Medical Coding Specialist I or II - Pathology & Ophthalmology, Multispecial at UW Health

Middleton, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Sep, 26

Salary

0.0

Posted On

20 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

ICD-10-CM, CPT, HCPCS, Evaluation and Management (E&M) Coding, NCCI, LCD/NCD, MUEs, Medicare Teaching Physician Guidelines, Payer Denial Resolution, Medical Coding

Industry

Hospitals and Health Care

Description

Work Schedule: 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 [https://www.uwhealth.org/files-directory/position-descriptions/zImages for Social Media - DO NOT REMOVE/Remote Work States v2.pdf] Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist I or 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. 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. 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) Preferred * 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) within 1 year Required or * Certified Professional Coder Apprentice (CPC - A) within 1 year Required or * Certified Outpatient Coder (COC) within 1 Required or * Certified Outpatient Coder Apprentice (COC - A) within 1 year Required or * Certified Inpatient Coder (CIPC) within 1 year Required or * Certified Coding Specialist (CCS) within 1 year Required or * Certified Coding Specialist Physician-Based (CCS-P) within 1 year Required or * Certified Coding Associate (CCA) within 1 year Required or * Certified Risk Adjustment Coder (CRC) Upon Hire Preferred or * Registered Health Information Technician (RHIT) Upon Hire Preferred or * Registered Health Information Administrator (RHIA) Upon Hire Preferred or * Registered Health Information Technician (RHIT) Preferred or * Registered Health Information Administrator (RHIA) Preferred or * Certified Inpatient Coder (CIC) Upon Hire Preferred Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through 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. It is the policy of UW Health to provide 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. Medical Coding Specialist I Job Description [https://uwhealth.marketpayjobs.com/ShowJob.aspx?id=4102&entityid=3&p=UWH] Medical Coding Specialit II Job Description [https://uwhealth.marketpayjobs.com/ShowJob.aspx?id=4104&entityid=3&p=UWH] UW Medical Foundation benefits [https://www.uwhealth.org/files/uwhealth/careers-assets/benefits/HR-110715-17-Benefits-Flier-for-UWMF-Employees.pdf]

Responsibilities

Determine appropriate medical codes using encoder and grouper software for Pathology and Ophthalmology specialties. Resolve payer denials and process charge corrections while adhering to regulatory and institutional guidelines.