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6 claims resolution coder jobs found

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claims resolution coder Wisconsin
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(CPC) Certified Professional Coder  (6)
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SS
Coder I
Sixteenth Street Community Health Center, Inc. Milwaukee, WI, USA
Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. Job Responsibilities Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into a computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record and advise the coding auditor/educator or manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow-up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other...

Feb 01, 2026
SS
Coder I
Sixteenth Street Community Health Centers Milwaukee, WI, USA
Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. JOB RESPONSIBILITIES Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into a computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record. Advise coding auditor/educator or Manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow-up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other duties as...

Feb 01, 2026
MS
Coder I
Milwaukee Succeeds Milwaukee, WI, USA
Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. Job Responsibilities Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into the computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record and advise coding auditor/educator or Manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow‑up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other...

Feb 01, 2026
La
Certified Medical Coder/Biller
Lapinehealth Oregon, WI, USA
Description NOTE: This is not a Remote position General Statement of Duties The Certified Coder is a member of the Billing Team and is responsible for insuring the accuracy and completeness of clinical coding. Also assists with claims submission and follow up, researches claim denials and follows up with insurances and patients. Communicates with patients, insurance companies, and staff to ensure the health center’s billing and collections processes are carried out in accordance with established policies. Overall responsibility is to maximize revenues and cash flow to the organization. Responsibilities and Essential Functions Certified Medical Coder Review codes for all documented professional services provided Applies CPT, ICD, HCPCS and modifiers following coding guidelines New vs Established evaluation and management code selection Missing orders for services that are documented but not coded Age mismatch on wellness CPT codes and ICD codes Other age or gender coding...

Jan 23, 2026
SH
Coder I, Professional
SSM Health Madison, WI, USA
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...

Feb 01, 2026
SH
Coder I, Professional
SSM Health Madison, WI, USA
Coder I, Professional 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 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...

Jan 31, 2026
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