31 jobs found in Madison

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...

Select how often (in days) to receive an alert: Associate Director, US Field Medical Training & Congress Strategy Field of work: Regulatory & Medical Posting Date: 22 Sept 2026 Role Description Shape Scientific Readiness. Elevate Field Capabilities. Drive Medical Impact. Your Role: The Associate Director, US Field Medical training, onboarding, scientific readiness, congress strategy, and congress execution framework across the portfolio. This role ensures MSLs, MOLs, and Field Medical colleagues are prepared to deliver high-quality scientific exchange, execute consistently at key congresses, capture actionable insights, and support Medical Affairs priorities. Your Responsibilities: Field Medical Training and Capability Development Develop, lead, implement, and continuously improve the US Field Medical training plan in collaboration with Field Medical Excellence, Field Medical Leadership, Medical Directors, Global Medical Affairs, Scientific Communications, Publications, and...

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 carriersMaintain accurate...

The Medical College of Wisconsin seeks an Account Rep II on the Commercial team to optimize payer reimbursements across third-party carriers, government programs, and HMOs. Hybrid work arrangement: 90% remote, 10% onsite in the Milwaukee metro area. Responsibilities include releasing information, pulling medical records, and ensuring documentation meets contract and government guidelines. Strong communication and multi-system navigation are essential. #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

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)...

The Medical College of Wisconsin, Inc. is seeking a skilled coder/biller focused on accurate CPT and ICD-10 CM coding for neurosurgery, orthopedics and ambulatory surgery. You will verify documentation, enter charges, and help resolve denials with the billing team. The role emphasizes collaborating with physicians and department staff to improve revenue and ensure compliant billing practices in a controlled environment. #J-18808-Ljbffr

Datavant is seeking an Inpatient Auditing Specialist to address coding quality, compliance assessments, external payer reviews, and coding education. This fully remote role offers flexible scheduling and optional PRN support for IA IP auditing. Spinal experience and strong query writing skills are a plus, with a preference for about 20 hours per week. The role emphasizes accurate DRG coding, thorough rationale for changes, and adherence to ethics. #J-18808-Ljbffr

Sanford Health is seeking a Coding Audit Specialist to ensure accurate risk adjustment coding across Medicare Advantage, ACA/Exchange and BadgerCare Plus populations. You will audit medical records, apply CPT/ICD-10 guidelines, and present concise audit outcomes to leadership. Ideal candidates have CPC certification within a year, 3 years in health insurance or auditing, and strong knowledge of CMS guidelines, documentation standards, and data analysis. #J-18808-Ljbffr

Datavant is seeking a Profee Auditing Specialist to perform professional fee coding audits, provide rationale for coding changes, and stay updated on regulatory changes. The role offers remote work with flexibility and requires strong organizational skills. Experience with Epic/Cerner and a CPC certification are essential. The role emphasizes customer service, ethics, and commitment to excellence, with comprehensive benefits and opportunities for professional development. #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...

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...

Fully Remote Lake Park Building Full time R182990 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...

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 seeking an experienced outpatient coder for a fully remote, part-time role (15–20 hours/week). The ideal candidate will have AHIMA or AAPC credentials and 3+ years of hospital coding experience, including ED E/M leveling, injections/infusions, and specialty areas. Duties include reviewing records, coding accurately, and ensuring compliance with HIM policies. Annualized pay ranges from $20 to $35 per hour, with a $1,000 sign-on bonus. #J-18808-Ljbffr

Cognizant is seeking an Emergency Department Coder to ensure accurate coding across multiple healthcare settings. You will review documents, query physicians, and use encoder tools to maintain 98% accuracy while meeting productivity standards. The role is fully remote with flexibility and an incentive program based on performance. Candidates must hold CPC/CCS or equivalent and have ED/outpatient coding experience. #J-18808-Ljbffr

About the role As a Emergency Deparment Coder, you will make an impact by ensuring the accuracy, quality, and compliance of medical coding practices across multiple healthcare settings. You will be a valued member of the Health Information Management team and work collaboratively with coding professionals, physicians, and operational stakeholders to support regulatory compliance and revenue cycle excellence. In this role, you will: Review clinical documentation and accurately assign diagnosis and procedure codes for outpatient surgery, observation, emergency department, and outpatient diagnostic encounters. Communicate with physicians and clinical staff to obtain clarification on diagnoses and procedures through the coding query process. Utilize electronic encoder applications and coding tools to assign accurate codes in accordance with company policies and regulatory guidelines. Perform peer reviews and quality audits of coding professionals to ensure coding accuracy,...

CVS Health Corporation in Madison, WI is seeking a Certified Coding Analyst to perform medical claim reviews for waste and error, ensuring coding accuracy and compliance with CPT, HCPCS, ICD-10 and CMS 1500/UB04 guidelines. The role emphasizes thorough documentation and clear findings. You will audit records, discuss cases with Medical Directors, identify coding issues, and support provider education. Proficiency in Excel and Word and strong written and verbal communication are required for #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 Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record...

About the role As a Medical Coding Quality Auditor, you will play a critical role in ensuring coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals and physicians to support accurate clinical documentation, regulatory compliance, and operational excellence while maintaining high quality and productivity standards in a remote work environment. In this role, you will: Review medical documentation to accurately assign diagnosis and procedure codes. Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the coding query process. Assign accurate codes using electronic encoder applications in accordance with company policies, coding guidelines, and regulatory requirements. Perform peer reviews and quality audits of Health Information Management coding auditors and coders. Prepare and complete reports, audit findings, and other deliverables as requested. Monitor...