5 cpc certified professional coder jobs found in Wausau, WI

Medical Coder The Medical Coder plays a key role in ensuring accurate and compliant coding and documentation for both professional staff and facility services. This position supports the integrity of our billing processes by applying current coding standards and maintaining compliance with all state and federal regulations. Essential Job Functions and Responsibilities: Reviews documentation and accurately assigns codes and charges for all professional and ASC facility services based on provider documentation and levels of service Verifies accuracy of all data entry, including CPT/HCPCS codes, ICD-10-CM diagnosis codes, modifiers, units of service, place of service, NDC codes, provider and referring provider details, and required attachments (such as admission/discharge dates, authorizations, or claim notes). Ensures diagnoses are sequenced in accordance with ICD-10-CM guidelines and payer policies. Reviews and implements changes from quarterly CCI edits. Maintains current...

Caring. Connecting. Growing Together. The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required. Hours : This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm. We offer 2-3 weeks of paid training. The hours during training will be 7am to 3:30 pm CST, Monday - Friday. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various...

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 Facility Inpatient Coder to join our team! *This Position Can Be Trained and Worked Fully Remote* Assigns ICD-10 CM, ICD-10 PCS and CPT codes based on a review of the health care record documentation and application of professional coding standards and billing regulations. Reviews and collects various health information data elements for patient care, statistical, financial and research purposes. Maintains confidentiality of health information. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of medical record and coding practices normally acquired through completion of an Bachelor or Associate Degree in Health Information Technologyor Coding, or an equivalent program with emphasis in coding...

Medical Coder Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical Modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries...

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and...