Join the #1 hospital in Wisconsin!
We are seeking a Medical Coding Specialist I/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.
Education:
Minimum – High School diploma or equivalent and a graduate of or currently enrolled in a Medical Coding Program.
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).
Required Skills, Knowledge, and Abilities:
- Knowledge of coding concepts (Current Procedural Terminology (CPT), International Classification of Disease 10th Edition-Clinical Modification (ICD-10), Code on Dental Procedures and Nomenclature (CDT), and Health Care Procedure Coding System (HCPCS)).
- Knowledge of medical terminology.
- Experience using Microsoft Office (i.e., Excel, Word).
- Knowledge of Anatomy and Physiology.
- Demonstrated capacity to work independently and in a team environment.
- Effective communication skills (written and oral).
Physical Requirements:
Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.
Work Schedule:
Full time, 40 hours per week. 8: 00 AM – 4: 30 PM, Monday through Friday, flexible scheduling. Hours may vary based on the operational needs of the department.
UW Health Administrative Facilities – UW Health has administrative locations throughout Madison and beyond where thousands of employees provide vital support to our clinical areas. These locations are home to departments such as Access Services, Compliance, Human Resources, Information Services, Patient Medical Records, Payroll and many others.
(Medical Coding Specialist I)
(Medical Coding Specialist II)
UW Health values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
UW Health
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