126 jobs found

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. Scheduled Weekly Hours: 36 Exciting Leadership Opportunity: Clinical Supervisor for the Medical and Oncology Unit Applications, including resumes, must be submitted by 3/24/2026 Why This Role Matters This position provides consistent leadership support across all shifts, enhancing team engagement and ensuring easy access to your next-level leader. Clinical Supervisors will be on the unit to problem-solve, address work needs, and respond to questions and concerns in real time. You'll have the opportunity to lead daily operations, collaborate closely with the Clinical Manager, and guide a team of caregivers on the Medical and Oncology Unit. What you will do: Work an hourly 0.9 FTE position, possible flexibility for a different fte Positions will be primarily 12-hour day shifts, plus 8 hours of administrative time...

Come Work At A Place Where Innovation And Teamwork Come Together To Support The Most Exciting Missions In The World! Job Title: Lab Medical Technologist Supervisor - Central Cost Center: 201641056 Lab-Clinical Support Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Job Description: Job Summary The Lab Medical Technologist (MT) Supervisor supports leadership with the management of staff and day-to-day operations for the assigned area of responsibility. In this role, the individual is accountable to deliver established goals, utilizes good judgment to assess and escalate situations when warranted and utilizes knowledge and skills in the area of expertise while maintaining expected quality standards. The Lab MT Supervisor must act as a leader by building constructive relationships and by supporting department leadership in developing, setting and executing department goals and the strategic plan in accordance with Marshfield Clinic Health System's (MCHS)...

*Now Hiring for a Remote Inpatient Medical Coder!! This opportunity is fully remote and a 3+ month contract assignment. MUST HAVE 1+ years of INPATIENT coding experience to be qualified!! * *Description* -The Coder Inpatient II correctly assigns ICD diagnosis and procedure codes and MS -DRGs for inpatient hospital services at hospital, an academic, Level I Trauma Center. -The Coder Inpatient II codes a variety of medical and surgical specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Ortho, Cardiology, and Critical Care which can include complex trauma and acutely ill patients. -Coders in this role communicate with care providers when necessary mainly via the electronic query process. -In order to ensure the most appropriate DRG assignment, coders partner with clinical documentation improvement specialists with the goal of obtaining the most complete and accurate medical record documentation. -The Coder Inpatient II will resolve problems and make...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

Job Summary Are you dedicated to advancing compliance in healthcare? Join our dynamic team as a Lead Compliance Auditor. Your expertise will be vital in protecting our health plans from regulatory and contractual discrepancies. Your role will significantly contribute to the detection and management of compliance risks, ensuring the integrity and safety of Molina Healthcare. Essential Job Duties Lead and conduct thorough pre-delegation and annual audits to guarantee adherence to all regulatory and accreditation standards. Examine delegate policies, procedures, and case files meticulously, ensuring high-quality service delivery. Work closely with delegate leadership to evaluate risks and create effective solutions together. Leverage your analytical skills to identify systemic issues and collaborate with other departments to mitigate risks. Analyze audit outcomes, determine root causes, and develop comprehensive corrective action plans (CAPs). Prepare and manage...

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER Are you a detail-oriented leader with a passion for accuracy and process improvement? Join our team as a Medical Coding Supervisor , where you'll play a key role in ensuring high-quality coding practices, supporting provider education, and leading a dedicated team that drives the success of our revenue cycle operations. The Medical Coding Supervisor oversees the operations and personnel within the Medical Coding department. Key responsibilities include reviewing provider-assigned codes for accuracy and compliance, auditing insurance claims, and addressing coding-related denials. This role provides coding education to providers, supports documentation standards, and may assist with related research initiatives. The supervisor manages team functions such as hiring, onboarding, training, performance evaluation, and ensuring adequate staffing. Additional duties include developing departmental policies, leading...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

Job Description Job Description Medical Billing Specialist-Bilingual/Spanish This is a Hybrid Remote position. Employees work remotely, with required scheduled IN-office day(s) assigned by direct management. Growing medical billing office seeking a detail-oriented and experienced Medical Billing Specialist who is fluent in both English and Spanish to join our ever-expanding team. Work as part of a Team handling multiple areas of the revenue-cycle while working predominantly from your home. Insurance follow-up, claim denials and appeals, guarantor follow-up, patient correspondence, customer service, and general duties related to medical billing. C andidates must be able to work in a Team environment, handle multiple tasks, comfortable working with numbers and problem-solving skills. Position requires a reliable and self-motivated bilingual, English/Spanish, individual with strong customer service skills, required to assist Spanish-speaking patients and insurance...

Major Responsibilities: 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...

Coder Inpatient - Benjamin Davis All your information will be kept confidential according to EEO guidelines.

Description Western Wisconsin Health is looking for a full-time Medical Coding Specialist (0.8 FTE) to join the Health Information Management department. The Medical Coding Specialist is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the HIM Director, accurately code inpatient, observation, outpatient diagnostic, therapeutic, consultative, emergency department services, ambulatory surgery (same day surgery), and clinic encounters, as assigned. Obtain appropriate reimbursement levels for professional services by reviewing and coding clinical diagnoses and procedures for physician visits and other services, conditions and procedures as documented in the ICD-10-CM and Official Guidelines for Coding and Reporting and CPT Coding Guidelines. Resolve errors associated with...

