Aurora Health Care

Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or; Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards Identify the need for formal clinical queries for documentation clarification when necessary for professional or facility records Maintain high accuracy and productivity standards appropriate to the complexity of the assigned workload May provide informal guidance to new coding staff on professional coding nuances Major Responsibilities Independently perform complex,...

Aurora Health Care seeks an experienced medical coder to independently perform complex professional fee coding (CPT/HCPCS and ICD-10-CM/PCS) for physician services in office and hospital settings, with precise modifier and E/M application. The role includes facility coding for outpatient and simple inpatient encounters, strict guideline adherence, and potential mentorship for newer staff. Strong Epic experience and 3–5 years in a multi-specialty environment are required. #J-18808-Ljbffr

Major Responsibilities This role will have all responsibilities of coder I, II and III in addition to: reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Responsible for coding high dollar and long length of stay cases for all patient types. Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate. Serves as a subject matter expert to Coding department leaders and peers. Recommends modifications to current policies and procedures as needed to coincide with government regulations. Maintain continuing...