78 jobs found in Wausau, WI

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

CorroHealth Inc in Wisconsin is looking for a qualified Coding Auditor to perform complex analyses of medical records to identify errors and ensure compliance. The position requires a recognized coding credential and at least two years of related experience. The Coding Auditor will collaborate with coders, providing technical support and monitoring quality. Strong communication and analytical skills, coupled with attention to detail, are essential for success. The role offers a supportive work environment with opportunities for professional development. #J-18808-Ljbffr

CorroHealth Inc is seeking a Coding Specialist to provide accurate CPT, HCPCS, and ICD‑10‑CM coding for outpatient facility same-day surgeries. The ideal candidate will have 2-3 years of experience, reliable attendance, and must work independently from home. The role requires certification through AAPC or AHIMA and proficiency in coding materials. Candidates should also demonstrate effective communication skills and the ability to meet high accuracy rates in coding assignments. #J-18808-Ljbffr

## Coder - Outpatient (Local Only - Texas/New Mexico)Applylocations: Business and Technology Centertime type: Full timeposted on: Posted Todayjob requisition id: R20874We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas.Job Summary The Coder-Outpatient is responsible for the ICD-10-CM, ICD-10-PCS, CPT and modifier assignment of diagnosis and procedures of an outpatient visit. Reports to: Job Specific Responsibilities Daily assignments may include but are not limited to: • Assign and sequence diagnostic and procedural codes for patient care, utilizing ICD-10, CPT, and HCPCS coding systems. • Ensure accurate and compliant coding of medical services and procedures based on clinical documentation. • Review patient records and physician documentation to validate coding accuracy and completeness. • Work collaboratively with healthcare providers and staff to clarify and address documentation...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a FACILITY OUTPATIENT CODER to join our CODING team! This Position Can Be Trained and Worked Fully Remote Assigns ICD10 CM and CPT codes based on a review of the health care record documentation and application of professional coding standards and billing regulations. Reviews and collects various health information data elements for patient care, statistical, financial and research purposes. Maintains confidentiality of health information. The ideal candidate would have experience in Medical Oncology outpatient coding.* HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of medical record standards and coding practices normally acquired through completion of a Bachelor or Associate Degree in Health...

CCPN Cook Children's Physician Network is looking for a Certified Coding Specialist II to apply advanced coding skills. The role includes interpreting patient medical records, coding complex procedures, and communicating with physicians regarding documentation needs. Ideal candidates must have a CCS or CPC certification with at least one year of experience coding ambulatory surgery and Evaluation & Management records. This position offers a flexible schedule and remote work for Texas residents. #J-18808-Ljbffr

Hispanic Alliance for Career Enhancement is seeking a Medical Records Auditor to review and abstract records, assign ICD codes, and ensure accuracy for CMS risk adjustment. You will work to support compliant coding practices in healthcare settings. The role requires CPC or CCS-P credentials, at least one year of related experience, and a high school diploma. Competitive benefits and full-time hours are offered. #J-18808-Ljbffr

CVS Health is seeking a Medical Records Auditor to perform audits and abstract medical records, ensuring ICD codes are accurate and compliant with CMS, OIG, and state/federal regulations. Role requires CPC/CCS-P certification, at least 1 year of related experience, and proficiency with Microsoft Office and coding applications. Full-time, on-site position offering competitive benefits and schedule consistency. #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

We are currently hiring a fully remote Inpatient Facility Coder for a great healthcare organization! Equipment is provided Schedule: M- F 8am-5pm Day to day responsibilities: Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition Ensures appropriate DRG assignment Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record Consistently meet productivity and quality performance requirements Responsible for utilizing applications to enter charts coded in real-time throughout the scheduled shift As an experienced coder, you will be responsible for providing coding and abstracting services for clients' inpatient charts You will use established coding principles and your knowledge and experience to...

