Certified Coder at Prevea Health

Howard, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Mar, 26

Salary

0.0

Posted On

06 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Terminology, Anatomy, Physiology, ICD-10, CPT, HCPCS Coding, Analytical Skills, Attention to Detail, Organizational Skills, Communication Skills, Computer Applications, Electronic Health Record Systems, Confidentiality, Professionalism, Collaboration

Industry

Hospitals and Health Care

Description

This position is full-time, 40-hours per week and is full-time benefit eligible. Coder Certified -------------------------------------------------------------------------------- Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health—they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care. Job Summary The Certified Coder is responsible for accurately translating medical records and patient services into standardized numerical codes for billing and reimbursement purposes. This role ensures compliance with federal, state, and organizational regulations, while maintaining the highest standards of patient confidentiality. The Certified Coder works independently and collaboratively to support the revenue cycle and overall operational efficiency of the healthcare organization. What you will do * Review and analyze patient medical records, physician notes, and other documentation to assign appropriate ICD-10, CPT, and HCPCS codes. * Ensure accurate coding for diagnosis, procedures, and services for proper reimbursement. * Review denials and appeal with supporting documentation/comments for reimbursement. In addition, educate departments on correct coding initiatives based on charge review and denials from specific payers. * Stay current on coding regulations, guidelines, and updates, including compliance with Medicare, Medicaid, and other payer requirements. * Collaborate with healthcare providers, billing staff, and administrative teams to clarify documentation discrepancies and support accurate claims submission. * Assist with audits, quality assurance, and reporting activities related to coding accuracy and compliance. * Participate in ongoing professional development, including coding seminars, workshops, and technical courses, to maintain and enhance coding knowledge and proficiency. Education Qualifications * High School Diploma and/or GED Required Experience Qualifications * 1-3 years experience in a medical office or healthcare setting Required Skills and Abilities * Knowledge of medical terminology, anatomy, physiology, ICD-10, CPT, and HCPCS coding systems. * Strong analytical skills with attention to detail and accuracy. * Ability to work independently and efficiently in a fast-paced environment. * Strong organizational skills with the ability to manage multiple tasks simultaneously. * Effective verbal and written communication skills to interact with healthcare providers and administrative staff. * Proficiency with computer applications and electronic health record (EHR) systems. * Commitment to confidentiality, professionalism, and being a collaborative team member Licenses and Certifications * CPC (Certified Professional Coder) accreditation by AAPC Upon Hire Required Physical Demands * Sit - Constantly * Stand - Occasionally * Walk - Occasionally * Drive - Rarely * Climb (Stairs/Ladders) - Rarely * Bend (Neck) - Constantly * Gross Manipulation (Hands/Arms) - Rarely * Squat - Rarely * Kneel/Crawl - Rarely * Twist/Turn (Neck) - Frequently * Twist/Turn(Waist) - Rarely * Lift/Carry 0-10 lbs. - Occasionally * Lift/Carry 11-25 lbs. - Rarely * Push/Pull up to 10 lbs. - Rarely * Push/Pull 11-25 lbs. - Rarely * Reach (Above shoulder level) - Occasionally * Reach (Below shoulder level) - Constantly * Simple Grasping (Hands/Arms) - Constantly * Fine Manipulation (Hands/Arms) - Constantly * Gross Manipulation (Hands/Arms) - Constantly Working Conditions * Noise - Occasionally Travel Requirements * 5% Hearing Requirements * Hears Whispers < 3 feet - Constantly * Hears Whispers 3-8 feet - Constantly Vision Requirements * Color Discrimination - Constantly * Near Vision (Correctable to Jaeger 2 or 20/40 binocular) - Constantly * Distance Vision (Correctable to Snellen chart 20/40 binocular) - Constantly Prevea is an Equal Employment Opportunity/Affirmative Action employer. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United State and to complete the required employment eligibility document form upon hire. Prevea participates in E-verify. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify

Responsibilities

The Certified Coder is responsible for accurately translating medical records and patient services into standardized numerical codes for billing and reimbursement purposes. This role ensures compliance with regulations while maintaining patient confidentiality and supports the revenue cycle.