Professional Coder

Professional Coder

Health Information Management

1.0 FTE, 80 Hours a Pay Period

Days, Hours between 8 am - 4:30 pm
Weekends: No Weekends
Holidays: No Holidays
Telecommute Available: Fully Remote
*Starting Pay Between $21.58 - $26.97 Based on Experience

Position Overview:

Under the supervision of the HIM Office Manager, this position is responsible for the coding analysis of medical documentation, including research and review of medical and coding guidelines and assignment of codes for claim submission. Recommends data queries/coaching feedback to clinicians to maximize correct coding compliance with the Correct Coding Initiatives. Responsible to resolve coding issues on claims identified in the billing process. Performance Improvement screening/abstraction utilizing established criteria. Assists with public reporting of these measures. Assists clinicians in improving the overall quality and completeness of clinical documentation. Assigns deficiencies for chart completion when applicable.

Essential Duties & Responsibilities:

• Coding of all medical claims according to correct coding initiatives and certified coding rules and regulations to ensure prompt claims payment on a daily basis.
• Reviewing of claim denials appeals and resubmission of denied claims, tracking of trends in denials to ensure prompt payments.
• Suggestions and training to provider staff on the maximization of revenue billed through utilization of Correct Coding Initiatives.
• Works with providers regarding completion of documentation in order to appropriately remain compliant and encourage revenue growth opportunities.
• Assists with data abstraction of quality measures and reporting to appropriate organization.
• Reviews records for required documentation and assigns deficiencies when applicable.
• Resolves charting issues with care team.
• Performs other duties as assigned.

Supervisory Responsibilities:

No direct reports

Skills and Experience:

Required:

• Associates Degree in Coding/Health Information Technology or equivalent education/experience to successfully pass the AAPC Certification Exam
• National coding certification or ability to become certified within one year of hire
• Advanced Computer Skills: Word, Excel, Access, Outlook, & Patient Information Database (Cerner)

Summary of Benefits at Winona Health:

At Winona Health, we are dedicated to offering a comprehensive and affordable benefits package for our employees and their families. While benefits may vary based on employment classification and job status, the following key benefits are available:

Health Insurance: Options for medical, dental, and vision coverage, as well as mental health support and wellness incentives
Income Protection: Short and long-term disability, plus additional benefits like accident, critical illness, hospital indemnity, legal assistance, and identity protection plans
Retirement Planning: Access to a 403(b) retirement plan with employer contributions once eligibility requirements are met
Work/Life Balance: Flexible scheduling, paid time off, and earned sick time to support personal well-being
Education & Development: Paid training, tuition reimbursement, scholarships, and sponsored seminars to foster both personal and professional growth
Employee Discounts: Special offers with local businesses, including the YMCA and cell phone providers

For more details or specific information, visit our website or contact Human Resources

Internal Applicant Policy:

It is the policy of Winona Health to work with employees in an equitable fashion regarding promotions, transfers, and position reclassifications.

Any employee wishing to apply for another available position at Winona Health must submit an application for consideration through the internal application portal. Employees requesting to change positions should have successfully completed at least six (6) months in their current position. Employees currently in the formal disciplinary process may be required to meet with the Director of Human Resources to determine eligibility to request transfer. The employee’s past performance, experience, training and qualifications will be considered in transfer/hiring decisions. Consideration for transfer or promotion is not a guarantee of transfer or promotion. Employees may be given a chance to interview for a position when they meet the minimum position qualifications.

Disclaimer:

Winona Health is an equal opportunity employer. Winona Health does not refuse to hire, discharge, or discriminate against a person with respect to tenure, compensation, terms, upgrading, conditions, facilities, or privileges of employment because of race, color, creed, religion, sex, age, national origin, marital status, genetic information, status with regard to public assistance, membership in a local discrimination commission, sexual orientation, disability, veteran status, or any other prohibited basis of discrimination under applicable local, state, or federal law. Winona Health does not tolerate retaliation against any employee, patient/resident, physician, or other individuals pursuing concerns regarding Civil Rights issues. Winona Health adheres to ALL pertinent governmental policies and legislation including the Civil Rights Act of 1964, Title VII, as amended, and the Minnesota Human Rights Act.

Originally posted on Himalayas