Medical Coding Specialist I/II (Department of Medicine)
Middleton, WI 
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Job Description

Join the #1 hospital in Wisconsin!

We are seeking a Medical Coding Specialist I/II to:

  • 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.
  • Resolve payer denials and respond to inquiries from revenue cycle teams, processing charge corrections as appropriate.

Education:

Minimum - High School diploma or equivalent and a graduate of or currently enrolled in a Medical Coding Program.

Preferred - High School diploma or equivalent and Medical Coding Education.

Work Experience:

Preferred - One-year direct coding experience.

Licenses and Certifications:

Minimum - Certification as Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) within one year of hire.

Preferred - Certification as Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), 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 Skills, Knowledge, and Abilities:

  • Knowledge of coding concepts (Current Procedural Terminology (CPT), International Classification of Disease 10th Edition-Clinical Modification (ICD-10), Code on Dental Procedures and Nomenclature (CDT), and Health Care Procedure Coding System (HCPCS)).
  • Knowledge of medical terminology.
  • Experience using Microsoft Office (i.e., Excel, Word).
  • Knowledge of Anatomy and Physiology.
  • Demonstrated capacity to work independently and in a team environment.
  • Effective communication skills (written and oral).

Physical Requirements:

Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

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, women, and LGBTQ+ and non-binary identities are strongly encouraged. EOE, including disability/vets.

Work Schedule:

This is a full-time, 1.0 FTE position that is 100% remote. Applicants hired into this position can work from most states. This will be discussed during the interview process.

(Medical Coding Specialist I)

(Medical Coding Specialist II)

 

Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
Open
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