Medical Coding Specialist I/II ProFee Urgent Care/Multispecialty
3 weeks ago
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 - Pediatrics 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 medical coding education or currently enrolled in a Medical Coding Program. In lieu of a medical coding education, an active coding certification is required.
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).
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.
View full job description (Medical Coding Specialist I)
View full job description (Medical Coding Specialist II)
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