Medical Coding Specialist I or II - Pathology & Ophthalmology, Multispecialty

UW Health • Middleton, WI

1d • Remote

About The Position

This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We are seeking a Medical Coding Specialist I or 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.

Requirements

• High School Diploma or equivalent and medical coding education Required or In lieu of a medical coding education, an active coding certification Required
• Certified Professional Coder (CPC) within 1 year Required or Certified Professional Coder Apprentice (CPC - A) within 1 year Required or Certified Outpatient Coder (COC) within 1 Required or Certified Outpatient Coder Apprentice (COC - A) within 1 year Required or Certified Inpatient Coder (CIPC) within 1 year Required or Certified Coding Specialist (CCS) within 1 year Required or Certified Coding Specialist Physician-Based (CCS-P) within 1 year Required or Certified Coding Associate (CCA) within 1 year Required

Nice To Haves

• Associate's Degree in a healthcare related field Preferred
• 1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Preferred
• 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred
• Certified Risk Adjustment Coder (CRC) Upon Hire Preferred
• Registered Health Information Technician (RHIT) Upon Hire Preferred
• Registered Health Information Administrator (RHIA) Upon Hire Preferred
• Registered Health Information Technician (RHIT) Preferred
• Registered Health Information Administrator (RHIA) Preferred
• Certified Inpatient Coder (CIC) Upon Hire Preferred

Responsibilities

• 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.

Benefits

• health and dental insurance
• paid time off
• retirement plans
• two-week paid parental leave
• adoption assistance
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED