Medical Coding Specialist II – Fiscal Coder

Aspirus Health

Medical Coding Specialist II utilizing coding software for accurate medical coding at UW Health. Responsible for resolving claim edits and ensuring clean claims before billing submissions.

Posted 6/18/2026full-timeRemote • Wisconsin • 🇺🇸 United StatesJunior💰 $28 - $42 per hourWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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
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
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.

Benefits

Comp & perks

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
Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

ICD-10-CM codingCPT codingHCPCS codingEvaluation and Management (E&M) codingcoding resources utilizationpre-bill claim edits resolutionmedical necessity codingHCC Risk adjustment codingprogressive coding experience

Certifications

Certified Professional Coder (CPC)Certified Outpatient Coder (COC)Certified Inpatient Coder (CIC)Certified Coding Specialist (CCS)Certified Coding Specialist Physician-Based (CCS-P)Certified Coding Associate (CCA)Certified Risk Adjustment Coder (CRC)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)