22 jobs found in Madison

A leading healthcare company is seeking a Medical Coding Auditor to review medical claims and ensure that coding guidelines are followed. The ideal candidate will have at least 3 years of outpatient coding experience, relevant certification, and a strong understanding of coding procedures. This remote position requires attention to detail, a commitment to compliance, and the ability to work independently. Competitive compensation and a comprehensive benefits package are offered. #J-18808-Ljbffr

A leading health system in Wisconsin is seeking a Coding Specialist to review inpatient clinical documentation and accurately assign ICD-10-CM and ICD-10-PCS codes. The role requires strong knowledge of coding principles and the ability to collaborate across departments to enhance documentation practices. Candidates must have an Associate or Bachelor's degree in Health Information Technology/Management and relevant certification. The position offers a competitive salary and an attractive benefits package including health insurance and a retirement plan. #J-18808-Ljbffr

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...

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...

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40 Salary Range: $21.50 - $34.50 Union Position: No Summary Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and PCS diagnostic and procedural codes used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring. Job Description Using professional coding training, critical thinking, and clinical acumen, accurately assigns ICD-10-CM and ICD-10-PCS codes to conditions and procedures documented within the inpatient electronic medical record. Applies Official Coding Guidelines, CMS...

A leading health system is seeking a coding specialist to accurately assign ICD-10-CM and ICD-10-PCS codes to inpatient records. The role requires maintaining coding standards and collaborating with clinical teams to improve documentation practices. Candidates must hold an Associate or Bachelor's degree in Health Information Management along with CCS certification. Prior hospital coding experience is preferred, making this an excellent opportunity for experienced professionals and new graduates alike. #J-18808-Ljbffr

Overview Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We offer development and advancement opportunities to our nearly 50,000 Sanford Family members who are dedicated to the work of health and healing across our broad footprint. Facility: Remote WI Location: Remote, WI Address: Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $21.50 - $34.50 Job Summary Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and ICD-10-PCS coding used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring. Using professional coding training, critical thinking, and clinical acumen, accurately assigns ICD-10-CM and ICD-10-PCS codes to conditions and procedures documented within the inpatient electronic medical record. Applies Official Coding Guidelines, CMS regulations/guidelines, and...

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

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

A healthcare solutions provider in Madison, WI is seeking a Customer Service Operations representative to manage insurance inquiries and enhance customer relationships. Candidates should have experience in a customer service setting, preferably with knowledge of medical billing. The role involves verifying insurance claims and maintaining high service standards. Join our diverse team and help us deliver excellent support to our customers. The anticipated pay range is $15.75 to $18.50 per hour, plus benefits. #J-18808-Ljbffr

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...

Overview Professional Coding Auditor-Educator role at WVU Medicine. To apply, click the Apply button and complete the application in full. Responsibilities Educate and train WVU Healthcare Coding Staff as directed by Coding Managers. Oversee or perform the overall auditing and education plans for the Coding staff. Perform coding quality audits, provide ongoing feedback and education. Utilize ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. Develop and maintain coding-related policies, procedures, query development, work queues and training materials in conjunction with management. Communicate with Coding Staff, Medical Staff, Physician Advisor, Department Chairman, and Department Administrators. Organize, facilitate, perform, track, trend, and report on internal quality reviews. Design and use audit tools to monitor coding accuracy and documentation gaps; coordinate external audits and related...

Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. 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,...

A healthcare data collaboration platform is seeking experienced outpatient coders to join their remote team. The ideal candidate will have a strong attention to detail and proficiency in medical terminology, along with coding certifications. Responsibilities include reviewing medical records, ensuring accurate coding, and maintaining performance standards. The position offers flexibility and a collaborative work environment, with benefits that include comprehensive training and equipment support. #J-18808-Ljbffr

Associate Director, Medical Excellence and External Engagement Lead, WW Medical Cell Therapy Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You'll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible. Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Position Summary Reporting to the Sr...

Current Madison College employees must apply to the internal career site by logging into Workday Job Posting Date: January 29, 2025 Application Deadline: Salary Information: Salary depends upon workload. Department: School of Health Science_OTA, MA, MC, OptTech, TM&Rad_PT Faculty Job Description: Madison College is recruiting a pool of highly motivated and qualified candidates to teach part time courses for the Medical Coding Specialist program. Applications will be accepted on a continuous basis for the 2025-2026 academic school year. If you possess the aspiration to help others succeed, this is an opportunity for you to positively impact the community and lives of our students. Madison College is a first-choice institution that offers exceptional educational opportunities to our students providing high-demand skills for professional and academic growth. Madison College's dedication to promoting equity, inclusion and diversity is reflected in our...

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. 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 fully remote with a flexible schedule, allowing...

A leading healthcare software company located in Madison, WI, is seeking motivated individuals for their Billing Services team. The role requires excellent communication and customer service skills, along with a medical billing certificate or relevant experience. Candidates should live within 45 minutes of the campus and be vaccinated against COVID-19. This position offers great benefits, including merit-based compensation, bonuses, and a supportive work environment for personal and professional growth. #J-18808-Ljbffr

Position Please note that this position is based on our campus in Madison, WI, and requires relocation to the area. We recruit nationally and provide financial relocation assistance. Team and Responsibilities Epic is seeking bright, motivated individuals to join our growing Billing Services team. Our goal is to help organizations using Epic improve revenue cycle metrics by posting payments and denials, resolving credit balances, and calling payers to follow up on outstanding or unpaid claims. Members of this team will also have the chance to learn the technology from an end user standpoint and provide feedback for system optimization. Location Live affordably in a city known for its rising tech talent. Epic is located just outside Madison, Wisconsin, the second fastest growing market for tech talent in the United States and home to the state capital and the University of Wisconsin. Madison, a city surrounded by water, has received accolades for being the greenest city in America...

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...