{"id":2197730,"url":"https://alion.io/job/thedacare-coder-clinic-iii","title":"Coder (Clinic - III)","company":{"id":1882826,"name":"ThedaCare","domain":"thedacare.org","url":"https://alion.io/company/thedacare","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":81,"open_postings":79,"ghost_share":0,"stale_share":0.975,"repost_share":0,"time_to_fill_p50_days":20,"computed_at":"2026-10-13T05:45:00Z"}},"role":"HR","role_family":"HR","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":65000,"max_usd":125000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":1162},"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-09T20:08:10Z","employer_posted_date":"2026-10-09","last_verified_at":"2026-10-13T04:31:04Z","board_verified":true,"closed_at":null,"days_open":3,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":3},"description":"Why ThedaCare?\nLiving A Life Inspired!\nOur 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.\nAt 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.\nBenefits, with a whole-person approach to wellness -\nLifestyle Engagemente.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support \n\nAccess & Affordabilitye.g. minimal or zero copays, team member cost sharing premiums, daycare\n\nAbout ThedaCare!\nSummary :\nThe Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits.Job Description:\nKEY ACCOUNTABILITIES:\nReviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy.\n\nEducates providers on documentation improvement opportunities. Conducts and reports internal documentation audits to ensure ThedaCare compliance by providers and team members.\n\nPerforms internal reviews in response to third party data summaries and/or investigations. Creates mitigation plan to reduce future risk.\n\nManages and maintains coding inventory responsibilities, internal reporting and payer denials, and claim edits to ensure timely reimbursement for services provided. Researches policy and communicates with payers.\n\nMentors and trains team members to skills matrix requirements. Provides orientation training to new team members.\n\nPerforms world class service to our customers, responding timely and professionally to inquiries.\n\nQUALIFICATIONS:\nHigh School diploma or GED preferred\n\nMust be 18 years of age\n\nCoding certificate or associate’s degree in medical business or coding/health information\n\nThree years of experience in general medical or specialty coding\n\nDual certifications through AAPC and/or AHIMA\n\nPHYSICAL DEMANDS:\nAbility to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance\n\nJob classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties\n\nWORK ENVIRONMENT:\nNormally works in climate controlled office environment\n\nFrequent sitting with movement throughout office space\n\nUse of computers throughout the work day\n\nFrequent use of keyboard with repetitive motion of hands, wrists, and fingers\n\nScheduled Weekly Hours:\n40Scheduled FTE:\n1Location:\nCIN 3 Neenah Center - Appleton,WisconsinOvertime Exempt:\nNoWorker Shift Details:","description_format":"text","description_chars":4138,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Hospitals & Health Systems","Sports Medicine"],"lifecycle":[{"event":"open","at":"2026-10-09T20:08:10Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 1 · green card filings: 1","filings_12m":1,"filings_prev_12m":3,"green_card_filings_12m":1,"median_offered_wage_usd":497500,"route":null,"cap_exempt":false,"checked_at":"2026-10-03T21:08:04+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":60,"band":"ok","label":"Likely open","p_open":1,"p_active":0.601,"p_room":1,"age_days":3,"expected_fill_days":20,"reasons":["conf:1","stale_co","win:early","comp:brand"],"computed_at":"2026-10-13T05:45:00Z"},"pay":null,"html_url":"https://alion.io/job/thedacare-coder-clinic-iii","json_url":"https://alion.io/job/thedacare-coder-clinic-iii.json","meta":{"generated_at":"2026-10-13T09:22:39Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":14091,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-14T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1882826},"rest":"https://alion.io/mcp/rest/get_company?id=1882826"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fthedacare-coder-clinic-iii"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fthedacare-coder-clinic-iii"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fthedacare-coder-clinic-iii"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/thedacare-coder-clinic-iii\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fthedacare-coder-clinic-iii"}]}