Medical Coding Specialist II – Fiscal Coder

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🕒 Yesterday

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $28 - $42 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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Aspirus Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

Aspirus Health is a healthcare organization providing a wide range of medical services and programs. The company operates various hospitals and clinics, offering specialties such as behavioral health, cancer care, emergency services, and surgery. Aspirus Health is committed to patient safety, quality compliance, and advancing care accessibility in Minnesota and Northern Wisconsin. They provide community support through programs like the Aspirus Scholars Program and have resources for health planning, such as advance care directives and a health insurance marketplace. Aspirus Health also focuses on sustainability and social responsibility.

📋 Description

• 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.

🎯 Requirements

• 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

• 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 • Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.