Long-Term Care Medical Coding Policy SME

Gainwell Technologies

Long-Term Care Medical Coding Policy SME for Wisconsin Medicaid programs. Analyzing and implementing coding policies while collaborating with stakeholders on project initiatives.

Posted 7/21/2026full-timeRemote • Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $64,500 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical coding, specifically with CPT, HCPCS, and ICD-10, while effectively leading discussions and managing projects. Proficient in analyzing coding policies and maintaining documentation to ensure compliance and accuracy.

Highest-signal resume keywords

CPT CodingHCPCS Level II CodingICD-10 CodingCertified Professional Coder (CPC)Project Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingReimbursement PolicyCoding Policy DocumentationCritical ThinkingAnalytical Skills

Soft Skills

Problem-SolvingWritten CommunicationVerbal Communication

Tools & Technologies

Microsoft Office

Certifications & Qualifications

Certified Outpatient Coder (COC)Certified Coding Specialist (CCS)Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)

Industry Keywords

Long-Term CareMMIS Project Initiatives

About the role

Key responsibilities & impact

serve as the medical coding subject matter expert for Long-Term Care coding workgroups and MMIS project initiatives
review annual and quarterly CPT, HCPCS, and ICD-10 code updates
research and respond to complex medical coding and policy inquiries
lead meetings and facilitate stakeholder discussions
maintain and enhance documentation of coding policies

Requirements

What you’ll need

experience working with CPT, HCPCS Level II, ICD-10, medical coding, reimbursement policy
preferred certifications: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT)
strong critical thinking, analytical, and problem-solving skills
project management experience
excellent written and verbal communication skills
proficiency with Microsoft Office applications

Benefits

Comp & perks

generous, flexible vacation policy
educational assistance
comprehensive health benefits
401(k) employer match
leadership and technical development academies