Medical Coding Specialist II – Profee Pediatrics, Multi Specialty

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Aspirus Health

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 appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. • Maintain 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. • Resolve payer denials and respond to inquiries from revenue cycle teams, processing charge corrections as appropriate.

🎯 Requirements

• High School Diploma or equivalent and medical coding education Required • 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 Preferred • 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred • Certified Professional Coder (CPC) within 1 year Required • Certified Professional Coder Apprentice (CPC - A) within 1 year Required • Certified Outpatient Coder (COC) within 1 Required • Certified Outpatient Coder Apprentice (COC - A) within 1 year Required • Certified Inpatient Coder (CIPC) within 1 year Required • Certified Coding Specialist (CCS) within 1 year Required • Certified Coding Specialist Physician-Based (CCS-P) within 1 year Required • Certified Coding Associate (CCA) within 1 year Required • Certified Risk Adjustment Coder (CRC) Upon Hire Preferred • Registered Health Information Technician (RHIT) Upon Hire Preferred • Registered Health Information Administrator (RHIA) Upon Hire Preferred • Registered Health Information Technician (RHIT) Preferred • Registered Health Information Administrator (RHIA) Preferred • Certified Inpatient Coder (CIC) Upon Hire Preferred

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Remote work options

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