Medical Coding Specialist II – Surgical IP Professional Coder

UW Health; Middleton (WI); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare provider is seeking a Medical Coding Specialist II to work remotely. The position involves coding responsibilities, requiring a strong understanding of coding standards and experience in medical coding. An excellent benefits package is available, along with flexible schedules to support work-life balance and professional growth.

Benefits

Health and Dental Insurance

Paid Time Off

Retirement Plans

Tuition Benefits

Paid Parental Leave

Qualifications

• High School Diploma or equivalent and a medical coding education required.
• Active coding certification required.
• 1 year of progressive coding experience required.

Responsibilities

• Utilize encoder, grouper software, and coding resources to determine appropriate codes.
• Maintain knowledge of coding initiatives and regulatory requirements.

Skills

ICD-10-CM

CPT

HCPCS

Medically Unlikely Edits (MUEs)

Regulatory Compliance

Education

High School Diploma

Medical Coding Education

Associate's Degree in Healthcare

Job description

Medical Coding Specialist II – Surgical IP Professional Coder

Middleton, WI, United States (Remote)

Job Description

Work Schedule:

This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process.

To be eligible to work remotely, you must be in an approved remote work state for UW Health. We’ve included a link below to view the full list of approved remote work states.

We are seeking a Medical Coding Specialist II to:

• 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.

At UW Health, you will have:

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

Qualifications

• 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

Work Experience

• 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

Licenses & Certifications

• 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

Our commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

• Legal Employer University of Wisconsin Medical Foundation, Inc.
• Locations 7974 UW HEALTH CT, MIDDLETON, WI, 53562, US (Remote)
• Job Category Non-Clinical Support Staff
• Job Function Billing-Insurance-Medical Coding