69 jobs found in Madison, WI

**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 and...

Pena4 Inc is seeking an Inpatient Medical Coder (CCS certified) for a 100% remote role. The candidate will handle IP/OP coding with a focus on accurate ICD-10-CM/PCS coding, CPT usage, and DRG assignments. Immediate start; test required for IP/OP coding proficiency.Requires at least 5 years IP PCS coding experience, 3 years OP preferred, and a CCS certificate. W2 regular employment with daytime hours and regular shift. Cerner, PowerChart, 3M, and EPIC experience a plus.J-18808-Ljbffr

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...

Jobrapido seeks an experienced Certified Medical Coder with strong outpatient and ER coding experience for a 100% remote contract opportunity. The eight-week assignment runs Monday–Friday, 8:00 AM–4:00 PM, 35 hours per week, with a weekend day rotation. Ideal candidates have 3–5 years in outpatient coding, ER/ED coding, acute care coding, and proficiency with 3M/CPT-4/ICD-10. CCS/CCP/AHIMA RHIA/RHIT certifications and a HS diploma are preferred. Weekly pay and benefits are included. #J-18808-Ljbffr

Certified Medical Coder – Outpatient & ED Work Arrangement: 100% Remote - Job Type: Contract \" Duration : 8 weeks Job Category: Non-Clinical Schedule: Monday–Friday, 8:00 AM–4:00 PM Hours: 35 hours/week Weekend Requirement: Must be comfortable working one weekend day (Saturday or Sunday) Pay Rate : $35/hr on W2 We are seeking an experienced Certified Medical Coder with strong Outpatient and Emergency Department (ED) coding experience. The ideal candidate will have at least 3 years of outpatient coding experience , including experience coding in an emergency room setting Required Qualifications Minimum 3 - 5 years of outpatient medical coding experience . Emergency Room/ED coding experience required . Acute care coding experience. Proficiency with 3M Coding Application . Knowledge of HDS Coding Application . Knowledge of ICD-10, ICD-9-CM and CPT-4. Strong understanding of coding, payer, and federal billing guidelines. Strong computer skills. Ability to research and resolve...

CVS Health in Madison, Wisconsin is hiring a Certified Professional Coder (CPC) to conduct medical record reviews for the Special Investigations Unit, ensuring CPT/HCPCS alignment with documentation and compliance with state, federal, and company requirements. The role requires 3+ years of coding experience, CPC certification, knowledge of CPT/HCPCS, CMS 1500/UB04, and strong communication to articulate findings to investigators and leadership; travel may be required. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows...

Medical Program Assistant SupervisorUniversity Health Services (UHS) is seeking a Medical Program Assistant Supervisor (MPA Supervisor) to contribute to the day-to-day operation of Medical Services through the direct supervision of Medical Program Assistant staff and the coordination of administrative and program support functions.Working closely with clinic leadership and departmental teams, the MPA Supervisor plays a key role in supporting a broad range of administrative and operational activities within Medical Services. Responsibilities include coordinating scheduling, logistics and resource allocation, supporting budget-related processes, identifying opportunities for workflow improvement, and implementing best practices.The position also contributes to continuous improvement initiatives focused on enhancing efficiency, streamlining processes and supporting the delivery of high quality medical services to UW-Madison students.This is a full-time, on-site position located at the...

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...

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...

Cherry Tree Dental in Madison, WI seeks a detail-oriented Temporary Revenue Cycle Specialist for remote work with periodic travel to clinical sites. You will verify insurance benefits, enter data in the practice management system, and manage aged receivables to ensure timely reimbursements. Requirements include a high school diploma (associate degree preferred) and 2 years in dental revenue cycle management. Proficiency in dental software and strong payer knowledge are essential. #J-18808-Ljbffr

Overview Reviews and analyzes medical coding documentation to identify and correct discrepancies, resolve pre-bill claim edits, and address complex billing issues and claim denials in accordance with AMA, CMS, and payer guidelines. Collaborates with departmental staff and other partners to provide coding education, research policy updates, and respond to coding review requests while maintaining extensive knowledge of Epic billing systems and professional, outpatient, and inpatient coding practices. Supports all coding functions at or above the Medical Coding 1 level while working collaboratively to achieve departmental productivity goals. Schedule Full-Time, 40 hours per week ESSENTIAL DUTIES AND RESPONSIBILITIES Reviews, analyzes, and interprets documentation and identifies discrepancies between the code selection and the documentation; corrects them, and presents findings and education to the appropriate partner. Resolves pre-bill claim edits from all areas and as...

