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Medical Coding Specialist II – Profee Pediatrics, Multi Specialty
Aspirus HealthMedical Coding Specialist analyzing and resolving code-related queries for UW Health. Utilizing coding resources and maintaining compliance with national directives.
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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CMCPTHCPCSEvaluation and Management (E&M) codingcoding resourcescoding educationcoding experienceHCC Risk adjustment Codingpayer denials resolutioncharge corrections
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)