40 professional coding specialist jobs found

A healthcare organization in Wausau, WI, is seeking a Professional Fee Coder to accurately process service charges and verify coding through EPIC Workques. This full-time position requires a strong understanding of coding principles, medical terminology, and effective communication skills. Candidates must have an Associate's Degree in Health Information Management or similar, and certification in coding is required within 18 months. The role offers comprehensive benefits and a supportive work environment. #J-18808-Ljbffr

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...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

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 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 Documents (LCD/NCD)...

Coding Specialist This role will have all responsibilities of coding assistant, coder I and II plus the following: assist with special projects as requested, assists with training other coders as requested, monitors and responds to accounts in the charge router, charge router messages, CRMs, compliance and integrity review requests. Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following official coding guidelines and compliance with federal and insurance regulations utilizing an EMR and/or computer assisted coding software. Serves as subject matter expert in your assigned specialty and actively participate in the coding meetings as a problem...

Inpatient Coder Specialist Hospital Based Service Line Job ID: R209584 Shift: 1st Full/Part Time: Full Time Pay Range: $28.05 $42.10 Location: Remote, WI 2900 W Oklahoma Ave Milwaukee, WI 53215 Benefits Eligible: Yes Hours Per Week: 40 Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so you can live fully at and away from work, including: Compensation Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and...

Description Milwaukee Area Technical College (MATC) is Wisconsin's largest and most diverse technical college, offering 170+ high-quality programs that connect students to a career in as little as one to two years. The college also offers a less expensive path to a four-year degree. MATC is transforming lives, industry and our community by preparing students today for the careers of tomorrow. Together, we are meeting the needs of the community we share and are focused on students with the greatest needs. We are seeking passionate individuals to join our team who shares the same passion in serving this purpose. Learn more about MATC at www.matc.edu. Two (2) part-time vacancies. Up to 19 hours per week, hours vary based on departmental needs. Under supervision of the Dean or designee, to teach classroom, online and applied courses in the Medical Coding Specialist Technical Diploma Program. Related duties include advising students, evaluating student achievement, developing...

Medical Coding Specialist II - Inpatient Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist II - Inpatient to: Determine and assign ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes. Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Access to great resources through the UW Health...

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. (60%) 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...

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT NOT LIMITED TO: Upper Extremity: - Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair - Elbows: Cubital tunnel release, Bursectomy, Arthroplasty - Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) - Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: - Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy - Pelvis: Fracture repairs - Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs - Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs,...

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...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

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...

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

POSITION PURPOSE Areas of emphasis will include inpatient and outpatient coding of provider charges as well as documentation reviews and audits. Secondary responsibilities will include assisting Physicians Billing staff and clinic staff with coding questions. SITE(S) Kenosha Campus Urgent Care Physicians Billing Service MINIMUM EDUCATION REQUIRED High School or Equivalent (GED) MINIMUM EXPERIENCE REQUIRED 1-3 years Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P) MINIMUM EXPERIENCE PREFERRED LICENSES / CERTIFICATIONS REQUIRED Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P). SUPERVISES N/A KNOWLEDGE, SKILLS & ABILITIES REQUIRED Knowledge of CPT and ICD-10 codes Ability to accurately audit provider documentation to ensure all CPT codes and ICD-10 codes are accurately assigned...

Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. 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 - Inpatient to: Determine and assign ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes. Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS...

Come lead with us at Corporate At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt Qualifications Education Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program Licenses and Certifications – Required Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information...

Come lead with us at Corporate At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt Qualifications Education Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program Licenses and Certifications Required Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) Skills and...

Overview IFI is seeking to hire a full-time, remote Medical Billing Specialist. International Fertility Insurance is a rapidly growing company of surrogacy insurance experts and case management professionals that provide unsurpassed support and education to intended parents seeking peace of mind as they grow their families. We pride ourselves in providing compassionate, professional service throughout our clients’ surrogacy journeys. We have experience supporting intended parents worldwide and work with surrogacy agencies, attorneys, and fertility clinics across the United States, Canada, Mexico, South America, Europe, Israel, Asia, Australia, New Zealand, and South Africa. We collaborate with more than 100 insurance companies to find the best option to meet the needs of intended parents. Learn more about us at www.goifi.com. What you’ll do: Manages Medical Billing for maternity services while maintaining accurate tracking through spreadsheets and organizational systems....

A community health center in Milwaukee is seeking a coding specialist to review and code clinical data for billing and data collection. The ideal candidate will have at least 1 to 2 years of experience with ICD-10, CPT, and HCPCS coding. Strong teamwork, attention to detail, and communication skills are essential. This role offers opportunities for professional development and adherence to ethical coding standards. #J-18808-Ljbffr

A gastroenterology practice in Milwaukee seeks a Coding Specialist to manage billing accurately while maintaining patient confidentiality. The successful candidate will post and balance daily charges, code procedures, and ensure all necessary claims are sent to insurance agencies. This role requires a high school diploma, coding certification, and a minimum of two years in a medical office, alongside strong communication skills. The position offers no weekends and a comprehensive benefits package, enabling a strong work-life balance. #J-18808-Ljbffr

Join our team which is committed to the delivery of the highest quality health care service. We are seeking a full-time Certified Professional Coder who is self-motivated, energetic, and a take-charge individual. This highly visible position reports directly to the Coding Manager. Responsibilities include: Review, abstracting, and coding 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-9, ICD-10, CPT, HCPCS, and modifiers to accurately report. Advise supervisor and clinicians of deficiencies to support charge capture of all billing services. Keep abreast of coding guidelines and reimbursement requirements. Maintain insurance, authorization, and incident-to-knowledge for physician visits and procedures. Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association or American Academy of Professional...

A healthcare organization in Wisconsin seeks a Coding Specialist responsible for complex inpatient coding using ICD-10, CPT, and HCPCS. The ideal candidate will have an Associate's Degree and advanced skills in coding guidelines, along with 7 years of experience in an acute care setting. Key responsibilities include adhering to coding standards, collaborating with clinical teams, and ensuring compliance with federal regulations. A commitment to quality and productivity is essential, along with excellent communication skills and attention to detail. #J-18808-Ljbffr

Major Responsibilities Acts as a resource and role model to team members, which includes training/orienting, providing day‑to‑day work direction, and giving input on performance. Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues. Codes routine to complex procedures and diagnoses including hospital‑based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers. Meets or exceeds department quality and production standards. Performs informal quality reviews on a monthly basis providing coding education to coding team members for accuracy. May assist with provider education/orientation regarding policy requirements of federal and state government agencies. Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding...