Appleton, USA
9 days ago
Coder (Hospital - III)

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 Engagemente.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support  

Access & Affordabilitye.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary :The Coder (Hospital - III) reviews patient medical record documentation and assigns and sequences ICD- 10-CM diagnosis codes and ICD-10-PCS or CPT/HCPCS procedure codes, when applicable, to complex/specialty inpatient 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 and/or clinical documentation improvement (CDI) specialists to obtain complete and specific documentation to accurately assign codes. Serves as a coding subject matter expert. Assists with coder education and development, and participates in quality review activities.

Job Description:

KEY ACCOUNTABILITIES:

Reviews complex/specialty patient medical records for inpatient accounts. At times may assist with other patient type reviews also

Assigns ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes, when applicable, to all accounts including complex and specialty cases, and sequences as outlined in the ICD Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS), and other regulatory requirements.

Communicates with providers and other clinical team members to obtain additional information, documentation specificity, completion, and diagnoses needed to accurately complete coding. Educates providers as needed regarding documentation improvement opportunities.

Manages work queues to ensure timely coding completion.

Assists with coder education, audit/denial work, and quality reviews.

Mentors and trains coding team members.

Serves as coding subject matter expert for other team members at ThedaCare and attends related meetings.

Follows up on charge related issues.

QUALIFICATIONS:

High School diploma or GED preferred

Must be 18 years of age

Three years of experience in hospital coding

Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA)

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

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

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