Medical Coding Specialist II - Profee Pediatrics/Multi Specialty

About the role

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.

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.

Requirements

• A high school diploma or equivalent and medical coding education
• In lieu of a medical coding education, an active coding certification
• An associate's degree in a healthcare related field preferred
• One year of progressive coding experience (for HCC-specific roles, experience must be specific to HCC)
• Two years progressive coding experience in multiple specialties, HCC Risk adjustment Coding preferred

Qualifications

• A certified professional coder (CPC) within one year required or
• A certified professional coder apprentice (CPC-A) within one year required or
• A certified outpatient coder (COC) within one year required or
• A certified outpatient coder apprentice (COC-A) within one year required or
• A certified inpatient coder (CIPC) within one year required or
• A certified coding specialist (CCS) within one year required or
• A certified coding specialist physician-based (CCS-P) within one year required or
• A certified coding associate (CCA) within one year required or
• A certified risk adjustment coder (CRC) upon hire preferred or
• A registered health information technician (RHIT) upon hire preferred or
• A registered health information administrator (RHIA) upon hire preferred or
• A registered health information technician (RHIT) preferred or
• A registered health information administrator (RHIA) preferred or
• A certified inpatient coder (CIC) upon hire preferred

Skills

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.

Benefits

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our commitment to social impact and belonging includes providing 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.