UW Health
Middleton, WI
Medical Coding Specialist I/II - Profee Pediatrics/Multi Specialty Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist I/II 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. Resolve payer denials and respond to inquiries from revenue cycle teams, processing charge corrections as appropriate. Qualifications High School Diploma or equivalent and medical coding education Required or...