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Medical Coding Hcc Episource Jobs in Wisconsin (NOW HIRING)

Fort HealthCare

Coding Coordinator

Fort Atkinson, WI · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Oversight of medical coding staff, ensuring accurate and compliant coding of patient records to ... Monitors the RN CDI Specialist's collection, analysis, and reporting of HCC data to the Clinical ...

Fort HealthCare

Coding Coordinator

Fort Atkinson, WI · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Oversight of medical coding staff, ensuring accurate and compliant coding of patient records to ... Monitors the RN CDI Specialist's collection, analysis, and reporting of HCC data to the Clinical ...

ThedaCare

Coder (Clinic - III)

Neenah, WI · On-site

$19.25 - $25.75/hr

Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and ...

ThedaCare

Coder (Clinic - III)

Neenah, WI · On-site

$19.25 - $25.75/hr

Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and ...

Advocate Aurora Health

Coder Lead - Risk Management

Milwaukee, WI · Remote

$30.70 - $46.05/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Professional Coding Operations Medical and Primary Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Will support: * Risk Management (HCC Coding ...

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Medical Coding Hcc Episource information

What skills and qualifications are needed to thrive as a medical coding HCC specialist at Episource?

To thrive as a Medical Coding HCC specialist at Episource, you need a strong understanding of ICD-10-CM coding, risk adjustment, and healthcare regulations, often demonstrated by a relevant certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and Episource-specific platforms is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for ensuring accurate code assignment and collaborating with clinical teams. These skills are essential to maximize coding accuracy, ensure compliance, and support proper reimbursement in value-based care environments.

What is the difference between Medical Coding Hcc Episource vs Medical Coding Specialist?

AspectMedical Coding Hcc EpisourceMedical Coding Specialist
CertificationsAHIMA or AAPC certifications, HCC coding trainingAHIMA or AAPC certifications, general coding credentials
Work EnvironmentHealthcare organizations, insurance companies, remote optionsHospitals, clinics, physician offices, remote work possible
Industry UsageFocus on risk adjustment, HCC coding for Medicare AdvantageGeneral medical coding across various specialties

Medical Coding Hcc Episource specializes in risk adjustment coding, particularly HCC coding for Medicare Advantage plans, often requiring specific training. Medical Coding Specialist roles cover broader medical coding tasks across multiple healthcare settings. While both roles require coding certifications, Hcc Episource focuses on risk adjustment, making it more specialized compared to the general scope of Medical Coding Specialists.

What is a medical coding HCC specialist at Episource?

Medical Coding HCC (Hierarchical Condition Category) roles at Episource involve reviewing patient medical records to accurately assign diagnosis codes according to HCC guidelines. Coders play a crucial part in ensuring proper risk adjustment and compliance with healthcare regulations, which helps determine reimbursement rates for healthcare providers. These professionals must have a deep understanding of ICD-10-CM coding, medical terminology, and HCC risk adjustment models. At Episource, coders may work remotely or on-site, collaborating with other clinical and operational teams to maintain high standards of data accuracy and integrity.

Is medical coding worth it in 2026?

Medical coding, including HCC coding roles like those at Episource, remains a valuable career due to ongoing healthcare industry growth and the demand for accurate medical record documentation. Certified coders with knowledge of coding systems and compliance standards are likely to find stable employment opportunities in the coming years.

What are common challenges faced by medical coding HCC specialists at Episource and how can they be addressed?

Medical Coding HCC professionals at Episource often encounter challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and ensuring accuracy in risk adjustment documentation. To address these, it's important to engage in ongoing training, utilize company-provided resources, and collaborate closely with quality assurance teams. Regular communication with providers and other coders also helps clarify ambiguities and maintain coding accuracy, contributing to both personal development and overall team success.

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For Medical Coding Hcc Episource jobs in Wisconsin, the most frequently searched job titles are:

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Medical Coding Hcc Episource jobs near you

Medical Coding Specialist II - Profee Radiology

UWHealth

Middleton, WI • On-site, Remote

Full-time

Medical, Dental, Retirement, PTO

Re-posted 21 days ago

Job description

Work Schedule: 
This is a full-time, 1.0 FTE position that is 100% remote. This will have flexible shifts scheduled Monday - Friday and will be discussed in the interview. 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 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 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.

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.

Qualifications

  • Medical coding education Required or In lieu of a medical coding education, an active coding certification Required
  • High School Diploma or equivalent Preferred
  • 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) Required
  • 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred

Licenses & Certifications

  • Certified Professional Coder (CPC) Upon Hire Required or
  • Certified Outpatient Coder (COC) Upon Hire Required or
  • Certified Inpatient Coder (CIC) Upon Hire Required or
  • Certified Coding Specialist (CCS) Upon Hire Required or
  • Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or
  • Certified Coding Associate (CCA) Upon Hire Required or
  • Certified Risk Adjustment Coder (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

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

UW Medical Foundation Benefits

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