54 jobs found in Wausau

As an Inpatient or Outpatient Coder, you will work under general supervision to assign diagnostic and procedural codes to patient charts of moderate to high complexity levels using ICD-9 and CPT, HCPCS, and any other designated coding classification system in accordance with coding rules and regulations. Essential functions include but are not limited to: Reviews medical records for the determination and accurate assignment of all documented diagnoses and procedures. Assigns and sequence codes based on medical record documentation. Abstracts and enters coded data and designated quality management data for hospital statistical and reporting requirements. Communicates documentation improvement opportunities and coding issues (discrepancies, physician queries, etc.) to the appropriate personnel for follow up and resolution. Serves as a functional resource for entry-level coders and mentors/trains other coders as needed. Codes all types of patient records (i.e., inpatient, outpatient...

A healthcare organization seeks an Inpatient or Outpatient Coder to join their team in Texas, WI. The ideal candidate will assign diagnostic and procedural codes to patient charts, perform quality management data entry, and support documentation improvement efforts. This role requires a RHIA, CCS certification, and at least two years of coding experience, along with strong mentoring skills for entry-level coders. #J-18808-Ljbffr

Gainwell Technologies seeks a Lead Coding Auditor for Itemized Bill Review and Appeals. This 100% remote role requires expertise in inpatient hospital bill auditing, outpatient facility coding, and charge master review. You will train Coding Auditors, participate in hearings, and ensure billing is accurate and compliant with plan policies. As part of the mission, you will analyze documentation, maintain coding knowledge, and support management with production and quality goals while working #J-18808-Ljbffr

Join UnitedHealthcareAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required.Hours: This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm.We offer 2-3 weeks of paid training. The hours during training...

MUST RESIDE IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE. Counter Affidavit as well as Testimony experience is preferred. We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Texas based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is preferred. Responsibilities Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to determine medical necessity and documentation compliance Review and prepare demand packages and audit response materials Analyze records for payer disputes and recoupments Prepare written audit findings and defensible reports Provide expert support for depositions and testimony as needed Review...

Join UnitedHealthcare At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required. Hours: This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm. We offer 2-3 weeks of paid training. The hours during...

A leading medical coding firm is seeking an experienced CPC certified medical coder in Texas to conduct coding audits and provide litigation support. Candidates should have a minimum of 5 years of coding experience, with at least 3 years in Texas. The role includes performing audits, conducting reviews for medical necessity, and preparing documentation. The firm offers a comprehensive benefits package, including medical, dental, vision coverage and a 401k plan with company match. #J-18808-Ljbffr

Suvida Healthcare is seeking a Risk Adjustment Coder to enhance documentation and coding accuracy in patient records. This role involves reviewing medical documents, providing feedback, and educating healthcare providers on coding standards to deliver high-quality care for our seniors. Ideal candidates will have a strong background in ICD-10 coding, possess excellent communication skills, and work well in a collaborative environment. Join us in making a meaningful impact within a diverse and dedicated team. #J-18808-Ljbffr

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

Select how often (in days) to receive an alert: Lead Coding Auditor, Itemized Bill Review and Appeals- Remote Date: Sep 9, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for aLead Coding Auditor, Itemized Bill Review and Appeals who is responsible for performing itemized bill review, chart review, and coding validation to ensure that billed services were...

Inform Diagnostics, a Fulgent Genetics Company, is seeking a Billing Coder III to review documentation, assign CPT/ICD-10CM codes, and ensure accurate claims submissions across multi-specialty pathology services. You will work with the billing team, resolve complex denials, train new staff, and help maintain coding guidelines while meeting quality and production standards. Candidates should have CPC, a high school diploma, and 7–10 years of pathology coding experience, plus proficiency with #J-18808-Ljbffr

DaMar Staffing seeks a Remote HIM Senior Inpatient Coder to maintain high-quality ICD-10-CM/PCS coding for inpatient diagnoses and procedures. You will review clinical documentation to sustain a 95% accuracy rate and abstract data into Client EMR systems, ensuring proper billing and reduced denials. Collaborating with the HIM team and Clinical Documentation Specialists, you will help ensure complete physician documentation and support in other departmental areas as needed, while maintaining #J-18808-Ljbffr

Cook Children's Health Care System is seeking an HIM Coder Analyst I to assign ICD-10-CM/PCS and CPT-4 codes with precision for emergency and outpatient settings, based on physician documentation. The role emphasizes timely coding and collaboration with clinicians. The candidate should have 1 year of coding experience, proficiency with EHR systems, Excel and Word, and be capable of working independently. Certifications (RHIA/RHIT/CCS/CPC) are preferred or obtainable through education within 3–12 #J-18808-Ljbffr

