24 jobs found in Madison

Medical Coding Specialist 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 tasks. The Medical Coding Specialist works under the general supervision and guidance of the Revenue Cycle and Insurance Operations Manager. The...

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 higher education institution is seeking a Coding Specialist to ensure accurate assignment of medical codes in compliance with healthcare regulations. The role requires five years of coding experience, proficiency in ICD-10 coding, and the ability to maintain a high accuracy rate. Candidates must have relevant certifications in health information management. This role plays a crucial part in supporting the reimbursement process for clinical services. #J-18808-Ljbffr

Virtua Medical Group is hiring for a remote medical records coder in Madison, Wisconsin. This full-time position involves coding and abstracting medical records across various departments, ensuring accuracy and compliance with federal regulations. Candidates must have at least two years of coding experience, a high school diploma, and knowledge of anatomy and medical terminology. Virtua offers robust benefits and is committed to community health. CCS certification is required for new hires by 2025. #J-18808-Ljbffr

Become a part of our caring community The 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 Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established 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. 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...

# At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care...

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...

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...

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...

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...

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

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

Coder and Database Intern for App and Website Job No: 511206 Division/Organization: Community Partners Department: The Rigby Job Type: Local Work Study Student Jobs Remote Eligibility: All Remote Location: Off Campus Work Study Salary / Wage: $15 Job Categories: Interpersonal Communication, Leadership, Critical Thinking/Problem Solving, Digital Technology, Teamwork/Collaboration, Professionalism/Work Ethic, Communications, Broadcasting, and Media Arts, Business Management, Finance, and Marketing, Customer Service, Hospitality, Information Technology and Computers, Data Analysis, Summer Off-Campus Opportunities, Career Management, Honoring Context and Culture, Federal Work-Study Preferred Department Overview The Technology and Development Department is responsible for designing, building, and maintaining the digital systems that support Internera and its projects. This department focuses on creating practical technology solutions that help businesses operate more...

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 tasks. The Medical Coding Specialist works under the general supervision and guidance of the Revenue Cycle...

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...

SUMMARY Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. ESSENTIAL FUNCTIONS Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current official coding guidelines to ensure consistent and accurate coding of diagnostic...

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...

A financial services company in Wisconsin is seeking an experienced Mortgage Underwriting Auditor to perform audits on mortgage originations. Responsibilities include analyzing financial data for compliance with state and federal regulations and loan policies. The candidate must have at least 5 years of experience in mortgage underwriting, along with excellent analytical and communication skills. Knowledge of Microsoft Excel and organizational skills are essential for this role. #J-18808-Ljbffr

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