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9 senior clinical data coder jobs found

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senior clinical data coder Wisconsin
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(CPC) Certified Professional Coder  (6) (CRC) Certified Risk Adjustment Coder  (2) (CCVTC) Certified Cardiovascular and Thoracic Surgery Coder  (2) (CIRCC) Certified Interventional Radiology Cardiovascular Coder  (2)
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RR
RIS Cardiovascular & Radiology Coder
R1 RCM Holdco Inc. Wausau, WI
Position Summary Applies CPT-4 and HCPCS codes to medical records for the cardiovascular lab and interventional radiology departments based on physicians’ documentation. Adheres to strict federal coding rules and guidelines, achieving 95% coding accuracy while meeting billing deadlines. Essential Responsibilities Code surgical procedures performed by cardiologists and interventional radiologists. Verify supplies used during procedures. Use encoders and other reference materials effectively. Maintain appropriate non‑leading queries to physicians. Abstract services from physician documentation and procedure logs. Reconcile monthly surgical logs. Manage multiple job tasks daily (WQs, emails, surgical logs, census, etc.). Prepare Excel analysis, including V‑Lookups and pivot tables. Gather and compile data systematically, document assumptions, and validate accuracy to resolve inconsistencies. Evaluate and implement charge requests with appropriate CPT/HCPCS codes, revenue codes, and...

Jul 06, 2026
RR
RIS Cardiovascular & Radiology Coder
R1 RCM Holdco Inc. Granite Heights, WI
Position Summary Applies CPT-4 and HCPCS codes to medical records for the cardiovascular lab and interventional radiology departments based on physicians’ documentation. Adheres to strict federal coding rules and guidelines, achieving 95% coding accuracy while meeting billing deadlines. Essential Responsibilities Code surgical procedures performed by cardiologists and interventional radiologists. Verify supplies used during procedures. Use encoders and other reference materials effectively. Maintain appropriate non‑leading queries to physicians. Abstract services from physician documentation and procedure logs. Reconcile monthly surgical logs. Manage multiple job tasks daily (WQs, emails, surgical logs, census, etc.). Prepare Excel analysis, including V‑Lookups and pivot tables. Gather and compile data systematically, document assumptions, and validate accuracy to resolve inconsistencies. Evaluate and implement charge requests with appropriate CPT/HCPCS codes, revenue codes, and...

Jul 04, 2026
Hu
Nurse Medical Coder
Humana Madison, WI
Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Jun 27, 2026
OS
Outpatient Medical Coder 3
Ohio State University Oregon, WI
Outpatient Medical Coder 3 page is loaded## Outpatient Medical Coder 3locations: Remote Locationtime type: Full timeposted on: Posted Todayjob requisition id: R138617Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these .**Current Employees and Students:**If you are currently employed or enrolled as a student at The Ohio State University, please log in to to use the internal application process.Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:* Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.* Prior to submitting your application, please review and...

Jul 07, 2026
Su
Risk Adjustment Coder
Suvidahealthcare Wausau, 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...

Jul 07, 2026
MH
Inpatient Coding Compliance Auditor (Remote)
Memorial Hermann Health System Wausau, 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 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....

Jul 07, 2026
PS
Compliance Auditor -Remote
Providence Service Wausau, WI
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...

Jul 02, 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...

Jun 28, 2026
MH
Inpatient Coding Compliance Auditor (Remote)
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 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....

Jun 11, 2026
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