High School Diploma or equivalent with medical coding education or an active coding certification required., 1 year of progressive coding experience is required, preferably in multiple specialties., Associate's Degree in a healthcare-related field is preferred., Various coding certifications such as CPC, COC, CIC, CCS, CCS-P, CCA, CRC, RHIT, or RHIA are required upon hire..
Key responsabilities:
Utilize encoder and grouper software to determine appropriate ICD-10-CM, CPT, and HCPCS codes.
Maintain knowledge of National Correct Coding Initiatives and apply regulatory requirements to select codes and modifiers.
Ensure compliance with Medicare Teaching Physician Guidelines and Medically Unlikely Edits.
Work collaboratively with the healthcare team to support accurate coding and billing processes.
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UW Health is an integrated academic health system that is home to the No. 1 hospital in Wisconsin (for the 13th year in a row) as ranked by U.S. News & World Report. We’re made up of six main hospitals, one JOA partner hospital in Madison and two hospitals located within the main hospital in Illinois. We also have more than 90 clinics across Wisconsin and northern Illinois. UW Health cares for more than 766,000 patients each year and employs more than 23,900 people — one of the region’s largest employers. Many of our 1,800+ physicians are faculty members at the University of Wisconsin School of Medicine and Public Health, one of the nation’s highly regarded medical schools.
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 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.
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.
Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
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) Required
2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred
Licenses & Certifications
Certified Professional Coder (CPC) Upon Hire Required or
Certified Outpatient Coder (COC) Upon Hire Required or
Certified Inpatient Coder (CIC) Upon Hire Required or
Certified Coding Specialist (CCS) Upon Hire Required or
Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or
Certified Coding Associate (CCA) Upon Hire Required or
Certified Risk Adjustment Coder (CRC) Upon Hire Required or
Registered Health Information Technician (RHIT) Upon Hire Required or
Registered Health Information Administrator (RHIA) Upon Hire Required
Registered Health Information Technician (RHIT) Preferred or
Registered Health Information Administrator (RHIA) Preferred
Our Commitment to Diversity and Inclusion
UW Health is committed to being a diverse, 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.
Job Description
UW Medical Foundation benefits
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.