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Medical Coding Specialist I/II-Profee-Dept of Pathology

Company:
University of Wisconsin Hospitals and Clinics
Location:
Middleton, WI, 53562
Posted:
March 26, 2026
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Description:

Description

Work Schedule:

This is a full-time, 1.0 FTE position that is 100% remote. Applicants hired into this position can work remotely 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 UW Health. 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 I/II:

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.

At UW Health, 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 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.

The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.

Qualifications

High School Diploma or currently enrolled in a Medical Coding Program or i

n lieu of a medical coding education, an active coding certification Required

Associate's Degree in a healthcare related field Preferred

Work Experience

1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Preferred

2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred

Licenses & Certifications

Certified Professional Coder (CPC) within 1 year Required or

Certified Outpatient Coder (COC) within 1 year Required or

Certified Inpatient Coder (CIC) within 1 year Required or

Certified Coding Specialist (CCS) within 1 year Required or

Certified Coding Specialist Physician-Based (CCS-P) within 1 year Required or

Certified Coding Associate (CCA) within 1 year Required or

Certified Risk Adjustment Coder (CRC) within 1 year Required or

Registered Health Information Technician (RHIT) Preferred or

Registered Health Information Administrator (RHIA) Preferred

Our Commitment to Social Impact and Belonging

UW Health 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 UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Job Description Medical Coding Specialist I

Job Description Medical Coding Specialist II

UW Medical Foundation benefits

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