Medical Coding/Billing Specialist
Medical Coding/Billing Specialist - Educational Health Center of Wyoming
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Thank you for your interest in joining the University of Wyoming. Our community thrives on the contributions of talented and driven individuals who share in our mission, vision, and values. If your expertise and experience align with the goals of our institution, we would be thrilled to hear from you. We encourage you to apply and become a valued member of our vibrant campus community today!
Why Choose Us?
At the University of Wyoming, we value our employees and invest in their success. Our comprehensive benefits package is designed to support your health, financial security, and work-life balance. Benefits include:
- Generous Retirement Contributions: The State contributes 14.94% of your gross salary, and you contribute 3.68%, totaling 18.62% toward your retirement plan.
- Exceptional Health & Prescription Coverage: Enjoy access to medical, dental, and vision insurance with competitive employer contributions, that include 4 deductible options to suit your needs.
- Paid Time Off: Benefit from ample vacation, sick leave, paid holidays, and paid winter closure.
- Tuition Waiver: Employees and eligible dependents can take advantage of tuition waivers, supporting continuous education and professional growth.
- Wellness and Employee Assistance Programs: Stay healthy with wellness initiatives, counseling services, and mental health resources.
At the University of Wyoming, we're committed to creating a supportive and enriching workplace. To learn more about what we offer, please refer to UW's Benefits Summary.
JOB TITLE:
Medical Coding/Billing Specialist
JOB PURPOSE:
Promote continuity of medical care and ensure compliance with third-party reimbursement policies, regulations and accreditation guidelines. Perform tasks related to provider services to include edit reviews and claim resolution.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Audit information about procedures performed and diagnosis on charge.
- Provide coding and documentation education for clinical staff.
- Responsible for Athena worklists applied to medical necessity and/or coding denials.
- Complete coding assignments following coding and reimbursement guidelines.
- Assign or review ICD-10 diagnosis and CPT/HCPCS codes with appropriate modifiers and accuracy according to payer policies and regulatory requirements.
- Review and enter charges based on documentation in the record.
- Review claims, edit work queues, determine the corrective action necessary to resolve claims and complete accurate, timely and compliant billing.
- Resubmit claims as a daily task.
- Submit claims to the patient's secondary insurance (including the primary carrier's EOB) after receiving the correct payment from the primary carrier.
- File UB-94 and HCFA 1500 claim forms to insurance.
SUPPLEMENTAL FUNCTIONS:
- Perform miscellaneous job-related duties as assigned.
- Participate in performance-related goal setting and achievement to meet personal and organizational goals and objectives.
- Attend and participate in training and other personal professional development activity.
COMPETENCIES:
- Attention to Detail
- Consistency
- Service Orientation
- Teamwork
- Analysis/Problem Identification
- Technical/Professional Knowledge
MINIMUM QUALIFICATIONS:
Education: High School/GED
Experience: 2 years related experience in healthcare setting
Required licensure, certification, registration or other requirements: Certified Professional Biller (CPB) or Certified Professional Coder (CPC)
DESIRED QUALIFICATIONS:
- Experience with billing in a Federal Qualified Health Center (FQHC) or Rural Health Clinic (RHC)
- Work independently and confidently to accomplish daily tasks
- Experience with interpreting Explanation of Benefits (EOB)s
- Demonstrate ability to meet and maintain department productivity and quality standards
- Demonstrate ability to accurately code medical records for evaluation and management services, ancillary services, diagnoses for insurance purposes.
- Demonstrate experience with medical coding and modifiers.
- Demonstrate ability to communicate effectively both verbally and in writing.
- Demonstrate proficiency with computer skills necessary to complete job duties and must have strong knowledge of computerized billing system in EMR as well as Microsoft Office products: Word, Excel, Teams.
REQUIRED APPLICATION MATERIALS:
Complete the online application. The department additionally requests candidates upload the following document(s) for a complete application:
- Cover letter
- Resume or C.V.
- Contact information for four work-related references (references will only be contacted if you are selected as a finalist for the position).
This position will remain open until filled. Complete applications received by 01/18/2026 will receive full consideration.
WORK LOCATION:
Remote/Flexible Work: This position is eligible for remote work and/or a flexible work schedule.
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