Top 9 Medical billing and coding specialist Jobs in Appleton Wi

Coding Auditor
ThedaCare —Appleton, WI
- Part-time
- Hospital
- Urgent Care
- Mid-level
Denials Coding Specialist
Bellin Health —Green Bay, WI
- Full-time
- Hospital
- Mid-level
- Associate's degree
- Health insurance
- Tuition reimbursement
Coding Specialist III
Bellin Health —Green Bay, WI
- Full-time
- Customer service
- Mid-level
- 3 years
- Health insurance
- Tuition reimbursement
3d
Medical Billing Specialist
Wisconsin Eye Consultants, SC —Menasha, WI
- Part-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Paid time off
Quick Apply
9d
Billing Specialist I
Encompass Health Solutions —Kimberly, WI
- $21.00 - $22.50 an hour
- Full-time
- Hybrid work
- HIPAA
- High school diploma or GED
- Organizational skills
- Health savings account
- Health insurance
Quick Apply
14d
Outpatient Same Day Surgery Coder
GEBBS HEALTHCARE SOLUTIONS INC —United States
- Part-time
- Remote
- Mid-level
- 3 years
- Acute care experience
Quick Apply
9d

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Coding Auditor

ThedaCare -
Appleton, WI

Apply Now

Job Details

Part-time

Qualifications

Quality audits
Hospital experience

Full Job Description

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. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary :

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

Job Description:

KEY ACCOUNTABILITIES:

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.
Reviews and prepares compliance audit reports to ensure ThedaCare meets coding accuracy standards that are set in place.
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.
Responds to identified areas of risk through investigation and internal audit to ensure compliance with regulatory requirements.
Assists in the preparation and execution of the annual audit plan as part of the corporate compliance plan.
Assists in monitoring and responding to corporate compliance hotline reports related to hospital coding.
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.
Assists in the development and management of learning management systems and compliance training materials to ensure compliance with regulatory requirements.
Serves as subject matter expert to educate coders, providers, and others regarding documentation requirements for accurate coding.
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.
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.
Maintains working knowledge of changes and requirements related to compliance/regulations and coding.

QUALIFICATIONS:

High School diploma or GED preferred
Minimum three years of experience in hospital coding
Minimum two years of experience in clinical medical audit review
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).
Current or obtained within one year of hire – Certified Clinical Documentation Specialist obtained through Association of Clinical Documentation Integrity Specialists (ACDIS)

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
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

Position requires compliance with department specific competencies.

Scheduled Weekly Hours:

Scheduled FTE:

0.4

Location:

ThedaCare Regional Medical Center - Appleton - Appleton,Wisconsin

Overtime Exempt:

Worker Shift Details:

Days

Apply Now

Refine Your Search

medical billing and coding specialist jobs in appleton wi

Coding Auditor

Denials Coding Specialist

Coding Specialist III

Medical Billing Specialist

Billing Specialist I

Outpatient Same Day Surgery Coder