Medical Coding Specialist II – Profee Pediatrics, Multi Specialty

Aspirus Health

Medical Coding Specialist analyzing and resolving code-related queries for UW Health. Utilizing coding resources and maintaining compliance with national directives.

Posted 6/27/2026full-timeRemote • Wisconsin • 🇺🇸 United StatesJunior💰 $28 - $42 per hourWebsite

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

ICD-10-CMCPTHCPCSEvaluation and Management (E&M) codingcoding resourcescoding educationcoding experienceHCC Risk adjustment Codingpayer denials resolutioncharge corrections

Tools & Technologies

encoder softwaregrouper software

Certifications & Qualifications

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)

Industry Keywords

National Correct Coding Initiatives (NCCI)Local Coverage Documents (LCD)National Coverage Documents (NCD)Medically Unlikely Edits (MUEs)Medicare Teaching Physician Guidelines

About the role

Key responsibilities & impact

Utilize available encoder, grouper software, and other coding resources to determine appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
Maintain 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.
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
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 Preferred
2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred
Certified Professional Coder (CPC) within 1 year Required
Certified Professional Coder Apprentice (CPC - A) within 1 year Required
Certified Outpatient Coder (COC) within 1 Required
Certified Outpatient Coder Apprentice (COC - A) within 1 year Required
Certified Inpatient Coder (CIPC) within 1 year Required
Certified Coding Specialist (CCS) within 1 year Required
Certified Coding Specialist Physician-Based (CCS-P) within 1 year Required
Certified Coding Associate (CCA) within 1 year Required
Certified Risk Adjustment Coder (CRC) Upon Hire Preferred
Registered Health Information Technician (RHIT) Upon Hire Preferred
Registered Health Information Administrator (RHIA) Upon Hire Preferred
Registered Health Information Technician (RHIT) Preferred
Registered Health Information Administrator (RHIA) Preferred
Certified Inpatient Coder (CIC) Upon Hire Preferred

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible work hours
Paid time off
Remote work options