Medical Coding Specialist II - Fiscal Coding and Denials

Work Schedule:
This is a full-time, 1.0 FTE position that is 100% remote.

Applicants hired into this position can work remotely 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

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Join the #1 hospital in Wisconsin!

We are seeking a Medical Coding Specialist II:


* 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.


* Responsible for resolution of pre-bill claim edits (OCE, CCI, MUE, Medical Necessity, etc.) from all Hospital Billing clinical areas.

You will strive to produce the cleanest claim possible before it moves on to Billing or out to the payer.

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.


* The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.

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 Assoc...