Medical Coding Specialist II - Remote

POSITION SUMMARY:

In accordance with both Official and UW Health Coding Guidelines, the Medical Coding Specialist II determines the appropriate ICD-10-CM, CPT, CDT, and HCPCS, or HCC codes for providers and facility services based on clinical documentation. This position may include coding multiple (sub)specialties, professional component coding of inpatient facility, outpatient facility, non-facility and/or professional fee agreements and/or the facility/technical component. This position may also include some charge entry for outreach billing. The incumbent may also be responsible for provider and staff education.

EDUCATION/TRAINING:

High School diploma or equivalent and medical coding education. In lieu of a medical coding education, an active coding certification is required. Associate degree in a healthcare related field preferred.

LICENSURE/CERTIFICATION:

Certification as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) required, or Certified Risk Adjustment Coder (CRC) required within one year of hire for HCC.

Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) preferred (will be considered in lieu of above certifications).

EXPERIENCE/SKILLS/ABILITIES:

Minimum of one-year of progressive coding experience. Two years progressive coding experience in multiple specialties, HCC Risk adjustment Coding preferred. Experience with coding concepts (Current Procedural Terminology (CPT), International Classification of Disease 10th Edition-Clinical Modification (ICD-10-CM), Code on Dental Procedures and Nomenclature (CDT), Health Care Procedure Coding System (HCPCS), Diagnosis Related Group (DRG), and Hierarchical Condition Categories (HCC) for HCC. Extensive knowledge of medical terminology. Experience using Microsoft Office (i.e., Excel, Word). Extensive knowledge of Anatomy and Physiology. Demonstrated capacity to work independently and in a team environment. Effective communication skills, written and oral.