outpatient surgery, observation, emergency department, urgent care, and professional services for all payers to ensure compliance with regulatory requirements.</li><li>Reviews and prepares compliance audit reports to ensure ThedaCare meets coding accuracy standards that are set in place.</li><li>Assists in the preparation and response to external oversight agency and commercial payer audits and inquiries including CMS, Medicaid, RAC, HRSA, and PERM to ensure appropriate reimbursement. Reviews internal processes to ensure compliance with regulatory requirements.</li><li>Responds to identified areas of risk through investigation and internal audit to ensure compliance with regulatory requirements.</li><li>Assists in the preparation and execution of the annual audit plan as part of the corporate compliance plan.</li><li>Assists in monitoring and responding to corporate compliance hotline reports related to hospital coding.</li><li>Stays current with changing regulatory requirements through review of periodicals, compliance association newsletters, and review of state and federal regulatory agency work plans to ensure compliance.</li><li>Assists in the development and management of learning management systems and compliance training materials to ensure compliance with regulatory requirements.</li><li>Serves as subject matter expert to educate coders, providers, and others regarding documentation requirements for accurate coding.</li><li>Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations. Obtains clarification of conflicting, ambiguous, or non-specific documentation to ensure compliance with regulatory requirements.</li><li>Trains, instructs, and/or provides technical support to medical providers as appropriate regarding coding compliance documentation, regulatory provisions, and third party payer requirements to ensure compliance with regulatory requirements.</li><li>Maintains working knowledge of changes and requirements related to compliance/regulations and coding. </li></ul>QUALIFICATIONS:<ul><li>High School diploma or GED preferred</li><li>Minimum three years of experience in hospital coding</li><li>Minimum two years of experience in clinical medical audit review</li><li>Current or obtained within one year of hire – Certified Coding Credential obtained through AHIMA or AAPC, or RHIT (Registered Health Information Technologist/AHIMA), or RHIA (Registered Health Information Administrator/AHIMA). Minimum certification requirement is one of the following: CCS (Certified Coding Specialist/AHIMA), CPC (Certified Professional Coder/AAPC), CIC (Certified Inpatient Coder/AAPC), or COC (Certified Outpatient Coder/AAPC).</li><li>Current or obtained within one year of hire – Certified Clinical Documentation Specialist obtained through Association of Clinical Documentation Integrity Specialists (ACDIS)</li></ul>PHYSICAL DEMANDS:<ul><li>Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance</li><li>Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties</li></ul>WORK ENVIRONMENT:<ul><li>Normally works in climate controlled office environment</li><li>Frequent sitting with movement throughout office space</li><li>Use of computers throughout the work day</li><li>Frequent use of keyboard with repetitive motion of hands, wrists, and fingers</li></ul>Position requires compliance with department specific competencies.<h2>Scheduled Weekly Hours:</h2>20<h2>Scheduled FTE:</h2>0.5<h2>Location:</h2>ThedaCare Regional Medical Center - Appleton - Appleton,Wisconsin<h2>Overtime Exempt:</h2>No<h2>Worker Shift Details:</h2>Days

Coding Auditor

Audits coding quality, ensures CMS regulatory compliance; evaluates education needs for providers and coders; supports external audits.

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