Back Certified Coder #26-039 Green Bay, Wisconsin, United States
This position is full-time and will work 40-hours per week. It is full-time benefit eligible. Remote and/or hybrid can be an option after 6-months of on-site training.
Coder Certified Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health-they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care.
The Certified Coder is responsible for accurately translating medical records and patient services into standardized numerical codes for billing and reimbursement purposes. This role ensures compliance with federal, state, and organizational regulations, while maintaining the highest standards of patient confidentiality. The Certified Coder works independently and collaboratively to support the revenue cycle and overall operational efficiency of the healthcare organization.
Review and analyze patient medical records, physician notes, and other documentation to assign appropriate ICD-10, CPT, and HCPCS codes. Ensure accurate coding for diagnosis, procedures, and services for proper reimbursement. Review denials and appeal with supporting documentation/comments for reimbursement. In addition, educate departments on correct coding initiatives based on charge review and denials from specific payers. Stay current on coding regulations, guidelines, and updates, including compliance with Medicare, Medicaid, and other payer requirements. Collaborate with healthcare providers, billing staff, and administrative teams to clarify documentation discrepancies and support accurate claims submission. Assist with audits, quality assurance, and reporting activities related to coding accuracy and compliance. Participate in ongoing professional development, including coding seminars, workshops, and technical courses, to maintain and enhance coding knowledge and proficiency.
High School Diploma and/or GED Required
1-3 years experience in a medical office or healthcare setting Required
Knowledge of medical terminology, anatomy, physiology, ICD-10, CPT, and HCPCS coding systems. Strong analytical skills with attention to detail and accuracy. Ability to work independently and efficiently in a fast-paced environment. Strong organizational skills with the ability to manage multiple tasks simultaneously. Effective verbal and written communication.