Mercyhealth Wisconsin and Illinois is seeking a Medical Coding Specialist to review and analyze documentation, correct coding discrepancies, and resolve pre-bill edits across outpatient and inpatient settings. You will collaborate with department staff to educate on CMS policies and improve coding accuracy. The role requires CPC or CPC-H certification, strong knowledge of AMA, CMS guidelines, and proficiency with Epic billing systems. #J-18808-Ljbffr

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 clinical...

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review medical records and clinical documentation to accurately assign ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting. Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring all diagnoses are fully supported by clinical evidence. #J-18808-Ljbffr

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders specializing in Risk...

Primary City/State Phoenix, Arizona Department Name Coding Ambulatory Work Shift Day Job Category Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.We are looking for a motivated, experienced Physician Coder with ideally 6 months-1 year Coding experience to join our talented team. Requires Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent and consistent coding work history. This person will cover our Radiology group within banner and will be coding CT, Ultrasounds, All Modalities. We will accept CPC-A only if candidate has a minimum of 6 months experience coding radiology. Our leaders and coders...

Indigenous Pact PBC, Inc. is seeking a Senior Coding Quality Auditor who will lead coding research, audits, and education within the Compliance Department. This remote role requires about 25% travel to clinic locations in the Pacific Northwest, Wisconsin, and California to support coding quality and policy updates. You will review coding accuracy, respond to denials, and ensure alignment with tribal care programs and service launches. #J-18808-Ljbffr

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and...

Virtua Health is seeking a qualified Medical Coder to join our team for 100% remote work. The role involves abstracting clinical information and assigning CPT-4 and ICD-10 codes from medical records to support professional fees, including outpatient E/M services and related procedures. The ideal candidate has CPC certification, at least two years of coding experience and familiarity with EHR systems. High school diploma or GED required; reliable knowledge of anatomy and medical terminology is #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...

The Coding Network (TCN) is looking to contract with an E&M coder to perform the daily E&M coding for a number of clients throughout the country. The coder will access the operation reports via a remote connection to the client's EMR and return the coded cases. Hours can range from a 15-40 hour/week commitment. All applicants must: Have a minimum of 3 years of E&M Specific Coding Have an active coding certification (CPC, RHIA, RHIT) Live and work in the United States of America Take and pass TCN’s E&M Coding Exam If you meet the above criteria and are willing to test please submit your resume. Our current E&M needs are in the following medical specialties: E&M ENT E&M Dermatology E&M General Surgery E&M Hospitalist E&M NICU / PICU E&M OB/GYN E&M Orthopedics E&M Pain Management E&M Podiatry E&M Trauma E&M Ophthlamology E&M Urology E&M Wound Care #J-18808-Ljbffr

The Coding Network (TCN) seeks an E&M coder for remote, contract-based work across the United States. You will access client EMRs remotely and code daily E&M encounters, returning results to each client. Applicants must have at least 3 years of E&M coding experience, hold an active CPC, RHIA, or RHIT certification, and reside in the United States. Flexible hours range from 15 to 40 hours per week. #J-18808-Ljbffr

Datavant is seeking experienced inpatient coders for a fully remote role with a flexible schedule. Ideal candidates have 3+ years of inpatient coding and strong attention to detail in medical terminology. CCS, RHIT, or RHIA preferred. You will assign ICD-10-CM/PCS codes, ensure accurate sequencing and abstraction, and lead audits of coding work. The position emphasizes accuracy, productivity, and cross‑functional collaboration within a healthcare data environment. #J-18808-Ljbffr