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11 outpatient coding compliance auditor jobs found

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outpatient coding compliance auditor Wisconsin
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(CPC) Certified Professional Coder  (5) (CRC) Certified Risk Adjustment Coder  (1) Other  (1)
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GT
Remote Outpatient Coding Auditor - Senior Associate
Gainwell Technologies Wausau, WI
Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance. The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported. #J-18808-Ljbffr

Sep 25, 2026
MH
Risk Adjustment Coder-2
Memorial Hermann Health System Granite Heights, WI
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 Responsible for providing accurate, reliable and effective education to physicians and extenders regarding outpatient procedural and diagnosis coding. This position performs individual and group documentation reviews, identifies opportunities for improvement, assists with implementation of physician lead CME documentation and coding courses and coordinates with physician...

Sep 14, 2026
GT
Remote Outpatient Coding Auditor – Senior Associate
Gainwell Technologies Granite Heights, WI
Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance. The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported. #J-18808-Ljbffr

Aug 24, 2026
DC
CBO Certified Coder II
Driscoll Children's Hospital Wausau, WI
Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. Always maintains utmost level of confidentiality. Adheres to hospital policies and procedures. Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. Reviews the medical record and assigns the appropriate ICD and CPT codes....

Sep 25, 2026
GT
Remote Lead Coding Auditor, Itemized Billing & Appeals
Gainwell Technologies Wausau, WI
Gainwell Technologies seeks a Lead Coding Auditor for Itemized Bill Review and Appeals. This 100% remote role requires expertise in inpatient hospital bill auditing, outpatient facility coding, and charge master review. You will train Coding Auditors, participate in hearings, and ensure billing is accurate and compliant with plan policies. As part of the mission, you will analyze documentation, maintain coding knowledge, and support management with production and quality goals while working #J-18808-Ljbffr

Sep 25, 2026
TC
Coding Auditor
ThedaCare Appleton, WI
Why ThedaCare?Living A Life Inspired!Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you...

Sep 25, 2026
DC
CBO Certified Coder II
Driscoll Children's Hospital Granite Heights, WI
Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. Always maintains utmost level of confidentiality. Adheres to hospital policies and procedures. Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. Reviews the medical record and assigns the appropriate ICD and CPT codes....

Sep 16, 2026
DC
Pediatric CBO Certified Coder II - Expert Medical Coding
Driscoll Children's Hospital Granite Heights, WI
Driscoll Children’s Hospital seeks a skilled Medical Coder to review medical records and assign ICD and CPT codes for outpatient services, ensuring accurate billing and compliant documentation. The role requires 3–5 years of physician coding experience, preferably in pediatric multi-specialty coding. You will work with the coding manager and billing staff to resolve denials and support audits. #J-18808-Ljbffr

Sep 16, 2026
HP
Certified Medical Coder
HUDSON PHYSICIANS SC Hudson, WI
Job Details Level: Experienced Job Location: Hudson, WI - Hudson, WI 54016 Position Type: Full Time Travel Percentage: None Job Shift: Any Job Summary The primary purpose of the position is to review both procedural and diagnostic (ICD-10) coding to ensure appropriate billing and insurance regulations are met. This position will be staffed during clinic hours and is largely remote. Occasionally in-person meetings with providers will be required. Must live within reasonable traveling distance from Hudson, WI. Core Duties and Responsibilities Have in-depth understanding of coding and compliance rules and regulations. Responsible for reviewing provider documentation, coding and posting charges for healthcare services; including Primary Care, Lab/Pathology, Podiatry and more. Provide coding education and engage with assigned providers. Research and communicate governmental and payer-specific rules and regulations to ensure coding compliance. Identify and communicate best practices...

Sep 13, 2026
GT
Remote Lead Coding Auditor, Itemized Billing & Appeals
Gainwell Technologies Granite Heights, WI
Gainwell Technologies seeks a Lead Coding Auditor for Itemized Bill Review and Appeals. This 100% remote role requires expertise in inpatient hospital bill auditing, outpatient facility coding, and charge master review. You will train Coding Auditors, participate in hearings, and ensure billing is accurate and compliant with plan policies. As part of the mission, you will analyze documentation, maintain coding knowledge, and support management with production and quality goals while working #J-18808-Ljbffr

Sep 11, 2026
Su
Risk Adjustment Coder
Suvida Granite Heights, WI
At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

Sep 11, 2026
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