For a 4th year in a row, Aspirus has been recognized as one of the top 15 Top Health Systems in the United States by IBM Watson in their annual study identifying the top-performing health systems in the country based on overall organizational performance.

**This position is eligible for a $2,000 sign-on bonus for part- and full-time positions.

Compassion. Accountability. Collaboration. Foresight. Joy.

These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every.Single.Day.

The Process

To help us help you find the best possible match for your career, APPLY TO THIS POSTING and we will then direct you to the right leaders for further discussion!

As a PROFESSIONAL FEE CODER for Aspirus, Inc. you perform coding functions for multiple specialty areas. Processing professional service charges, including verification of CPT and ICD codes through our EPIC Workqueues. You may also process technical component charges in compliance with Provider Based and RHC Billing requirements.

This position has the ability to work at any Aspirus facility or remote.

• Verifies accuracy of diagnosis, evaluation and management (E&M) and procedure codes selected by the provider using ICD and CPT coding systems.
• Reviews EMR charge review work queue to ensure all services have been charged as required by guidelines.
• Research questionable diagnoses or missing charges through review of patient medical record.
• Monitors provider coding and documentation for accuracy.
• Works directly with physicians to resolve coding and documentation issues.
• Coordinates for accurate charge entry and to assure compliance with bundled services regulations (i.e., 72 hour rule) for same day services.
• Reviews denials of charges from insurance carrier and advises on necessary action to resolve issues.
• Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
• Assists patients with billing and insurance questions.

Experience/Qualifications/Licensure

• Knowledge of coding principles normally acquired through an Associate’s Degree in Health Information Management, Healthcare Business Services, or an equivalent program with emphasis in coding or a minimum of two years coding experience.
• Experience or certification in a specialty area is beneficial.
• Additional appropriate education may be substituted for the prior medical office experience.
• Certification in coding by a recognized professional organization is required within 18 months of date of hire.
• Knowledge of medical terminology, coding, billing practices, reimbursement practices, and clinic policies and procedures.
• Ability to assess medical record documentation for accuracy and completeness.
• Knowledge of professional component documentation, coding and billing regulations and reimbursement systems.
• Knowledge of technical component documentation, coding and billing regulations and reimbursement systems per Hospital Outpatient Medicare guidelines and regulations.
• Knowledge of EMR process/workflows.

Employee Benefits

• Full benefits packages available for part- and full-time status.
• PTO accrual from day one!
• Generous retirement plan with match available for all positions.
• Wellness program for employees and their families.

Aspirus is a non-profit, community-directed health system based in Wausau, Wisconsin. With more than 11,000 employees, Aspirus serves communities in northern and central Wisconsin and Upper Michigan. The system includes four hospitals in Michigan and 13 hospitals in Wisconsin, 75 clinics, home health and hospice care, pharmacies, critical care and helicopter transport, medical goods, nursing homes, high-quality affiliated physicians and a health insurance company.

Our Mission: We heal people, promote health and strengthen communities.

To ensure the safety and wellbeing of our patients, visitors, staff, and communities, Aspirus Health, requires COVID-19 vaccination as a condition of employment. Staff at any work site or remote location, regardless of clinical responsibility or patient contact, are required to comply.

Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.