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Medical Coding Specialist II Fiscal Coding and Denials
Medical Coding Specialist II Fiscal Coding and DenialsUniversity of Wisconsin Hospitals and Clinics Authority • Middleton, Idaho, USA
Medical Coding Specialist II Fiscal Coding and Denials

Medical Coding Specialist II Fiscal Coding and Denials

University of Wisconsin Hospitals and Clinics Authority • Middleton, Idaho, USA
23 days ago
Job type
  • Full-time
Job description

Description

Work Schedule :

This is a full-time 1.0 FTE position that is 100% remote. Applicants hired into this position can work remotely 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. Weve included a link below to view the full list of approved remote work states.

Approved Remote Work States Listing

Be part of something remarkable

Join the #1 hospital in Wisconsin!

We are seeking a Medical Coding Specialist II :

  • 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.
  • Responsible for resolution of pre-bill claim edits (OCE CCI MUE Medical Necessity etc.) from all Hospital Billing clinical areas. You will strive to produce the cleanest claim possible before it moves on to Billing or out to the payer.

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.
  • 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.
  • The opportunity to earn a referral bonus for referring friends former colleagues or others to apply for open posted positions.
  • Qualifications

  • High School Diploma or equivalent and medical coding education Required or
  • In lieu of a medical coding education an active coding certification Required
  • Associates 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.

    Job Description

    UW Hospital and Clinics benefits

    Required Experience :

    IC

    Key Skills

    Environmental Safety,Fashion Retail,C++,Arabic Faculty,BI

    Employment Type : Full-Time

    Experience : years

    Vacancy : 1

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    Coding Specialist Ii • Middleton, Idaho, USA

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