Coding Evaluator Jobs (NOW HIRING)

Fort HealthCare is a patient-centered hospital and healthcare system serving individuals, businesses and families in Jefferson, Dane, and Walworth Counties, and we are seeking a Coding Coordinator to join our Health Information Management team.

Shift:
Full time
Day shift

Fort HealthCare is proud to be named a 16-time award winner of the Top Workplace award for southeastern Wisconsin, a 6-time award winner of the USA Top Workplaces award, and a 2-time winner of their Top Workplaces Culture Excellence award for Purpose & Values. In addition, Fort HealthCare has been recognized nationally as a Top Workplace for Nursing 2026.

Our Mission Statement is our daily guide to provide the best health care possible. We promote it widely for all we serve to read, understand and to help our public hold us accountable for the promises we make.

Our Mission Statement - Improve the Health and Well‑being of Our Community

Our Vision Statement provides each of us at Fort HealthCare with a goal. It is our motivation to improve constantly upon the level of care we provide, and the quality of services delivered.

Our Vision - Be the Healthiest Community in Wisconsin.

We offer competitive pay and benefits, education, and resources you need to perform your job and ample opportunities for professional growth.

The Coordinator of Coding oversees daily department coding operations for Fort Memorial Hospital and Fort Medical Group. Oversight of medical coding staff, ensuring accurate and compliant coding of patient records to maximize revenue and ensure regulatory compliance (ICD-10, CPT, HCPCS). The Coordinator of Coding's responsibilities include monitoring team productivity, performing audits, managing workflows, conducting training, and providing performance feedback to coders and RN Clinical Documentation Specialist.

• Workflow Management:
  • Manages coding workflows to reduce backlogs, troubleshoot coding systems, and optimize revenue cycle processes.
  • Leads the operational coding functions specifically related to transcription and discharge analysis and CPDI scanning.
  • Ensures work assignments are performed timely and efficiently to meet required volume standards.
  • Schedules adequate staffing for department based upon organizational volumes and prioritizes workloads appropriately.
  • Serves as a liaison between the department and internal/external customers, including physicians, patients, and vendors.
• Compliance:
  • Performs regular audits to monitor coding quality and accuracy, ensuring compliance with federal, state, and corporate policies.
• Supervision:
  • Oversees day-to-day coding operations, including managing schedules, setting productivity goals, and conducting performance evaluations.
  • Assists in hiring, training, scheduling, and evaluating Coding personnel.
  • Functions as technical expert of the Uniform Hospital Discharge Data Set definitions for the Coders and assists/supports coders to select principal diagnosis, principal procedure, complications, and co‑morbidity condition.
  • Research new developments in technology, processes, styles, and practices to identify improvements in workflow.
  • Identifies, plans, develops, implements, and enforces professional practice standards.
  • Acts as a communication link between staff, creating a path for two-way feedback.
  • Oversees day-to-day RN CDI operations, including managing schedule(s), setting productivity goals, and conducting performance evaluations.
• Quality Control:
  • Performs regular audits to monitor coding and CDI quality and accuracy, ensuring compliance with federal, state, and corporate policies.
  • Develops and implements quality assurance standards and prepare statistical information for Director as appropriate.
  • Directs, monitors, and evaluates opportunities for continuous quality improvement.
  • Provides recommendations to the Director for operational and budgetary changes.
  • Monitors the RN CDI Specialist's collection, analysis, and reporting of HCC data to the Clinical Director for monthly ACO metrics as well as selected HCC and CDI program metrics and key performance indicators.
• Acts as a liaison between the Coding/CDI department, clinicians, and other departments to resolve discrepancies.
• Identifies the educational needs for continuing education for physicians and staff regarding timely/accurate medical record documentation regulations.
• Attends interdepartmental meetings reviewing potential process changes that may impact on the Coding/CDI department and ensure information is provided to Coding staff as appropriate.

• Minimum 3 years' experience with acute care hospital and/or physician coding required
• Team lead and/or supervisory experience preferred
• Proficient in ICD and CPT coding
• Proficient with Federal and State Rule/Regulations as they apply to coding & ability to apply coding and reimbursement rules/guidelines
• Skilled in identifying problems, process improvements and recommending solutions
• Possesses strong organization, time management, and problem‑solving skills
• Skilled in understanding, explaining, teaching, and motivating people
• Able to keep sensitive information about patients and others strictly confidential
• Ability to work with HIM leadership to facilitate overall operations of the department
• Technical Knowledge includes ICD‑10, CPT, and HCPCS coding systems
• Familiarity with Electronic Health Records and coding software
• Read, speak, write, and understand English
• CPC, COC, or CIC Certification required
• Valid WI Driver's License required
• Certified Clinical Coding Specialist (CCS) preferred
• Competitive pay
• 401(k) with employer match
• Generous PTO Plan
• Health insurance
• Vision insurance
• Disability insurance
• Flexible Spending
• Life insurance
• Pharmacy discount
• Tuition assistance
• Employee Assistance Program
• Free parking
• Employee gym

Equal Opportunity Employer
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