Medical Coding Specialist I or II – Pathology, Ophthalmology

Aspirus Health

Medical Coding Specialist I or II position at UW Health focusing on pathology & ophthalmology. Work fully remote while handling coding responsibilities and payer inquiries.

Posted 6/20/2026full-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.
Resolve payer denials and respond to inquiries from revenue cycle teams, processing charge corrections as appropriate.

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) Preferred
2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred
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 year 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

Benefits

Comp & perks

health and dental insurance
paid time off
retirement plans
two-week paid parental leave
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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

ICD-10-CM codingCPT codingHCPCS codingEvaluation and Management (E&M) codingcoding resources utilizationcoding corrections processingpayer denial resolutionregulatory compliance knowledgecoding guidelines applicationspecialty specific coding

Certifications

Certified Professional Coder (CPC)Certified Professional Coder Apprentice (CPC - A)Certified Outpatient Coder (COC)Certified Outpatient Coder Apprentice (COC - A)Certified Inpatient Coder (CIPC)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)