Premier Medical Resources in Wisconsin is seeking a full-time Medical Billing and Coding Specialist to join our team. Hybrid after 30-90 day in-person training; duties include reviewing records and coding per ICD-10-CM, CPT, HCPCS, submitting claims, and resolving discrepancies. The ideal candidate has a High School Diploma or GED and at least three years of medical billing and coding experience, proficient in EMR systems and CMS-1500 forms, with strong attention to detail and communication with #J-18808-Ljbffr

Medical Billing Specialist Klassic Recruiting and Agnite Health has partnered together in a search for a Medical Billing Specialist in Dallas, Texas. The Billing Specialist is responsible for the timely collection of both insurance and patient accounts receivables for Agnite Health LLC clients. Duties for this position would include posting of charges, posting of payments, submission of insurance claims, AR follow-up and the processing of patient and insurance refunds. Essential skills and abilities: Must exhibit energy and passion about serving clients and continual learning Must possess excellent verbal/written communication skills Must possess outstanding interpersonal skills and desire to build a team oriented culture Must have exceptional analytical problem solving skills Must possess extreme attention to detail Must be self-motivated and able to work independently Must have strong computer skills, including:Microsoft Word, Microsoft Excel, Outlook, SharePoint, Sharefile,...

Revenue Cycle Management is looking for a full-time Medical Billing and Coding Specialist to join our team! **Hybrid opportunity after 30-90 day in-person training** SUMMARY: The Medical Billing and Coding Specialist is responsible for reviewing patient medical records and accurately assigning ICD-10-CM, CPT, HCPCS, and applicable modifier codes in accordance with coding guidelines and payer requirements. This position ensures charges are accurately reflected on patient accounts, supports timely claim submission, and communicates with internal departments to resolve coding, documentation, and billing discrepancies. ESSENTIAL FUNCTIONS: Reviews medical record documentation to accurately assign diagnosis, procedure, and modifier codes in accordance with ICD-10-CM, CPT, HCPCS, and applicable coding guidelines. Validates diagnosis and procedure codes to ensure billing accuracy, regulatory compliance, and adherence to payer requirements; resolves routine discrepancies and escalates...

Medical Billing SpecialistRevenue Cycle Management is looking for a Medical Billing Specialist to join our team! This is a hybrid opportunity after 30-90 day in-person training (4 days from home 1 day in office). Summary The Medical Billing Specialist is responsible for analyzing patients records and coding the patients records based on ICD-10 and CPT codes. Additionally ensure all charges are reflected on the patient account and communicate with inter-departments regarding any type of discrepancy for corrections. Essential Functions Reviews medical record documentation to ensure pertinent diagnoses are coded Utilizes ICD 10 CPT clinical reports UDS reports H&P reports operative reports code diagnosis and modifiers according to coding guidelines Communicates effectively with all appropriate parties regarding missing information to ensure proper billing submission Prepares and submit electronic and paper claims to insurance carriers and gov payers Manages the status of accounts...

100% Remote Pay :$18$22 / hour (based on experience)Join our growing team of healthcare revenue cycle professionals! Were seeking experienced Medical Billing Specialists skilled in A / R follow-up, denial management, and aged account resolution for Hospital and / or Physician Billing.Our team partners with healthcare providers and hospital systems nationwide to streamline revenue cycle processes and resolve complex claims.In this role, youll be responsible for following up on denied, underpaid, or outstanding insurance claims and ensuring timely reimbursement through effective communication, research, and problem-solving. Permanent, full-time position not contract!Flexible schedule Comprehensive medical, dental, vision, and life insurance packages Paid time off, holidays, and sick leave Career growth opportunities with a supportive and collaborative team environment Key Responsibilities Perform second-tier follow-up on outstanding insurance receivables in line with client,...

Maintenance of account which includes AR follow up, payment posting & balancing, filing claims & managing rejections, as well as generating statements and receiving inbound patient calls. Responsibilities: Contact insurance companies regarding claims. Process and follow up on appeals to insurance companies. Answer patient inquiries. Filing of all claims. Post and balance payments, if applicable Maintain productivity standards and goals set by the department and/or manager. Maintain standard quality measures and goals. Proactively resolve any cash restraining issues by seeking out and identifying trends in each facility’s AR Follows up on non-responded and denied insurance claims for all third-party carriers (Self-Pay, Private, HMO/PPO and Gov’t payers). Processes insurance/patient correspondence with insurance carriers to resolve adjudication issues. Resolve any issues affecting reimbursement and/or adjudication in a timely manner Available to patients and...

Dane Street, LLC seeks a hands-on Medical Bill Review Supervisor to lead day-to-day bill review operations, manage a small team, and contribute to complex cases for our legal services division across the U.S. You will act as SME and Expert Witness, apply national repricing and payer rules, defend findings in litigation, and bring Texas-specific billing knowledge if available. This national role supports growth and requires high accuracy and strong collaboration. #J-18808-Ljbffr