52 jobs found in Madison, WI

Medical Coding Specialist Join our team as a Medical Coding Specialist! We are looking for a certified coding professional with strong attention to detail and a commitment to accuracy. Candidates should hold a CPC or CCS-P certification and have completed an accredited Medical Coding Specialist Program or possess equivalent education and experience. Medical coding experience and insurance processing knowledge are preferred. The Medical Coding Specialist is responsible for reviewing electronic encounter documentation to verify that practitioner-submitted codes are accurate, adhere to coding protocols, and comply with all applicable guidelines. This role is responsible for accurately assigning medical codes to patient records and supporting providers through education on coding and documentation requirements while contributing to coding-related initiatives and research as needed. The position includes reviewing insurance claims to identify potential coding errors and researching...

It's more than a career, it's a calling. WI-REMOTE Worker Type: Regular Job Summary Coordinates, organizes and prioritizes the work flow activities for the coding area. Primary Responsibilities Leads and/or coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and/or associates. Serves as a leader through modeling, mentoring and training assigned staff. Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer‑specific...

Baylor Scott & White Health in Madison, WI is seeking a Coding Auditor 1 to perform coding quality audits using ICD-10-CM/PCS, HCPCS, CPT and related references, providing feedback to coders and ensuring accurate classification. You will collaborate with Clinical Documentation Specialists, abstract data into the coding/abstracting system, and support compliant coding practices across the health system. #J-18808-Ljbffr

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

Role, Inc. is looking for a detail-oriented Insurance Billing Specialist to join their team in St. Croix Falls, WI. This full-time position offers a hybrid work schedule after training, focusing on billing medical claims to insurance and ensuring maximum payment. The ideal candidate will have 1-2 years of healthcare billing experience and strong knowledge of insurance terminology. Benefits include health and dental insurance, a 403b retirement program, and education reimbursement. #J-18808-Ljbffr

A leading health data company is seeking experienced inpatient coders to join their fully remote team. The ideal candidate will have at least 3 years of inpatient coding experience and certifications like CCS or RHIT. Responsibilities include coding, auditing, and ensuring high accuracy rates. Full-time employees enjoy comprehensive benefits including medical, dental, and 401k. The hourly pay range for this position is estimated at $32-$42. Join a values-driven team shaping the future of healthcare! #J-18808-Ljbffr

Group Health Cooperative of South Central Wisconsin is seeking a Medical Coding Specialist to ensure accurate coding and adherence to guidelines. A CPC or CCS-P certification is required, with a minimum of one year of coding experience preferred. EPIC experience is highly desirable, and the role includes supporting providers through coding education and addressing denials as needed. The position emphasizes reviewing documentation, accurate code assignment, and contributing to coding initiatives. #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. 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 future...

Medical College of Wisconsin in Milwaukee, WI is seeking an Account Rep II to submit, post, and secure maximum reimbursements from third-party carriers, government programs, and HMOs within claims submission and follow‑up. The role requires extensive use of multiple systems and coordination with payers. Hybrid work arrangement: 90% remote, 10% onsite, must reside in the metro Milwaukee area. Minimum 3 years’ experience and a high school diploma are required; EPIC experience is a plus. #J-18808-Ljbffr

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER Join our team as a Medical Coding Specialist! We are looking for a certified coding professional with strong attention to detail and a commitment to accuracy. Candidates should hold a CPC or CCS‑P certification and have completed an accredited Medical Coding Specialist Program or possess equivalent education and experience. Medical coding experience and insurance processing knowledge are preferred. The Medical Coding Specialist is responsible for reviewing electronic encounter documentation to verify that practitioner‑submitted codes are accurate, adhere to coding protocols, and comply with all applicable guidelines. This role is responsible for accurately assigning medical codes to patient records and supporting providers through education on coding and documentation requirements while contributing to coding‑related initiatives and research as needed. The position includes reviewing insurance claims to identify...

