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: 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 applicable data sources, including but not limited to, electronic health record, inpatient...

Job Description Job Description Financial Compliance Auditor Looking for a rewarding opportunity to make a difference in your community? Join Employ Milwaukee as our new Financial Compliance Auditor! Reporting to the Chief Financial Officer, you'll play a vital role in ensuring our organization meets its financial compliance needs. You'll be responsible for overseeing timely financial services in alignment with regulatory, legal, and funding source requirements, as well as those of our subcontractor recipients. This role involves assisting with fiscal monitoring for subcontractors and similar organizations funded by Employ Milwaukee. If you're detail-oriented, skilled in financial compliance, and passionate about serving your community, we want to hear from you! Apply now to be part of our dynamic team. What We’re Looking For: Seeking a detail-oriented and analytical Someone with a strong understanding of financial regulations and internal controls, Able to analyze financial...

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 other...

Administration - 1265 John Q. Hammons Drive, Madison, Wisconsin, United States of America Job Description Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Medical Coding Specialist is responsible for reviewing electronic encounter documents to ensure that the codes provided by the practitioners are accurate per coding protocols and comply with all established guidelines. The Medical Coding Specialist is responsible for assigning applicable codes to the medical records to ensure accuracy and completeness. The incumbent assists in providing coding education and required documentation criteria to practitioners and their staff and participates in job-related research projects. This position is responsible for reviewing insurance claims to determine possible coding errors and researching coding guidelines to support any insurance claim denials based on coding guidelines. As assigned, the incumbent may assist the Medical Coding Manager in various administrative...

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER Join our team as a Medical Coding Specialist! We are looking for a certified coding professional with strong attention to detail and a commitment to accuracy. Candidates should hold a CPC or CCS-P certification and have completed an accredited Medical Coding Specialist Program or possess equivalent education and experience. Medical coding experience and insurance processing knowledge are preferred. The Medical Coding Specialist is responsible for reviewing electronic encounter documentation to verify that practitioner-submitted codes are accurate, adhere to coding protocols, and comply with all applicable guidelines. This role is responsible for accurately assigning medical codes to patient records and supporting providers through education on coding and documentation requirements while contributing to coding-related initiatives and research as needed. The position includes reviewing insurance claims to identify...

A leading health data company is seeking experienced inpatient coders to join their fully remote team. The ideal candidate will have at least 3 years of inpatient coding experience and certifications like CCS or RHIT. Responsibilities include coding, auditing, and ensuring high accuracy rates. Full-time employees enjoy comprehensive benefits including medical, dental, and 401k. The hourly pay range for this position is estimated at $32-$42. Join a values-driven team shaping the future of healthcare! #J-18808-Ljbffr

Datavant is seeking a passionate outpatient coder to join our fully remote team based in Madison, Wisconsin. In this role, you will review medical records, assign codes for diagnoses and procedures, and ensure high accuracy in coding. The ideal candidate will have at least 3 years of outpatient coding experience and CCS certification. This position offers flexible scheduling and a commitment to transformative change in healthcare. Enjoy comprehensive benefits including medical, dental, and 401k plans. Additionally, we provide free CEUs and stipends to assist with education. #J-18808-Ljbffr

Ourlivesmadison is looking for a Medical Coding Specialist to join their team in Madison, Wisconsin. Candidates should possess a CPC or CCS-P certification and must have experience in medical coding along with insurance processing knowledge. This role involves reviewing documentation accuracy, assigning medical codes, and assisting with insurance claims. Employees can enjoy a comprehensive benefits package that includes health and dental insurance, paid short-term and long-term disability, tuition reimbursement, and more. Apply now to be part of a quality-driven cooperative! #J-18808-Ljbffr

A healthcare organization in Madison, Wisconsin, is hiring a Medical Coding Specialist to review electronic medical records for coding accuracy. Responsibilities include assigning codes, providing coding education, and reviewing insurance claims for errors. Candidates should have a high school diploma, completion of a medical coding program, and certification as a CPC or CCS-P. Strong communication and customer service skills are essential, along with knowledge of medical terminology and confidentiality protocols. #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 future...

Good Samaritan Society is seeking a proficient medical coder for a remote role in Wisconsin. The ideal candidate will be responsible for coding diagnoses and procedures, ensuring compliance with official standards, and supporting service reimbursement processes. Candidates must possess an associate degree in Health Information Technology or equivalent coding certification, with a strong understanding of ICD-10, CPT, and HCPCS coding schemes. This position offers a full-time schedule with an attractive benefits package including health, dental, and retirement plans. #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 (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....

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).

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 a Medical Omnichannel Data Scientist , with strong expertise in artificial intelligence, encompassing machine learning, data mining,...

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

## Associate Director, WW Medical Cell Therapy, CAR T AutoimmuneMadison - Giralda - NJ - USFind out how well you match with this job**Working with Us** 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...

## Associate Director, Promotional Review Process Medical Advisor, OncologyMadison - Giralda - NJ - USFind out how well you match with this job**Working with Us** 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...

Medical Records Technician 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.

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. This is not a fully remote position. Training is in person at the Madison address above. 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...

Become a part of our caring community 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. Where you Come In 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 accuracy of...