Coder (Hospital - Ii)

3 weeks ago


Appleton, United States ThedaCare Full time

**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.

Benefits, with a whole-person approach to wellness
- Lifestyle Engagement
- e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
- Access & Affordability
- e.g. mínimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare

**Summary**: The Coder (Hospital - II) reviews patient medical record documentation and assigns and sequences ICD-10-CM diagnosis codes and CPT procedure codes, when applicable, to Day surgery and surgical observation 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 documentation issues. Maintains department standards for timely coding completion.
**KEY ACCOUNTABILITIES:
1. Reviews patient medical records for day surgery and observation accounts.
2. Assigns ICD-10-CM diagnosis codes and CPT 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.

3. Communicates with providers and other clinical team members to obtain additional information, diagnoses specificity, or documentation needed to accurately assign codes.
4. Manages follow up work queues to ensure timely coding completion.

5. Participates in ongoing education for ICD-10 updates, other educational opportunities and regulatory/compliance updates. Keeps up-to-date with AHA Coding Clinic publications.

6. Utilize 3M 360 encoder.

7. Works NCCI and LCD edits.

QUALIFICATIONS:

- High school diploma or GED
- One year of hospital or office CPT surgical coding experience.
- Diploma/certificate in coding: Preferred: CCS (Certified Coding Specialist, (AHIMA), or COC (Certified Outpatient Coder), (AAPC), or CIC (Certified Inpatient Coder), (AAPC) Or: RHIT (Registered Health Information Technologist) (AHIMA). Will accept AHIMA or AAPC certifications.

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 - this position is for remote/at home coding
- 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

Hours can be flexible between 7-3:30pm or 8-4:30pm M-F.

**Scheduled Weekly Hours**: 20
**Scheduled FTE**: 0.5
**Location**: ThedaCare Regional Medical Center - Appleton - Appleton,Wisconsin
**Overtime Exempt**: No


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