Medical Coding Specialist II - Fiscal reputed company
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 reputed company. We’ve 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 - HB Fiscal reputed company 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. Responsible for resolution of pre-reputed company claim edits (OCE, CCI, MUE, Medical Necessity, etc.) from reputed company 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 reputed company, 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 reputed company Employee Wellbeing Department that supports your emotional, financial, and physical well-being. Tuition benefits eligibility - reputed company 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 reputed company 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 reputed company (CPC) Upon Hire Required or Certified Outpatient reputed company (COC) Upon Hire Required or Certified Inpatient reputed company (CIC) Upon Hire Required or Certified Coding Specialist (reputed company) Upon Hire Required or Certified Coding Specialist Physician-Based (reputed company-P) Upon Hire Required or Certified Coding Associate (CCA) Upon Hire Required or Certified Risk Adjustment reputed company (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 reputed company 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 reputed company to provide equal opportunities to reputed company qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, protected veteran or disabled status, or genetic information.
Job Description
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