35 jobs found in Madison

A leading health data exchange company is seeking experienced outpatient coders to join their remote team. Candidates should have at least 3 years of coding experience, strong knowledge of medical terminology, and AHIMA or AAPC certification. Responsibilities include reviewing medical records, assigning accurate codes, and maintaining high coding accuracy. Enjoy benefits such as medical coverage, paid time off, and opportunities for continuing education. This role is perfect for detail-oriented individuals looking to make an impact in healthcare. #J-18808-Ljbffr

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER This is a hybrid position which will have a combination of remote and onsite work on a weekly basis. Applicants must be a resident of Wisconsin and have the ability to work onsite as scheduled. 1.0 FTE / 40 hours per week. The Medical Billing Specialist is responsible for all Fee-for-Service (FFS) patient accounts. This includes timely billing of non-covered services, services covered by other health insurance, co-payments and deductibles. They are also responsible for the collection and posting of all payments related to patient accounts. Additionally, they provide assistance to members with billing inquiries, complaints and compliments; and performs credentialing certification for GHC-SCW providers for billing purposes. The Medical Billing Specialist is responsible for enrollment of uninsured individuals in the Community Care Program and students in the Madison College Student Health Services. The...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

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...

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 leading health services organization is seeking a DME Outpatient Medical Coding Auditor. This remote role involves handling coding disputes with a focus on accuracy and compliance in DME coding. Candidates should possess CPC or CCS certification and extensive experience in CPT/HCPCS auditing. The company offers competitive benefits starting from day one, including health benefits, paid time off, and a 401(k) plan with employer match, ensuring well-being for both employees and their families. #J-18808-Ljbffr

A healthcare data platform is seeking experienced outpatient coders to join their team. This fully remote role requires a strong attention to detail and substantial knowledge of medical terminology. The ideal candidate will review medical records, assign accurate codes, and maintain a high accuracy rate in coding. Candidates with AHIMA or AAPC certifications and 2+ years of coding experience are encouraged to apply. Enjoy a flexible schedule while making impactful contributions to the healthcare industry. #J-18808-Ljbffr

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...

Inpatient Medical Coding Auditor - PPI Coding Disputes Become a part of our caring community and help us put health first. The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Responsibilities: Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding...

Medical Coding Auditor Become a part of our caring community and help us put health first. Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. This position requires: An experienced medical coding auditor with in-depth experience in outpatient DME...

Coder I, Professional It's more than a career, it's a calling WI-Turville Bay Job Highlights: This is a full time day shift 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 all billable services. Reviews all applicable data...

Hcc Coder Position 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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating...

Overview Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor – DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Responsibilities Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes...

A healthcare service provider in Wisconsin seeks a Coding Specialist responsible for reviewing medical charts and ensuring accurate medical coding. The ideal candidate has at least 2 years of experience, proficiency with EHR systems, and holds AAPC or AHIMA certification. Strong attention to detail and excellent communication skills are essential. This position offers a competitive salary, benefits package, and opportunities for professional development. #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

Madison Health and Rehabilitation Center is a 60-bed Skilled Nursing Facility offering both private and semi-private rooms. We specialize in short-stay rehabilitation and long-term care, and we are proud to be a deficiency-free facility . Our team is dedicated to enhancing the functional ability and well-being of each resident. We are located at 2481 West US 90, Madison, FL Why Work For Us? Because We Offer Our Employees: Daily Pay - Work today, get paid today! Health Insurance Dental & Vision Insurance Paid Time Off & Holiday Pay 401(k) Retirement Plan Flexible Scheduling Direct Deposit Opportunities for Overtime Doctegrity - 24/7 telemedicine access for employees and families Wonderschool - Support for child care and early education options Panda Perks & Benefits - Financial wellness tools, employee discounts, and more Comfortable Staffing Ratios A Supportive Team Environment - where everyone is treated with...

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 pharmaceutical company in Madison seeks an Associate Director of Scientific Communications to oversee the execution of a global communications strategy for therapeutic areas. The role involves managing content generation, overseeing publication strategies, and collaborating across teams to ensure scientific accuracy. The ideal candidate will have an advanced scientific degree and substantial experience in Medical Affairs. Competitive salary and comprehensive benefits offered. #J-18808-Ljbffr

Medical Billing Specialist This is a hybrid position which will have a combination of remote and onsite work on a weekly basis. Applicants must be a resident of Wisconsin and have the ability to work onsite as scheduled. 1.0 FTE / 40 hours per week. The Medical Billing Specialist is responsible for all Fee-for-Service (FFS) patient accounts. This includes timely billing of non-covered services, services covered by other health insurance, co-payments and deductibles. They are also responsible for the collection and posting of all payments related to patient accounts. Additionally, they provide assistance to members with billing inquiries, complaints and compliments; and performs credentialing certification for GHC-SCW providers for billing purposes. The Medical Billing Specialist is responsible for enrollment of uninsured individuals in the Community Care Program and students in the Madison College Student Health Services. The Medical Billing Specialist works under the...

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 all billable services. Reviews all...

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 system, ensuring...

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...

A healthcare organization in the United States is seeking a HIM Same Day Surgery Coding Analyst. This role involves complex coding for acute care services, requiring expertise in ICD-10-CM/PCS and CPT codes. Key responsibilities include reviewing medical records, ensuring accurate coding, and providing training to clinical teams. Ideal candidates will have a relevant coding certification and strong analytical skills. A generous benefits package is offered to support overall caregiver well-being, emphasizing mental, physical, and spiritual health. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...