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Temporary Medical Coder Auditor Jobs in Wisconsin

Coding Auditor

Appleton, WI · On-site

$26.50 - $30.25/hr

Trains, instructs, and/or provides technical support to medical providers as appropriate regarding ... Coder/AAPC), CIC (Certified Inpatient Coder/AAPC), or COC (Certified Outpatient Coder/AAPC)

INPATIENT CODING AUDITOR

Milwaukee, WI · On-site

$26.75 - $30.50/hr

The Inpatient Auditor supports the quality and development of the inpatient coding team through ... Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics

Coder II-Cardiology

Milwaukee, WI · Remote

$26.55 - $39.85/hr

Completion of an accredited medical coding or HIM program(or equivalentexperience) * High School ... diem, temporary, etc.); please ask a Recruiter for more information during an interview. About ...

Coder II - Anesthesia

Milwaukee, WI · Remote

$26.55 - $39.85/hr

Completion of an accredited medical coding or HIM program(or equivalentexperience) Experience ... diem, temporary, etc.); please ask a Recruiter for more information during an interview. About ...

CODING EDUCATOR & AUDITOR

Manitowoc, WI · Remote

$24.05 - $38.48/hr

Perform medical coding audits for providers and coding specialists resulting in detailed reports ... A minimum of 3 years of experience of providing education / training and or auditing related to CPT ...

Receive all incoming castings, tag containers, delete bar codes. * Manage quality section of DMN ... Medical, dental, vision. * Short and long term disability. * Life insurance. * 401(k). * Employer ...

Receive all incoming castings, tag containers, delete bar codes. * Manage quality section of DMN ... Medical, dental, vision. * Short and long term disability. * Life insurance. * 401(k). * Employer ...

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Temporary Medical Coder Auditor information

What is the difference between Temporary Medical Coder Auditor vs Temporary Medical Biller?

AspectTemporary Medical Coder AuditorTemporary Medical Biller
CertificationsCertified Professional Coder (CPC), Certified Medical Auditor (CMA)Certified Medical Billing Specialist (CMBS), CPC (optional)
Work EnvironmentHospitals, clinics, insurance companies, remoteMedical offices, billing companies, insurance firms
Primary ResponsibilitiesReview coding accuracy, audit medical records, ensure complianceProcess insurance claims, submit bills, follow up on payments

The Temporary Medical Coder Auditor focuses on reviewing and auditing medical records for coding accuracy and compliance, often requiring certification like CPC and CMA. In contrast, the Temporary Medical Biller handles the submission of insurance claims and payment follow-up. Both roles are essential in healthcare revenue cycle management but differ in their core tasks and certifications.

Coding Auditor

Coding Auditor

ThedaCare

Appleton, WI • On-site

$26.50 - $30.25/hr

Part-time

Posted 9 days ago


ThedaCare rating

6.6

Company rating: 6.6 out of 10

Based on 126 frontline employees who took The Breakroom Quiz

570th of 890 rated healthcare providers


Job description

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 Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!
Summary :
The Coding Auditor performs coding quality audits of records to ensure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education needs for providers and coding team members. Monitors for compliance with regulatory requirements and works closely with corporate compliance. Provides feedback and education to coders when discrepancies and areas of opportunity are identified through auditing and payer denial review
Job Description:
KEY ACCOUNTABILITIES:
  • Performs compliance monitoring and auditing of billing, coding, and documentation related to inpatient, outpatient surgery, observation, emergency department, urgent care, and professional services for all payers to ensure compliance with regulatory requirements.
  • Reviews and prepares compliance audit reports to ensure ThedaCare meets coding accuracy standards that are set in place.
  • Assists in the preparation and response to external oversight agency and commercial payer audits and inquiries including CMS, Medicaid, RAC, HRSA, and PERM to ensure appropriate reimbursement. Reviews internal processes to ensure compliance with regulatory requirements.
  • Responds to identified areas of risk through investigation and internal audit to ensure compliance with regulatory requirements.
  • Assists in the preparation and execution of the annual audit plan as part of the corporate compliance plan.
  • Assists in monitoring and responding to corporate compliance hotline reports related to hospital coding.
  • Stays current with changing regulatory requirements through review of periodicals, compliance association newsletters, and review of state and federal regulatory agency work plans to ensure compliance.
  • Assists in the development and management of learning management systems and compliance training materials to ensure compliance with regulatory requirements.
  • Serves as subject matter expert to educate coders, providers, and others regarding documentation requirements for accurate coding.
  • Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations. Obtains clarification of conflicting, ambiguous, or non-specific documentation to ensure compliance with regulatory requirements.
  • Trains, instructs, and/or provides technical support to medical providers as appropriate regarding coding compliance documentation, regulatory provisions, and third party payer requirements to ensure compliance with regulatory requirements.
  • Maintains working knowledge of changes and requirements related to compliance/regulations and coding.

QUALIFICATIONS:
  • High School diploma or GED preferred
  • Minimum three years of experience in hospital coding
  • Minimum two years of experience in clinical medical audit review
  • Current or obtained within one year of hire - Certified Coding Credential obtained through AHIMA or AAPC, or RHIT (Registered Health Information Technologist/AHIMA), or RHIA (Registered Health Information Administrator/AHIMA). Minimum certification requirement is one of the following: CCS (Certified Coding Specialist/AHIMA), CPC (Certified Professional Coder/AAPC), CIC (Certified Inpatient Coder/AAPC), or COC (Certified Outpatient Coder/AAPC).
  • Current or obtained within one year of hire - Certified Clinical Documentation Specialist obtained through Association of Clinical Documentation Integrity Specialists (ACDIS)

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

Position requires compliance with department specific competencies.
Scheduled Weekly Hours:
16Scheduled FTE:
0.4Location:
ThedaCare Regional Medical Center - Appleton - Appleton,WisconsinOvertime Exempt:
NoWorker Shift Details:
Days

What ThedaCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


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About ThedaCare

Sourced by ZipRecruiter

We want to make exceptional care effortless for our patients. At ThedaCare, that means going above and beyond treating a particular condition – it means helping you achieve better health for life. You and your family are at the center of everything we do, from prioritizing your schedule when making appointments to designing our facilities for your comfort and convenience. Remaining proactive in your care allows us to better predict and prevent disease before complications arise, and when it comes to making important health-related decisions, we are here to support you. In every interaction, we want you to have full confidence the care you receive is purposeful, cost-effective and will help you continue enjoying life as you’ve planned it. ThedaCare is the third largest healthcare employer in Wisconsin, and the largest employer in Northeast Wisconsin with over 7,000 team members.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Neenah, WI, US

Year founded

1909