Texas Health Resources is seeking a Coder II (Inpatient) for a 100% remote role with flexible hours. You will interpret documentation to assign diagnoses, procedures, and DRGs to ensure accurate inpatient reimbursement. The ideal candidate has inpatient coding experience and AHIMA/AAPC credentials, with strong communication to physicians. Remote work supports work-life balance and ongoing education. #J-18808-Ljbffr

UTMB Health is seeking a qualified medical coder with experience in inpatient and outpatient coding and auditing to ensure accurate reimbursement from third-party payers. The role requires reviewing documentation in EPIC, applying ICD-10-CM, ICD-10-PCS and CPT codes, and collaborating with education teams for documentation clarification. The candidate should be familiar with coding guidelines, anatomy and physiology, and medical terminology, and be prepared to participate in ongoing education #J-18808-Ljbffr

A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including knowledge of ICD-10-CM and CPT coding. The position allows for flexibility across multiple clients and supports coding education within the team. A proficiency test is required for candidates. Equipment is provided, with a standard schedule of Monday to Friday, 8 AM to 5 PM. #J-18808-Ljbffr

Job Summary The Coding Specialist will provide CPT, HCPCS, and ICD‑10‑CM coding for Outpatient Facility Same‑Day Surgeries. The position requires 2-3 years of experience and observations experience. The role is remote; the employee must work from home and be independent in coding skills. Essential Duties and Responsibilities Provide various components of coding services to support clients. Calculate ProFee and/or Facility E/M levels using the company’s algorithm. Recognize critical care cases by patient acuity. Code surgical procedures typical of an ER setting to capture additional revenue when appropriate. Apply ICD‑10‑CM diagnosis codes at the highest level of specificity available. Accurately assign diagnosis and procedure codes using ICD‑10‑CM, ICD‑10‑PCS, CPT®, and HCPCS. Interpret coding guidelines for accurate code assignment. Assess the impact of documentation on code assignment and reimbursement. Act in accordance with AHIMA’s Standards of Ethical Coding and the Company’s...

Gainwell Technologies is seeking an Outpatient Coding Auditor, Senior Associate to perform coding reviews of medical records and documentation to determine correct coding per contract-specific methodologies. The role requires extensive outpatient coding knowledge and proficiency with EAPG, ASC and APC reimbursement systems. You will audit records for accuracy of diagnosis and procedure codes, train peers, and stay current with guidelines. #J-18808-Ljbffr

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

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation across medical, behavioral, transportation and other services. The role includes auditing records, summarizing findings, and communicating with investigators and regulators. The position requires CPC certification, 3+ years in coding/auditing, strong knowledge of CPT/HCPCS/ICD-10, and proficiency in Excel and Word. #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 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...

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

Job Overview We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVSHealth®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Responsibilities Determine correct coding and appropriate documentation during the review of medical records. Ensure that state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a comprehensive medical record audit...

Baylor Scott & White Health is seeking a Billing Representative to submit hospital or professional claims to payers. This role involves reviewing claims for accuracy, correcting errors, and ensuring timely payments across Medicare, Medicaid, and other payers. Responsibilities include auditing codes and demographics, resubmitting ECS rejections, posting adjustments, and coordinating with managers on issues. A HS diploma or GED and 1+ years of experience are required. #J-18808-Ljbffr

Coding Strategies, Inc. is hiring a Coding Specialist for a remote role in Wisconsin. This permanent full-time position entails accurately coding medical records using ICD-10, CPT, and HCPCS guidelines while ensuring compliance with regulations. Applicants must have at least two years of coding experience and be certified through AAPC or AHIMA. Excellent communication and analytical skills are crucial, alongside proficiency in MS Office applications. #J-18808-Ljbffr

UT Southwestern Medical Center is seeking a Mid Coding Specialist III to perform advanced coding of high-complex surgical, radiology, and interventional cases in a demanding academic medical center. The role requires evaluating AI-assisted outputs, maintaining regulatory compliance, and collaboration with providers to ensure accurate reimbursement. The position offers a hybrid/remote-friendly setup with Texas residence required, and a focus on precision, audits, and continuous learning within a #J-18808-Ljbffr