Job Description Job Description Medical Billing Specialist Full-time • 80 hours per pay period • Monday–Friday • Benefited – 8th Street Campus Black River Health is seeking a detail-oriented, motivated professional to join our Finance & Revenue Cycle team as a Medical Billing Specialist. In this role, you will ensure accurate billing, timely claim submission, effective follow-up, and strong collaboration across departments to support the financial health of our organization. What You’ll Do As a Medical Billing Specialist, you will play a key role in ensuring claims are processed accurately and efficiently while supporting both patients and internal teams. Your responsibilities include: Essential Duties Correct, complete, and process claims for all payors according to established standards Perform follow‑up with payors on unpaid accounts identified through aging reports, denials, or payer rejections Demonstrate thorough knowledge of billing policies...

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 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. HOURS: Full Time or 1.0 FTE, 80 hours every pay period. Flexible day hours. Experience/Qualifications Knowledge of medical record standards and coding practices is normally acquired through completion of a Bachelor or Associate Degree in Health Information Technology or Coding, or an equivalent...

Department: Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details/Additional Information: Schedule Details/Additional Information Pool B Speech Therapy position includes working a minimum of 32 hours per month, this includes working two weekend shifts per month and one holiday a year. The Pool B role will involve providing coverage on the Inpatient Rehab Program and Acute Care based on area of need. Prior completion of CFY preferred. pool premiums apply! Pay Range $38.20 - $57.30 Major Responsibilities: Interprets physician referrals and conducts a speech and language evaluation of patients with various speech, language, voice, cognitive and swallowing disorders. Establishes a written plan of care and implements individual treatment based on evaluation results, functional goals and by utilizing appropriate techniques. Monitors and evaluates outcomes and appropriately adjusts the individualized treatment plan based...

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER This is a hybrid position which will have a combination of remote and onsite work on a weekly basis. Applicants must be a resident of Wisconsin and have the ability to work onsite as scheduled. 1.0 FTE / 40 hours per week. The Medical Billing Specialist is responsible for all Fee-for-Service (FFS) patient accounts. This includes timely billing of non-covered services, services covered by other health insurance, co-payments and deductibles. They are also responsible for the collection and posting of all payments related to patient accounts. Additionally, they provide assistance to members with billing inquiries, complaints and compliments; and performs credentialing certification for GHC-SCW providers for billing purposes. The Medical Billing Specialist is responsible for enrollment of uninsured individuals in the Community Care Program and students in the Madison College Student Health Services. The...

Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Your future role at a glance Location: Remote Department/Specialty: Revenue Cycle | Coding Schedule: Full-time | 1st shift Salary Range: $23.60 - $31.92 per hour. Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter. Benefits that help you thrive Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance Time to recharge: pro-rated paid time off (PTO) and...

Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Estimated Hiring Range $81,000.00 - $99,000.00 Bonus Target Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Perform and lead a variety of coding-related audits for providers and other entities. Review medical records to verify that complete and accurate...

Overview The Varsity Tutors Live Learning Platform has thousands of students looking for online CPC tutors nationally. As a tutor on the Varsity Tutors Platform, you’ll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students’ learning journeys—all from the comfort of your home. Why Join Our Platform? Earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose-built Live Learning Platform—no commuting required. Get matched with students best-suited to your teaching style and expertise. Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson generation, and engagement features—helping you save prep time and focus on impactful teaching. We handle the...

Travel House Supervisor RN Company: Fusion Medical StaffingFacility in West Allis, WI Please make an application promptly if you are a good match for this role due to high levels of interest. Fusion Medical Staffing is seeking a skilled House Supervisor RN for a week travel assignment in West Allis, WI As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.One year of recent experience as an RN House SupervisorValid RN license in compliance with state regulationsThe House Supervisor RN provides leadership and oversight of nursing operations during shifts to ensure quality care, patient safety, and smooth hospital functioning. This role encompasses staff supervision, patient flow management, crisis intervention, and collaboration with multidisciplinary teams to optimize patient care and hospital operations.Supervise and support nursing...

Travel House Supervisor RN Company: Fusion Medical Staffing Facility in West Allis, WI Fusion Medical Staffing is seeking a skilled House Supervisor RN for a week travel assignment in West Allis, WI As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team. One year of recent experience as an RN House Supervisor Valid RN license in compliance with state regulations The House Supervisor RN provides leadership and oversight of nursing operations during shifts to ensure quality care, patient safety, and smooth hospital functioning. This role encompasses staff supervision, patient flow management, crisis intervention, and collaboration with multidisciplinary teams to optimize patient care and hospital operations. Supervise and support nursing staff during shifts, ensuring efficient patient care and adherence to hospital policies Ensure...

A healthcare organization is seeking a Senior Coding Auditor to lead coding audits, ensure compliance with regulations, and educate internal stakeholders. The ideal candidate will have over 5 years of experience as a certified coder, with strong knowledge of diagnosis coding conventions. The role requires maintaining active coding certification and engaging in continuous education on coding topics. Benefits include competitive pay and a comprehensive rewards program, along with opportunities for professional development. #J-18808-Ljbffr