UW Health in Madison, Wisconsin, is seeking a full-time, remote coder. The role involves utilizing coding software to ensure appropriate coding practices and adherence to medical billing regulations. Ideal candidates will have a High School Diploma, coding education, and relevant experience with an emphasis on ICD-10-CM and CPT coding. The position offers an extensive benefits package that includes health insurance, paid time off, and tuition benefits. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards....

The Medical College of Wisconsin, Inc. is seeking a skilled medical coder/biller to accurately code claims, process charges, and resolve denials across departments. The role interfaces with physicians, administrators, and billing staff to maintain clean claims and timely revenue. Ideal candidates hold CPC/CCS-P/RHIT or RHIA credentials and have at least two years of coding experience, with knowledge of CPT and ICD-10 CM guidelines. #J-18808-Ljbffr

The University of Wisconsin Medical Foundation in Madison seeks a full-time Medical Coding Specialist II. This remote position involves utilizing coding resources such as ICD-10-CM and CPT codes. Candidates should have at least one year of coding experience and an active coding certification upon hire. The role offers a substantial benefits package including health insurance, retirement plans, and options for flexible schedules. Join us in a culture that values equal employment opportunities and fosters belonging. #J-18808-Ljbffr

UW Health in Madison, Wisconsin, is looking for a Medical Coding Specialist II - HB Fiscal Coder. Your role will involve utilizing coding software for accurate coding and resolution of claims. You will be part of a leading hospital committed to excellent patient care. The ideal candidate will have a strong background in coding with certifications and at least one year of related experience. UW Health offers a competitive benefits package and a flexible working environment. #J-18808-Ljbffr

Datavant is seeking an experienced outpatient coder to join their remote team in Madison, WI. Ideal candidates have AHIMA or AAPC credentials and must demonstrate a strong understanding of medical coding guidelines and attention to detail. Responsibilities include reviewing medical records, assigning accurate codes for diagnoses and procedures, and maintaining high coding standards. Benefits include competitive pay of $20—$35 per hour, comprehensive training, and support for education and professional dues. #J-18808-Ljbffr

Humana Inc. seeks a Senior Medical Coding Professional, Inpatient, to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with guidelines. You will report to the Manager, Payment Integrity. You will apply ICD-10-CM/PCS coding guidelines, assess reimbursement impact, conduct retrospective audits, and collaborate with clinical reviewers and data analysts to drive accurate DRG coding and financial outcomes. #J-18808-Ljbffr

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER Join our team as a Medical Coding Specialist! We are looking for a certified coding professional with strong attention to detail and a commitment to accuracy. Candidates should hold a CPC or CCS-P certification and have completed an accredited Medical Coding Specialist Program or possess equivalent education and experience. Medical coding experience and insurance processing knowledge are preferred. The Medical Coding Specialist is responsible for reviewing electronic encounter documentation to verify that practitioner-submitted codes are accurate, adhere to coding protocols, and comply with all applicable guidelines. This role is responsible for accurately assigning medical codes to patient records and supporting providers through education on coding and documentation requirements while contributing to coding-related initiatives and research as needed. The position includes reviewing insurance claims to...

Job Description Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist II - HB Fiscal Coder to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage...

The Associate Director, Medical Publications (CNS) is responsible for supporting the implementation and execution of the global medical publication strategy and deliverables for the CNS therapeutic area. This role ensures the timely, accurate, and compliant communication of scientific and clinical data through congress abstracts, posters, manuscripts, and other peer-reviewed outputs. Working within the CNS Medical Communications team, the Associate Director partners with cross-functional stakeholders including Clinical Development, Global Integrated Evidence & Innovation (GIEI), Medical Strategy, Core Content, and external vendors to execute high-quality publication activities aligned with overall medical strategy. The Associate Director reports to the Director, Medical Publications (CNS) and plays a key role in driving operational excellence in publication execution while contributing to strategic planning and ensuring adherence to scientific and regulatory standards. Job...

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....

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. 1,500 Sign on Bonus 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,...

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...