What are the responsibilities and job description for the Clinic/Professional Coder position at Welia Health?
Hours/Pay Period: 40
Req # 3830
The Coding Specialist is responsible for the accurate and timely review, abstraction, and assignment of diagnosis and procedure codes for outpatient and/or inpatient medical records. This position ensures compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and applicable payer guidelines while supporting optimal reimbursement, data integrity, quality reporting, and regulatory requirements. The employee must maintain effective communication and good working relationships with the revenue cycle personnel, other departments, Medical Staff and the public, in conjunction with organization policies.
- Review medical records and clinical documentation to assign accurate diagnosis and procedure codes.
- Abstract pertinent patient, physician, and clinical information into applicable information systems.
- Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines according to official coding conventions and regulatory requirements.
- Ensure coding accuracy, completeness, and compliance with organizational policies and payer requirements.
- Identify documentation deficiencies and initiate appropriate and compliant physician queries when clarification is needed.
- Meet productivity and quality standards established by the organization.
- Collaborate with providers, clinical staff, CDI specialists, revenue cycle teams, and auditors to resolve coding issues.
- Support charge capture, reimbursement accuracy, and revenue integrity initiatives.
- Participate in internal and external coding audits and implement corrective actions when necessary.
- Maintain current knowledge of coding regulations, payer updates, and industry best practices.
- Attend continuing education sessions to maintain coding skills and active credentials.
- Assist with education and training related to coding compliance and documentation improvement.
- Protect patient confidentiality and comply with HIPAA and all applicable privacy regulations.
- Maintain coding accuracy and productivity standards established by the organization.
- Complete coding assignments within designated turnaround times.
- Participate in quality assurance reviews and continuous improvement activities.
- Demonstrate professionalism, teamwork, and commitment to organization values.
- Completion of an accredited coding program or equivalent coding experience.
- Knowledge of medical terminology, anatomy and physiology, disease processes, and pharmacology.
- Proficiency with electronic health records (EHR) and coding software.
- Strong analytical, organizational and problem-solving skills.
- Comprehensive understanding of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems.
- Knowledge of Medicare, Medicaid, and commercial payer requirements.
- Proficiency with Microsoft Office applications and healthcare information systems.
- One to three years of medical coding experience preferred.
One or more of the following is preferred:
- Certified Coding Specialist (CCS),
- Certified Coding Specialist – Physician-Based (CCS-P),
- Certified Professional Coder (CPC),
- Certified Outpatient Coder (COC),
- Registered Health Information Technician (RHIT),
- Registered Health Information Administrator (RHIA).
PHYSICAL DEMANDS
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Welia Health is an equal-opportunity employer.
This position requires onsite attendance for training and the completion of regular job duties. Remote work may be considered after training is successfully completed, and the employee consistently meets required productivity and quality standards.
Salary: $24.09—$35.74 per hour, based on experience and qualifications.
Welia Health supports its employees with a competitive pay and a comprehensive benefits package designed to help you stay healthy, plan for the future, and balance work and life. The benefits available to eligible employees typically include:
Health & Wellness
- Medical insurance (with options including Health Savings Account and flexible benefits)
- Dental Insurance
- Eye care discounts for you and your family
- Employee wellness resources and incentives
- Employee Assistance Program (confidential support for personal or work-related issues)
Financial Protection & Retirement
- Optional voluntary benefits
- 401(k) retirement plan with pre- and post-tax options, employer contributions, and matching after vesting
- Access to Minnesota’s 529 college savings plan
- Identity theft restoration services
Time Off & Support
- Generous paid time off (PTO) for vacation, holidays, and rest (varies by position and hours worked)
- Tuition reimbursement to support continuing education
Additional Perks
- A close-knit team culture and meaningful interaction with patients and community partners
- Opportunities to work with diverse healthcare providers
- The benefits of living and working in East Central Minnesota — affordable housing, beautiful surroundings, and strong community ties
For full details about the benefits package and eligibility, please visit the full benefits page at: Benefits – Welia Health
Salary : $24 - $36