28 jobs found in Madison

Coder I, Professional This is a full time day shift position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements: Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies all billable services. Reviews all applicable data sources, including but not limited to, electronic health record, inpatient admit, discharge and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. FT and PRN Openings Up to $5,000 Sign On Bonus * What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is...

A leading health insurance company is seeking a remote Medical Coding Coordinator to review and educate providers in coding disputes. The ideal candidate will have at least 3 years of experience as a Certified Medical Coder, along with AAPC CPC certification. Responsibilities include extracting clinical information, assigning medical codes, and responding to internal requests. The role offers competitive pay ranging from $48,300 to $65,900 annually, along with comprehensive benefits that support overall well-being. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

This is a full-time remote position focused on enhancing the product knowledge and functional skills of global medical affairs teams. As an Associate Director, you will act as a therapeutic area expert (in areas such as Nephrology or Immunology), leading training that supports the Global Medical Affairs (GMA) Business Unit's product strategies and priorities. Your key responsibilities will include: Developing and executing the core training curriculum for new products throughout all launch phases. Conducting training for new hire Medical Science Liaisons (MSLs) and GMA personnel within therapeutic areas. Supporting the GMA Peak Performers series aimed at enhancing the skills and performance of Global Medical Affairs. Creating original ideas for training sessions, developing presentation slides, and evaluating their effectiveness. Facilitating live and virtual classroom training sessions. Additionally, you will collaborate with regional/local training leads to...

About Otsuka We defy limitation, so that others can too. In going above and beyond-under any circumstances-for patients, families, providers, and for each other. It's this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka's opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing...

We are seeking a *detailoriented and experienced Inpatient Coder* to join our Health Information Management team. This role focuses on qualitydriven inpatient coding within a collaborative, highperformance environment. The ideal candidate values accuracy over volume and is comfortable managing a focused inpatient workload while maintaining compliance with MSDRG standards. *Key Responsibilities* * Review and analyze *inpatient medical records* to assign accurate *ICD10CM, ICD10PCS, and CPT codes* * *Ensure compliance with MSDRG classification* and coding guidelines * Work from a designated *Work Queue*, receiving one inpatient chart at a time * Average *4-5 inpatient accounts per day*, prioritizing quality and accuracy * Utilize *Epic EHR*, *3M Encoder*, and *Viziant (REM score calculator)* to support compliant coding * Maintain high coding quality standards, including participation in *monthly audits (10% of charts)* * *Engage in coaching, feedback, and quality improvement...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER Are you a detail-oriented leader with a passion for accuracy and process improvement? Join our team as a Medical Coding Supervisor , where you'll play a key role in ensuring high-quality coding practices, supporting provider education, and leading a dedicated team that drives the success of our revenue cycle operations. The Medical Coding Supervisor oversees the operations and personnel within the Medical Coding department. Key responsibilities include reviewing provider-assigned codes for accuracy and compliance, auditing insurance claims, and addressing coding-related denials. This role provides coding education to providers, supports documentation standards, and may assist with related research initiatives. The supervisor manages team functions such as hiring, onboarding, training, performance evaluation, and ensuring adequate staffing. Additional duties include developing departmental policies, leading...

A leading health data exchange company is seeking experienced outpatient coders to join their remote team. Candidates should have at least 3 years of coding experience, strong knowledge of medical terminology, and AHIMA or AAPC certification. Responsibilities include reviewing medical records, assigning accurate codes, and maintaining high coding accuracy. Enjoy benefits such as medical coverage, paid time off, and opportunities for continuing education. This role is perfect for detail-oriented individuals looking to make an impact in healthcare. #J-18808-Ljbffr

A leading pharmaceutical company in Madison seeks an Associate Director of Scientific Communications to oversee the execution of a global communications strategy for therapeutic areas. The role involves managing content generation, overseeing publication strategies, and collaborating across teams to ensure scientific accuracy. The ideal candidate will have an advanced scientific degree and substantial experience in Medical Affairs. Competitive salary and comprehensive benefits offered. #J-18808-Ljbffr

A leading health services organization is seeking a DME Outpatient Medical Coding Auditor. This remote role involves handling coding disputes with a focus on accuracy and compliance in DME coding. Candidates should possess CPC or CCS certification and extensive experience in CPT/HCPCS auditing. The company offers competitive benefits starting from day one, including health benefits, paid time off, and a 401(k) plan with employer match, ensuring well-being for both employees and their families. #J-18808-Ljbffr

A healthcare data collaboration platform seeks experienced inpatient coders for fully remote roles in Madison, WI. Successful candidates will possess a minimum of 3 years' coding experience and relevant certifications. Responsibilities include assigning and abstracting diagnostic codes, maintaining coding accuracy, and fostering communication with healthcare staff. The position offers a competitive pay range of $32 to $42 per hour and a sign-on bonus. Ideal for detail-oriented professionals eager to impact healthcare through data. #J-18808-Ljbffr

It's more than a career, it's a calling WI-Turville Bay Worker Type Regular Job Highlights This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre‑authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements PRIMARY RESPONSIBILITIES Manages assigned charge review and coding‑related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow‑up steps. Identifies all billable services. Reviews all...

Overview Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor – DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Responsibilities Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes...

A health organization in Madison, WI is seeking a full-time Coder I for their Cancer Care department. This position focuses on coding moderate complexity services, offering a schedule of 40 hours per week from 8:00 a.m. to 4:30 p.m. Ideal candidates should have knowledge of ICD10 and CPT, with preferred certification in ROCC. This role includes managing charge reviews, ensuring accurate billing, and collaborating with medical providers to enhance documentation standards. #J-18808-Ljbffr

It's more than a career, it's a calling WI-Turville Bay Worker Type: Regular Job Highlights: This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...