33 jobs found in Madison

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...

Jhcvirginia in Madison Heights, Virginia is looking for a Coding Specialist to work in the billing team. The role involves reviewing medical records, coding diagnoses and procedures, and ensuring compliance with regulations. The ideal candidate has experience in coding and is self-motivated with strong communication skills. Certification in coding is preferred or candidates must be willing to achieve it within six months of hire. #J-18808-Ljbffr

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Job Details Job Location: BMH Forester Building - Revenue Cycle - Madison, WV 25130 Position Type: Per Diem Overview Boone Memorial Hospital is seeking a detail-oriented and motivated Coder (HIM Coder) to join our Health Information Management team. In this role, you will play a critical part in ensuring accurate coding, regulatory compliance, and timely reimbursement for outpatient services. Essential Functions Review medical record documentation and accurately assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines. Abstract patient information into electronic medical record systems while ensuring data accuracy and integrity. Apply CMS regulations, payer-specific guidelines, and coding compliance standards to support ethical and accurate reimbursement. Resolve coding-related claim edits and assist with denial management. Collaborate with providers, billing staff, and ancillary departments to answer coding questions and improve documentation quality....

Boone Memorial Hospital in Madison, WV is looking for a detail-oriented Coder (HIM Coder) to join the Health Information Management team. This role involves accurately coding medical records, ensuring compliance, and aiding in timely reimbursement for outpatient services. The ideal candidate will have certifications including CCS and CPC, along with robust coding experience. Strong communication skills and the ability to collaborate with various departments are key for success in this position. #J-18808-Ljbffr

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Emplify Health, in partnership with Gundersen Health System, is seeking a detail‑oriented Coding Specialist to support accurate outpatient hospital coding and ensure compliance with ICD‑10‑CM, CPT, and HCPCS guidelines. You will review medical records, assign codes, apply modifiers, and use standard query processes to clarify clinical information, supporting accurate billing and quality data. The role involves reviewing outpatient records, following coding standards, and staying updated on #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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Join The Indian Health Service Make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

The Indian Health Service is hiring a Medical Records Technician in Madison Heights, Virginia. This role supports healthcare operations and ensures accurate medical coding for patient records. Key responsibilities include reviewing medical records, verifying documentation accuracy, and providing guidance on coding practices. Candidates must be U.S. citizens and experience in medical coding is preferred. #J-18808-Ljbffr

Johnson Health Center is seeking a Medical Coding Specialist to join our Billing & Coding Department. You will review patient records, assign ICD-10-CM and CPT/HCPCS codes, and ensure compliance with regulations and policies. Collaboration with providers to clarify documentation will be essential to support accurate coding and high-quality reporting. Ideal candidates have CPC or CCS certification and at least two years in clinical coding, with proficiency in EHRs and payer guidelines. #J-18808-Ljbffr

Summary Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. Duties Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and...

Boone Memorial Health is seeking a detail-oriented Coder to join our Health Information Management team. The Coder will ensure accurate outpatient coding for reimbursement and regulatory compliance, reviewing documentation and abstracting information into EMR systems. Ideal candidates hold CCS, CPC, COC, or RHIT credentials and have 2+ years of outpatient coding experience with ICD-10-CM, CPT, and HCPCS. Strong analytical skills and the ability to work independently are essential for success in #J-18808-Ljbffr

Medical Billing / Accounts Receivable Specialist Location: Madison, NJ Schedule: Full-Time, In-Person Our client is seeking an experienced Medical Billing / Accounts Receivable Specialist to join their growing team. The ideal candidate will have at least 2 years of experience working with medical insurance accounts receivable, including insurance follow-up, denials, appeals, and aged AR. Experience with ABA (Applied Behavior Analysis) billing is preferred but not required. Key Responsibilities Manage and resolve outstanding insurance accounts receivable, with a strong focus on aged AR Follow up with insurance carriers regarding unpaid, denied, and underpaid claims Research claim discrepancies and submit appeals to maximize reimbursement Review insurance payments, EOBs, and claim statuses to ensure accurate reimbursement Identify opportunities to recover outstanding insurance balances Document all account activity and communications with insurance carriersMaintain accurate...

Huntsville Hospital Health System seeks a candidate to perform internal audits of hospital accounts and manage insurance audits. Applicants should have a high school diploma or GED, with an Alabama nursing license preferred. The job requires at least 3 years of experience in a hospital clinical setting or related field. We offer a competitive benefits package including medical, dental, and vision insurance, retirement options, and tuition assistance. Join us to contribute to our commitment to a diverse workplace. #J-18808-Ljbffr

Humana is seeking a Medical Coding Auditor for the Outpatient Facility/APC Coding Team. This remote role requires verification of CPT/HCPCS codes, review of clinical documentation, and adherence to APC guidelines. Candidates should have post-certification experience and strong attention to detail. The position offers opportunity to conduct peer reviews, handle multiple priorities, and support quality initiatives while maintaining HIPAA compliance. Travel may be required occasionally. #J-18808-Ljbffr

Humana, a Fortune 100 Company, seeks an experienced and Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will contribute to cost reduction by ensuring accurate payments and DRG assignments. The role involves extracting clinical information, assigning ICD-10-CM/PCS codes, auditing quality, and collaborating across teams to improve accuracy. Remote work with occasional travel may be required. #J-18808-Ljbffr

Sauk Prairie Healthcare, Inc. is seeking a Medical Coding Specialist – Outpatient to review medical reports and apply diagnostic and procedural codes for ambulatory services, primarily ED and Urgent Care. This remote role offers the option to work onsite and requires Wisconsin or Illinois residency. The position involves auditing records, collaborating with clinical departments, and staying current with coding changes. AHIMA/AAPC credentials must be obtained within six months of hire. #J-18808-Ljbffr

Position Overview Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here. 100% Remote position with option to work onsite. Wisconsin or Illinois residency required. Title Medical Coding Specialist – Outpatient Position Specs FTE: 1.0 (40 hours per week) Schedule: Monday to Friday, five (5) 8-hour shifts between hours of 6am and 5pm Holiday Rotation: None Weekend Rotation: None On Call Requirements: None Position Summary Reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis. This role will primarily focus on Emergency Department and Urgent Care coding but will also assist in other areas. Technical Responsibilities Assigns codes for ambulatory outpatient services using International Classification of Diseases (ICD) and Current Procedural Terminology (CPT)...

Certified Professional Coder (CPC)We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.Activities...