JOB SUMMARY
The Medical Coder-Professional reviews, analyzes and assigns current international classification of disease (ICD) diagnosis codes, current procedural terminology (CPT) codes and other charges as appropriate to include, but not limited to, medical diagnostic, lab, pathology, other ancillary services, minor procedures and E/M coding based on clinical documentation for various practices in the hospital ER/outpatient/observation/inpatient and clinic settings. The Medical Coder-Professional understands and applies applicable medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes. This position may be trained on reviewing documentation for Hierarchical Condition Categories (HCC).
WORK SHIFT
Monday-Friday, 8-hour shifts between 6am and 6pm
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: Successful completion of the following courses per department procedures, within one year of hire: current international classification of diseases (ICD), current procedural terminology (CPT), healthcare procedure coding system (HCPCS) or the Coding Basics computer based training and medical terminology or Coding certification.
Preferred/Optional: Associate degree in Medical Billing and Coding, Health Information Management or related field.
EXPERIENCE
Minimum Required: Experience working within medical field, medical records or current procedural terminology (CPT) and healthcare procedure coding system (HCPCS).
Preferred/Optional: Experience in physician/professional coding.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: Coding certification awarded by the American Academy of Professional Coders (Certified Professional Coder (CPC)), American Health Information Management Association (Certified Coding Specialist (CCS)), or Certified Coding Specialist-Professional (CCS-P)), or Certified Risk Adjustment Coder (CRC)) when applicable, within three years of hire.
Preferred/Optional: Coding certification awarded by the American Academy of Professional Coders (Certified Professional Coder (CPC)), American Health Information Management Association (Certified Coding Specialist (CCS)), or Certified Coding Specialist-Professional (CCS-P)), or Certified Risk Adjustment Coder (CRC) when applicable, at time of hire.
Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states:
Alabama
Alaska
Arkansas
Florida
Georgia
Idaho
Illinois (except Chicago)
Indiana
Iowa
Kansas
Kentucky
Michigan
Minnesota
Mississippi
Missouri
Nebraska
North Carolina
North Dakota
Ohio
Oklahoma
South Carolina
South Dakota
Tennessee
Texas
Utah
West Virginia
Wisconsin
Wyoming
Marshfield Clinic Health System will not employ individuals living in states not listed above.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.