29 jobs found in Madison

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group  is seeking an experienced Medical Billing Specialist with demonstrated  Revenue Cycle Management (RCM)  expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage  full Revenue Cycle Management (RCM)  processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on  Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and...

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

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. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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. Conduct a...

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.

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

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

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: Benefits may vary based upon position type and/or level. Job...

Fully Remote Lake Park Building Full time R180631 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...

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).

Coder Boone Memorial Health 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. If you have a passion for medical coding, enjoy working independently, and take pride in accuracy and attention to detail, we encourage you to apply. 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...

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

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 carriers Maintain accurate and...

Intermountain Health seeks a skilled medical coder to accurately evaluate and resolve CPT/HCPCS/ICD-10 coding edits within Epic work queues, reviewing documentation and assigning the correct codes and modifiers. The role requires Epic PB Resolute experience, at least five years of professional fee coding with three in the specialty, and strong provider communication skills. This is a full-time, on-site role with a robust benefits package. #J-18808-Ljbffr

Vernon Health seeks an experienced Medical Staff Services Specialist to oversee credentialing, privileging, governance, payer enrollment, and regulatory compliance. This role interfaces with medical staff leadership, providers, hospital administration, and regulators to ensure high-quality patient care. You will manage the credentialing lifecycle, support committees, and monitor ongoing compliance while advancing workforce initiatives and onboarding for physicians and APPs. #J-18808-Ljbffr

It's more than a career, it's a calling. WI-REMOTE Worker Type: Regular Job Summary Coordinates, organizes and prioritizes the work flow activities for the coding area. Primary Responsibilities Leads and/or coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and/or associates. Serves as a leader through modeling, mentoring and training assigned staff. Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer‑specific...

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

Baylor Scott & White Health in Madison, WI is seeking a Coding Auditor 1 to perform coding quality audits using ICD-10-CM/PCS, HCPCS, CPT and related references, providing feedback to coders and ensuring accurate classification. You will collaborate with Clinical Documentation Specialists, abstract data into the coding/abstracting system, and support compliant coding practices across the health system. #J-18808-Ljbffr

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...

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)...