28 jobs found in Madison

Vascular Surgery Coder The job family is General Coding. Travel is not required. Clearance is not required. The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and...

Job Posting This is a remote position. Job Details: Assign diagnosis and procedure codes to reflect the condition(s) and treatment provided to the patient based on the documentation within the record for both inpatient and outpatient stays. The code assignment is utilized to determine reimbursement for the facility and physician, quality measures, hospital statistics, and medical research. Skills and Experience Required: Knowledge of the contents of the medical record Demonstrates working knowledge of ICD-10-CM, ICD-10 PCS and CPT 4. Passing Score of 80% or higher on the coding test to be considered. Working knowledge of Ambulatory Payment Classifications (APC) and Diagnostic Related Groups (DRG) Previous outpatient and/or inpatient coding experience 1 year minimum Must be a member of the AHIMA in good standing

Outpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

Medical Coding Auditor Become a part of our caring community and help us put health first. The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines. Utilize encoders and various coding resources. Perform CPT Procedure reviews. Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release of information. Maintain current...

Job Description Job Description Description: Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. Researches and analyzes health records to verify clinical...

Coder I, Professional 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 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...

Hcc Coder Position Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

Medical Coding Supervisor Are you a detail-oriented leader with a passion for accuracy and process improvement? Join our team as a Medical Coding Supervisor, where you'll play a key role in ensuring high-quality coding practices, supporting provider education, and leading a dedicated team that drives the success of our revenue cycle operations. The Medical Coding Supervisor oversees the operations and personnel within the Medical Coding department. Key responsibilities include reviewing provider-assigned codes for accuracy and compliance, auditing insurance claims, and addressing coding-related denials. This role provides coding education to providers, supports documentation standards, and may assist with related research initiatives. The supervisor manages team functions such as hiring, onboarding, training, performance evaluation, and ensuring adequate staffing. Additional duties include developing departmental policies, leading staff meetings, addressing inquiries or...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and...

Inpatient Coding Auditor (PRN) Join Our Award-Winning Team and Work with the Best! We are thrilled to share that UASI has been recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023, and 2024! With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we've built and the long-term success of our dedicated team. We are currently seeking an experienced facility inpatient Coding Auditor to join our team on a PRN basis. The Coding Auditor will perform inpatient coding audits and review services to client sites remotely from a home office. Additional responsibilities include: Work with clients performing coding audit and/or review services on a variety of Inpatient facility record types Identify trends based on coding audit and review findings and formulate recommendations for corrective action plans Perform necessary research to provide to the client to support findings. Examples of this research include...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

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...

WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate...

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 healthcare organization in Madison, WI is seeking a Medical Coding Supervisor to ensure high-quality coding practices and lead a dedicated team. Responsibilities include overseeing coding operations, auditing claims, providing education, and managing departmental functions. Candidates should have relevant experience, CPC credential, and leadership capabilities. Comprehensive benefits package available. Opportunity to contribute to an impactful team focused on revenue cycle success. #J-18808-Ljbffr

Job Description About the Role: We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting‑edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands‑on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD‑10‑CM, ICD‑10‑PCS, HCPCS/CPT codes, and associated modifiers from patient records. In‑depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS‑DRG and APR‑DRG assignment. Strong communication skills to interact effectively with the billing department...

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER Are you a detail-oriented leader with a passion for accuracy and process improvement? Join our team as a Medical Coding Supervisor , where you'll play a key role in ensuring high-quality coding practices, supporting provider education, and leading a dedicated team that drives the success of our revenue cycle operations. The Medical Coding Supervisor oversees the operations and personnel within the Medical Coding department. Key responsibilities include reviewing provider‑assigned codes for accuracy and compliance, auditing insurance claims, and addressing coding‑related denials. This role provides coding education to providers, supports documentation standards, and may assist with related research initiatives. The supervisor manages team functions such as hiring, onboarding, training, performance evaluation, and ensuring adequate staffing. Additional duties include developing departmental policies, leading...

A health data exchange leader in Madison, WI, seeks an experienced HCC coder to review and code medical records accurately for reimbursement. You will ensure compliance with established guidelines and must maintain a high accuracy rate. The ideal candidate has AHIMA or AAPC credentials and at least 2 years of HCC coding experience. This position offers $19.60/hour with additional incentives for quality work. Join us to help transform healthcare through better data usage. #J-18808-Ljbffr

A leading health data platform company in Madison, WI is seeking an Outpatient Coder. You will review medical records, assign accurate codes, and ensure compliance with HIM policies. Ideal candidates have AHIMA or AAPC certifications and over 2 years of coding experience. Responsibilities include accurate coding for hospital procedures and continuous education to maintain credentials. Competitive compensation ranging from $20 to $35 USD per hour, with comprehensive benefits for full-time employees. #J-18808-Ljbffr