Medical Coding Specialist II - Profee Pediatrics/Multi Specialty

University of Wisconsin Hospitals and Clinics Authority•Middleton, WI

2d•Remote

About The Position

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. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We’ve included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist I/II - Profee Pediatrics/Multi Specialty 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 or Registered Health Information Technician (RHIT) Upon Hire Preferred or Registered Health Information Administrator (RHIA) Upon Hire Preferred or Registered Health Information Technician (RHIT) Preferred or Registered Health Information Administrator (RHIA) Preferred or 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.