Medical Coding Spec II Float

J  o  b    D  e  s  c  r  i  p  t  i  o  n

JOB INFORMATION

Effective Date:

8/14/2025

Entity:

Wisconsin

Job Code:

450012

Job Title:

Medical Coding Spec II Float

Exemption Status:

Non-Exempt

Management Level:

Individual Contributor

JOB SUMMARY

In accordance with both Official and UW Health Coding Guidelines, the Medical Coding Specialist II Float determines the appropriate ICD-10-CM, CPT, CDT, and HCPCS codes for providers and facility services based on clinical documentation. This position may include coding multiple (sub)specialties, professional component coding of inpatient facility, outpatient facility, non-facility and/or professional fee agreements and/or the facility/technical component. This position may also include some charge entry for outreach billing. The incumbent may also be responsible for provider and staff education.

The Float position is responsible for providing coding support on an as-needed basis to any or all clinical departments or sections.  The Float position may also provide as-needed coverage to more than one department or section simultaneously.  The Medical Coding Specialist II Float will not have specific and/or consistent coding responsibilities as s/he is responsible to the many unique departments and or specialties of UW Health.

MAJOR RESPONSIBILITIES

•

Review information available in the electronic medical record and/or paper record to accurately code the episode of care in multiple specialty areas, including inpatient and outpatient settings.

•

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.

•

Actively participate in and maintain coding quality and productivity processes

•

Communicate directly with physician and non-physician providers to resolve conflicting provider documentation to establish cause and effect relationships between conditions and further specify diagnoses and procedures documented within the medical record.

•

Provide ongoing feedback to physicians and other providers regarding coding guidelines and requirements. Assist with educational in-services for physicians, other providers, and clinic staff relating to documentation compliance as well as new policies and procedures related to billing.

•

Resolve payer denials and respond to inquiries from revenue cycle teams, processing charge corrections as appropriate.

•

Navigate software workflows and processes to identify and resolve appropriate electronic rules and create efficiencies.

•

Participate in training new coding staff, as needed

ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS.

X

Non-Clinical

JOB REQUIREMENTS

High School Diploma

or equivalent and medical coding education

Required

and

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

Required

2 years

of progressive coding experience in multiple specialties

Preferred

Certification as Certified Professional Coder (CPC)

Required

or

Certified Outpatient Coder (COC)

Required

or

Certified Inpatient Coder (CIC)

Required

or

Certified Coding Specialist (CCS)

Required

or

Certified Coding Specialist Physician-Based (CCS-P)

Required

or

Registered Health Information Technician (RHIT)

Required

or

Registered Health Information Administrator (RHIA)

Required

Registered Health Information Technician (RHIT)

Preferred

or

Registered Health Information Administrator (RHIA)

Preferred

•

Experience with coding concepts (Current Procedural Terminology (CPT), International Classification of Disease 10th Edition-Clinical Modification (ICD-10-CM), Code on Dental Procedures and Nomenclature (CDT), Health Care Procedure Coding System (HCPCS), and Diagnosis Related Group (DRG)

•

Extensive knowledge of medical terminology

•

Experience using Microsoft Office (i.e., Excel, Word)

•

Extensive knowledge of Anatomy and Physiology

•

Demonstrated capacity to work independently and in a team environment

•

Effective communication skills, written and oral

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

☒

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 in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Up to 10#

Negligible

Negligible

☐

Light: Ability to lift up to 20 pounds maximum with frequent lifting and/or carrying of objects weighing up to 10 pounds. Even though the weight lifted may only be negligible amount, a job is in this category when it requires walking or standing to a significant degree.

up to 20#

Up to 10# or requires significant walking or standing or requires pushing/pulling of arm/leg controls.

Negligible or constant push/pull of items of negligible weight

☐

Medium: Ability to lift up to 50 pounds maximum with frequent lifting and/or carrying objects weighing up to 25 pounds.

20-50#

10-25#

Negligible-10#

☐

Heavy: Ability to lift up to 100 pounds maximum with frequent lifting and/or carrying objects weighing up to 50 pounds.

50-100#

25-50#

10-20#

☐

Very Heavy: Ability to lift over 100 pounds with frequent lifting and/or carrying objects weighing over 50 pounds.

Over 100#

Over 50#

Over 20#

Other - list any other physical requirements or bona fide occupational qualifications not indicated above:

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.