55 jobs found in Madison

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 (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows...

Cherry Tree Dental in Madison, WI seeks a detail-oriented Temporary Revenue Cycle Specialist for remote work with periodic travel to clinical sites. You will verify insurance benefits, enter data in the practice management system, and manage aged receivables to ensure timely reimbursements. Requirements include a high school diploma (associate degree preferred) and 2 years in dental revenue cycle management. Proficiency in dental software and strong payer knowledge are essential. #J-18808-Ljbffr

Pena4 Inc is seeking an Inpatient Medical Coder (CCS certified) for a 100% remote role. The candidate will handle IP/OP coding with a focus on accurate ICD-10-CM/PCS coding, CPT usage, and DRG assignments. Immediate start; test required for IP/OP coding proficiency. Requires at least 5 years IP PCS coding experience, 3 years OP preferred, and a CCS certificate. W2 regular employment with daytime hours and regular shift. Cerner, PowerChart, 3M, and EPIC experience a plus. #J-18808-Ljbffr

Virtua Health is seeking a qualified Medical Coder to join our team for 100% remote work. The role involves abstracting clinical information and assigning CPT-4 and ICD-10 codes from medical records to support professional fees, including outpatient E/M services and related procedures. The ideal candidate has CPC certification, at least two years of coding experience and familiarity with EHR systems. High school diploma or GED required; reliable knowledge of anatomy and medical terminology is #J-18808-Ljbffr

The Coding Network (TCN) is looking to contract with an E&M coder to perform the daily E&M coding for a number of clients throughout the country. The coder will access the operation reports via a remote connection to the client's EMR and return the coded cases. Hours can range from a 15-40 hour/week commitment. All applicants must: · Have a minimum of 3 years of E&M Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the United States of America · Take and pass TCN’s E&M Coding Exam If you meet the above criteria and are willing to test please submit your resume. Our current E&M needs are in the following medical specialties: E&M ENT E&M Dermatology E&M General Surgery E&M Hospitalist E&M NICU / PICU E&M OB/GYN E&M Orthopedics E&M Pain Management E&M Podiatry E&M Trauma E&M Ophthlamology E&M Urology E&M Wound Care

Inpatient Medical Coder (CCS certified)Assignment Details:100% REMOTEPosition Type: W2 Regular EmploymentAt least 5 years of IP PCS Coding experience, requiredAt least 3 years OP, preferredCCS certificate is required.Schedule: Weekdays, full-time hoursShift: Regular day shift hoursSystem Experience: Cerner | Power Chart | 3M | EPICStart Date: ImmediatelyTo be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test.Summary :IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.Responsibilities:Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and complications.Accurately sequences diagnoses &...

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders specializing in Risk...

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review medical records and clinical documentation to accurately assign ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting. Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring all diagnoses are fully supported by clinical evidence. #J-18808-Ljbffr

## Medical Coding Specialist - Outpatient (full-time)Applyremote type: Fully Remotelocations: Remote WI - Reside in WI: Remote IL - Reside in ILtime type: Full timeposted on: Posted Todayjob requisition id: JR100604Looking 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****POSITION SPECIFICS****Title:** Medical Coding Specialist – Outpatient**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...

Jobrapido seeks an experienced Certified Medical Coder with strong outpatient and ER coding experience for a 100% remote contract opportunity. The eight-week assignment runs Monday–Friday, 8:00 AM–4:00 PM, 35 hours per week, with a weekend day rotation. Ideal candidates have 3–5 years in outpatient coding, ER/ED coding, acute care coding, and proficiency with 3M/CPT-4/ICD-10. CCS/CCP/AHIMA RHIA/RHIT certifications and a HS diploma are preferred. Weekly pay and benefits are included. #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

Allegheny Health Network in Madison, WI is seeking a hospital coder to review medical records, determine ICD-10 codes for diagnoses and procedures, and abstract data for statistical reporting. The role emphasizes accurate coding, timely data entry, and staying current with ICD guideline updates. CCS or CIC certification is preferred, along with a high school diploma and hospital coding experience. #J-18808-Ljbffr

Banner Health is seeking a motivated Physician Coder to join our Radiology coding team. This fully remote role covers CT, ultrasound and other modalities, with schedule flexibility and comprehensive benefits. Candidates should have CPC in active status and 6+ months radiology coding experience. Training is provided, and equipment is supplied. Remote work is available nationwide, with support resources and a collaborative leadership team. #J-18808-Ljbffr

Primary City/State Phoenix, Arizona Department Name Coding Ambulatory Work Shift Day Job Category Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.We are looking for a motivated, experienced Physician Coder with ideally 6 months-1 year Coding experience to join our talented team. Requires Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent and consistent coding work history. This person will cover our Radiology group within banner and will be coding CT, Ultrasounds, All Modalities. We will accept CPC-A only if candidate has a minimum of 6 months experience coding radiology. Our leaders and coders...

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...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to those who...

Banner Health is seeking a motivated Physician Coder with 6 months to 1 year of coding experience to join our Radiology coding team. Active CPC certification is required; CPC-A accepted with radiology experience. This is a fully remote role, with flexible hours and nationwide coverage. You will code CT, Ultrasounds and other modalities, supported by Banner Health’s resources and leadership. Onboarding includes training and ongoing career growth within a nationally recognized health system. #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...

Country-wide Remote US-Nationwide-FIELD Full time 20189391 What Ethics & Compliance contributes to Cardinal Health Ethics & Compliance promotes a culture that encourages ethical conduct and a commitment to compliance. This function implements strategies and processes to ensure adherence to policies, educates and trains employees across the organization, and conducts investigations to resolve ethics and compliance issues. Ethics & Compliance develops and implements strategies and standard operating procedures to promote adherence to internal ethics and compliance policies related to areas such as privacy, HIPAA and FCPA, among others. This job family resolves concerns from business unit leaders and employees and proactively provides guidance and trainings on policies. Job Summary The Compliance Auditor is responsible for conducting coding, documentation audits to ensure adherence to regulatory requirements, payer policies, and organizational...

Medasource is partnering with a leading regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity, multi-specialty environment and is ideal for coders with strong experience handling complex inpatient cases. Responsibilities include inpatient coding across Cardiology, Neurology, Surgery, Transplants, NICU, and other complex cases, using Epic EHR and 3M encoder. #J-18808-Ljbffr