Work Schedule:
This is a full-time, 1.0 FTE position that is 100% remote. Applicants hired into this position can work remotely from most states. This will be discussed during the interview process.
Be part of something remarkable
Join the #1 hospital in Wisconsin!
We are seeking a Medical Coding Specialist II:
- Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
- Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.
- Responsible for resolution of pre-bill claim edits (OCE, CCI, MUE, Medical Necessity, etc.) from all Hospital Billing clinical areas. You will strive to produce the cleanest claim possible before it moves on to Billing or out to the payer.
Education:
Minimum –
- High School diploma or equivalent
AND
- Medical Coding Education
Preferred – Associate degree in a healthcare-related field.
Work Experience:
Minimum – One-year of progressive coding experience.
Preferred – Two years of progressive coding experience in multiple specialties, HCC Risk adjustment Coding.
Licenses and Certifications:
Minimum - Certification as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) required, or Certified Risk Adjustment Coder (CRC) required within one year of hire for HCC.
Preferred - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA).
Our Commitment to Diversity, Equity, and Inclusion
UW Health is committed to being a diverse, equitable, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans.
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