Medical Coding Specialist II – Inpatient

UW Health

Job Description:

Join the #1 hospital in Wisconsin!

We are seeking a Medical Coding Specialist II – Inpatient to:

  • Determine and assign ICD-10-CM diagnosis codes, in addition, to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes.
  • Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows.


Minimum – High School Diploma or equivalent AND Medical Coding Education

Preferred – Graduate of a Health Information Technology program

Work Experience:

Minimum – Two years of progressive inpatient facility coding experience

Preferred – Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center

Licenses and Certifications:

Minimum – Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)

Preferred – Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)

Required Skills, Knowledge, and Abilities:

  • Knowledge of, but not limited to, current Official Coding Guidelines and methodologies, MS-DRGs, APR-DRGs, the ICD-10-CM/PCS coding systems and conventions.
  • Extensive knowledge of medical terminology, anatomy and pathophysiology, pharmacology and ancillary test results
  • In-depth knowledge of complex medical and coding concepts encountered in an Academic Medical Center.
  • Knowledge of coding systems and regulatory requirements of Inpatient Prospective Payment System (IPPS)
  • Proficiency with encoder software and other coding applications/tools
  • Strong communication skills (interpersonal, verbal and written).
  • Serve as a subject matter expert to Clinical Documentation Improvement Specialists, colleagues, and clinicians.
  • Strong organizational and analytical thinking skills
  • Demonstrates critical thinking skills, and the ability to interpret, assess, and evaluate provider documentation.
  • Proficient with Microsoft Office applications (Outlook, Word, Excel)
  • Self-motivated and demonstrated the capacity to work independently without close supervision. This position has the potential to work remotely.
  • Must be able to work flexible hours which may include weekends as required to meet business needs.
  • Ability to quickly analyze a situation, problem solve and prioritize.
  • Familiarity with the external reporting aspects of healthcare
  • Knowledge of external auditing programs; ex.: Recovery Audit Contractor (RAC), Office of the Inspector General (OIG), third-party payors.

Physical Requirements:

Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools.  Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary for carrying out job duties.  Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Work Schedule:

This is a full-time, 1.0 FTE position that is scheduled to work Monday through Friday with a flexible morning start times. Working remotely is possible. Hours may vary based upon the operational needs of the department.

UW Health Administrative Facilities – UW Health has administrative locations throughout Madison and beyond where thousands of employees provide vital support to our clinical areas. These locations are home to departments such as Access Services, Compliance, Human Resources, Information Services, Patient Medical Records, Payroll and many others.

UW Health values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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