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Medical Coding Specialist II - Surgery Coding - Multi Specialty
Aspirus HealthMedical Coding Specialist II at UW Health utilizing encoder software for diagnosis and treatment coding. Maintaining regulatory compliance and guidelines for accurate medical coding.
ATS Keywords
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Hard Skills
ICD-10-CM codingCPT codingHCPCS codingEvaluation and Management (E&M) codingcoding resources utilizationcoding compliancecoding modifiers applicationregulatory requirements knowledgeinstitutional guidelines applicationprogressive coding experience
Tools & Technologies
encoder softwaregrouper software
Certifications & Qualifications
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)
Industry Keywords
National Correct Coding Initiatives (NCCI)Local Coverage Documents (LCD)National Coverage Documents (NCD)Medically Unlikely Edits (MUEs)Medicare Teaching Physician GuidelinesHCC Risk adjustment Coding
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.
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- health and dental insurance
- paid time off
- retirement plans
- two-week paid parental leave
- adoption assistance
- access to resources through the UW Health Employee Wellbeing Department supporting emotional, financial, and physical well-being
- tuition benefits eligibility