Medical Coding Specialist I or II - Pathology & Ophthalmology, Multispecialty
Work Schedule:
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’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 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.
At UW Health, you will have:
An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and 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.
Qualifications
High School Diploma or equivalent and medical coding education Required or
In lieu of a medical coding education, an active coding certification Required
Associate's Degree in a healthcare related field Preferred
Work Experience
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
Licenses & Certifications
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 or
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
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through 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. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Medical Coding Specialist I Job Description
Medical Coding Specialit II Job Description
UW Medical Foundation benefits
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’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 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.
At UW Health, you will have:
An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and 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.
Qualifications
High School Diploma or equivalent and medical coding education Required or
In lieu of a medical coding education, an active coding certification Required
Associate's Degree in a healthcare related field Preferred
Work Experience
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
Licenses & Certifications
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 or
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
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through 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. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Medical Coding Specialist I Job Description
Medical Coding Specialit II Job Description
UW Medical Foundation benefits