35 jobs found in Wausau

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...

R1 RCM Holdco Inc. is seeking a medical coder responsible for applying CPT-4 and HCPCS codes accurately for cardiovascular and interventional radiology procedures. The role demands advanced coding knowledge, strong Excel proficiency, and effective collaboration with clinical and finance teams. The ideal candidate has 4–6 years of experience in medical coding, a high school diploma, and relevant certifications. This position offers a salary ranging from $48,131 to $81,225 annually, along with eligibility for an annual bonus and a competitive benefits package. #J-18808-Ljbffr

Orthos Inc, based in the United States, is seeking a Billing Specialist responsible for addressing patient inquiries and overseeing claims appeals. This role requires expertise in medical billing and strong communication skills. Ideal candidates will have at least 2 years of medical billing experience, with a strong preference for orthopedic billing knowledge. The position operates in a remote capacity, requiring candidates to manage multiple accounts effectively. #J-18808-Ljbffr

Providence is looking for a Compliance Auditor – Remote in the Town of Texas. The role involves evaluating compliance with laws and Providence policies across a variety of audit focus areas related to revenue cycle operations. The Auditor will collaborate with multiple internal departments, analyze data across clinical systems, and ensure compliance through audits that may involve refunding overpayments as required by CMS rules. A Bachelor's degree in a related field and significant experience are required. #J-18808-Ljbffr

CAE Inc is seeking a Quality Assurance Specialist to support training center operations in the Town of Texas, Wisconsin. The role involves implementing a robust quality management system and conducting audits to ensure compliance with various regulations across multiple locations. The ideal candidate will have at least two years of experience in aviation quality assurance. Strong organizational skills and the ability to collaborate with cross-functional teams are essential. Join CAE to help make the world a safer place through innovation and training. #J-18808-Ljbffr

Suvida Healthcare in Wisconsin is looking for a Risk Adjustment Coder to improve documentation and coding accuracy for Medicare-eligible seniors. The role involves coordinating chart reviews and working closely with the primary care team. The ideal candidate must have experience in ICD-10 coding and outpatient primary care coding, alongside excellent educator skills to assist providers in documentation practices. Join us to make a meaningful impact! #J-18808-Ljbffr

Overview Providence requires a Compliance Auditor – Remote. The Revenue Cycle Compliance Hospital Auditor evaluates compliance with federal and state laws, regulatory rules, and Providence policies and procedures across a variety of audit focus areas, including clinical and nonclinical services related to revenue cycle operations. The auditor works collaboratively with Case Management, Utilization Review, Revenue Integrity, the Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs, and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The role involves navigating and analyzing data across clinical EMR and Epic billing systems, reviewing line-item charges, revenue codes, CPT descriptions, status, orders, supporting documentation, and reimbursement. Audit findings are presented verbally and visually to reduce risk within the Providence system. Overpayments received in error are refunded following the CMS Voluntary Self Disclosure...

WorleyParsons is looking for an HSE Technician to implement health, safety, and environmental policies for employees. The role involves performing inspections and ensuring compliance with regulations. The ideal candidate will assist in audits, stay updated on regulatory requirements, and help develop HSE statistics capturing systems. Entry-level candidates are encouraged to apply, preferably with experience in industrial construction. #J-18808-Ljbffr

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based on documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA STATUS Non-exempt...

Become a part of our caring community. Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will perform quarterly...

MedMe Health is seeking a detail-oriented Medical Billing Specialist to enhance our back-office operations. This remote role focuses on ensuring accurate claim submissions and efficient management of denials and unpaid claims. The ideal candidate will have a minimum of 2 years in medical billing, with experience in US healthcare processes being crucial. Join us to contribute to scalable billing operations and support our mission. #J-18808-Ljbffr

Overview 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. 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 clinical departments...

The Opportunity We are looking for a Medical Billing Specialist (Back Office) to support day-to-day billing operations and back-office revenue cycle workflows. This person will play a critical role in ensuring claims are submitted accurately, denials are worked efficiently, and billing-related operational tasks are completed on time. This is primarily a back-office execution role. The ideal candidate has strong medical billing fundamentals, is detail-oriented, and is comfortable working in a high-volume, process-driven environment. This role will partner closely with client-facing RCM team members and escape more complex issues as needed. What You’ll Do Submit and track medical claims across payer channels Work claim rejections, denials, and unpaid claims through to resolution Investigate payer issues and perform follow-up on claim status Support manual billing workflows and operational tasks required to keep accounts moving Maintain billing accuracy across documentation,...

Gainwell Technologies is seeking a Senior Associate for the Outpatient Coding Auditor position, responsible for conducting coding reviews of medical records to ensure compliance with guidelines. The ideal candidate will have at least 2 years of experience in coding or auditing, as well as the necessary professional credentials. This position offers a remote work environment with benefits starting on the first day. The pay range is between $70,000 to $80,000 annually, with multiple additional perks including flexible vacation, a 401(k) match, and various development opportunities. #J-18808-Ljbffr

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school diploma or GED, required....

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and recommendations...

Harris Computer is hiring a Billing Representative for MEDHOST, responsible for the timely submission of patient bills to various insurance payors. This remote role welcomes candidates from anywhere in the United States, with a preference for those aligned with Central Time. The ideal candidate will manage billing processes and maintain strong customer relationships, ensuring that financial goals are achieved. The position offers a competitive wage ranging from $18 to $28 per hour. #J-18808-Ljbffr

A healthcare service provider is seeking a detail-oriented individual for managing billing claims, requiring strong organizational and communication skills. Responsibilities include contacting insurance companies, processing appeals, and maintaining confidentiality in line with HIPAA compliance. Candidates should possess a high school diploma and ideally have two years of relevant experience in physician billing. Knowledge of the Aprima EPM practice management system is preferred, and a proactive attitude towards problem-solving is essential. #J-18808-Ljbffr

Humana Inc is seeking a Risk Adjustment Coder to conduct quality assurance coding of medical records and ICD-10 diagnosis codes. This remote position demands accuracy and independence while adhering to regulations and analyzing coding information. Candidates must hold a certification from AAPC or AHIMA and have experience in a goal-oriented environment. The role offers competitive benefits and a salary range between $48,300 and $65,900. #J-18808-Ljbffr

Lead Compliance Auditor - Monday - Friday, 7:00am - 3:30pm page is loaded## Lead Compliance Auditor - Monday - Friday, 7:00am - 3:30pmlocations: Ft. Worth, TXtime type: Full timeposted on: Posted 2 Days Agojob requisition id: R28237Saddle Creek Logistics Services succeeds by promoting a diverse, friendly, and respectful teamwork environment. As a vital service provider, we not only make a difference in our community but offer our associates opportunities to enhance their skills, build meaningful careers and end each day with a sense of accomplishment. If you're looking for a family-oriented company that lives by its values and offers competitive pay and benefits, join our team today.## **Benefits:*** Weekly pay with skill pay and shift differentials* Benefits package including medical, dental, vision and medical reimbursement* Medical employee-only premium less than $10/week with wellness discounts* HSA with annual employer contribution* Weekly 401(k) match* Vacation immediately...