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Medical Coding Specialist II – Profee, Multi Specialty
Aspirus HealthMedical Coding Specialist determining appropriate medical codes using coding software for UW Health. Requires in-depth knowledge of coding regulations and coding practices with a focus on flexibility and work-life balance.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding, including proficiency in ICD-10-CM, CPT, and HCPCS coding systems, while adhering to regulatory requirements and institutional guidelines. Holds relevant coding certifications and possesses experience in diverse medical specialties.
Highest-signal resume keywords
ICD-10-CM CodingCPT CodingHCPCS CodingCertified Professional Coder (CPC)Certified Risk Adjustment Coder (CRC)
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingEvaluation and Management (E&M) CodingNational Correct Coding Initiatives (NCCI)Local Coverage Documents (LCD)National Coverage Documents (NCD)Medically Unlikely Edits (MUEs)Coding ModifiersHCC Risk Adjustment CodingProgressive Coding ExperienceCoding Education
Tools & Technologies
Encoder SoftwareGrouper Software
Certifications & Qualifications
Certified Outpatient Coder (COC)Certified Inpatient Coder (CIC)Certified Coding Specialist (CCS)Certified Coding Specialist Physician-Based (CCS-P)Certified Coding Associate (CCA)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)
Industry Keywords
Healthcare CodingRegulatory ComplianceCoding GuidelinesInstitutional GuidelinesRisk Adjustment
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- An excellent benefits package, including 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 - UW Health invests in your professional growth by helping pay for coursework associated with career advancement