25 cpc certified professional coder jobs found in Madison, WI

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: Conduct a...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Fully Remote Lake Park Building Full time R180631 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

KEY ACCOUNTABILITIES Reviews patient medical records for inpatient, observation, and / or outpatient surgical accounts. Assigns ICD-10-CM diagnosis codes and ICD-10-PCS or CPT / HCPCS procedure codes, when applicable, to all accounts, and sequences as outlined in the ICD Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS), CPT / HCPCS Guidelines, and other regulatory requirements. Communicates with providers and other clinical team members to obtain additional information, diagnoses specificity, or completion needed to accurately assign codes. Manages follow up work queues to ensure timely coding completion. QUALIFICATIONS High School diploma or GED preferred Must be 18 years of age One year of hospital coding experience Diploma / certificate in coding : CCS (Certified Coding Specialist, (AHIMA), or COC (Certified Outpatient Coder), (AAPC), or CIC (Certified Inpatient Coder), (AAPC) Or : RHIT (Registered Health Information Technologist) (AHIMA) PHYSICAL DEMANDS...

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. (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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Datavant is a remote-friendly team focused on healthcare data collaboration. We seek experienced inpatient coders to join as a key part of our coding leadership, ensuring high accuracy and compliance across patient records. You will assign ICD-10-CM/PCS codes, supervise Level 1 & 2 Coders where applicable, drive documentation improvement, and maintain production benchmarks while collaborating with hospital staff and management. #J-18808-Ljbffr

It's more than a career, it's a calling. WI-REMOTE Worker Type: Regular Job Summary Coordinates, organizes and prioritizes the work flow activities for the coding area. Primary Responsibilities Leads and/or coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and/or associates. Serves as a leader through modeling, mentoring and training assigned staff. Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer‑specific...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Sauk Prairie Healthcare, Inc. is seeking a Medical Coding Specialist – Outpatient to review medical reports and apply diagnostic and procedural codes for ambulatory services, primarily ED and Urgent Care. This remote role offers the option to work onsite and requires Wisconsin or Illinois residency. The position involves auditing records, collaborating with clinical departments, and staying current with coding changes. AHIMA/AAPC credentials must be obtained within six months of hire. #J-18808-Ljbffr

The Medical College of Wisconsin, Inc. is seeking a professional coder/billing specialist to perform CPT and ICD-10 coding, charge entry, and denial resolution. You will collaborate with physicians, department administrators, and billing staff to ensure accurate reimbursements and compliant documentation. Responsibilities include processing professional service billings, reconciling charges, and providing provider education on coding policies. #J-18808-Ljbffr

GetixHealth is seeking an Endovascular / Cardiology Coder to review clinical documentation and assign ICD-10-CM, CPT, HCPCS codes for complex procedures. This remote role requires specialty expertise and a keen eye for accuracy. Candidates must hold CIRCC and one of CCS/RHIT/CPC, plus 2+ years in endovascular/cardiology coding and EPIC EHR experience. Strong communication and adherence to compliance standards are essential. #J-18808-Ljbffr

Note: Please only apply to the specific job posting for which you have experience in the specialty. Duplicate applications will not be considered. Job Summary We are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Podiatry Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensure accuracy in medical coding, and facilitating timely payments from insurance companies and patients. A strong understanding of podiatry-specific medical terminology, coding systems, and collections is essential for success in this role. Responsibilities Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS specific to podiatric procedures. Review patient records to ensure all necessary information is included for billing purposes. Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. Follow up...

A healthcare organization is seeking a detail-oriented Medical Biller and Coder for its Podiatry Department. Candidates should have expertise in managing the billing process, accuracy in coding, and facilitating payments from both insurance companies and patients. Responsibilities include processing claims, verifying insurance coverage, and maintaining billing records. The ideal applicant will have experience in podiatry and possess excellent organizational skills. This full-time position offers competitive pay ranging from $25.00 to $50.00 per hour. #J-18808-Ljbffr

DaMar Staffing seeks an experienced Medical Coder II, Certified for a permanent role based in the Portland, OR metro area. After a 2-4 week on-site training, the position offers remote work with flexible hours between 6:00 AM and 6:00 PM. The job focuses on documentation review and coding to ensure accurate submissions and regulatory compliance, with responsibilities across multiple specialties. Ideal candidates have at least one year of coding experience, current professional credentials, and #J-18808-Ljbffr

DaMar Staffing is seeking an experienced Inpatient Facility Medical Coder in Clackamas, OR. The role requires strong proficiency in ICD-10-CM/PCS, HCPCS/CPT coding, and CMS guidelines, with on-site training for one week. The ideal candidate has at least five years of inpatient coding experience, AHIMA/ACCS credentials, and the ability to communicate with physicians to clarify diagnoses and procedures. Remote work is supported after onboarding. #J-18808-Ljbffr

Title - Inpatient Facility Medical Coder (40h Day)Location - Clackamas, OR, USJob Type - Permanent | Remote Required Minimum five (5) years experience in coding with four (4) years inpatient facility coding The candidate must have 1 from the following list: Registered Health Information Technician Certificate Certified Coding Specialist Registered Health Information Administrator Certificate Advanced knowledge of medical terminology, pharmacology and medial coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT and coding. Advance knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues. Job description Candidates must reside either in Washintgon or Oregon to be considered for this position. To independently and efficiently perform the...

Title - Medical Coder II, Certified Shift - (Remote working after on-site training (2-4 weeks). Must be located in the Portland, OR Metro Area. Flexible hours -- any 8 hours between 6:00 AM and 6:00 PM) Location - Clackamas, OR, US Jo Type - Permanent Required: Minimum One (1) year of professional coding experience. Current Credentials for Professional Coding. Ability to work in an autonomous environment. Job description: This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Essential Responsibilities: Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available...

JOB DESCRIPTION To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding directives....

Healthcare Staffing Plus seeks a detail‑oriented Medical Coder Auditor Senior to independently review and translate clinical data into precise ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes for ED, ASC, HAS, OBS, IP and other facility encounters. You'll utilize CBCT and OPTUM 360 EncoderPRO, access EpicCare records, validate CAC work, and ensure compliance with CMS guidelines while maintaining high productivity and quality standards. #J-18808-Ljbffr

Terrestris is seeking a Remote Medical Coder to support VA Portland Health Care System from a remote location. The role requires at least 2 years of outpatient/inpatient coding experience and AHIMA/AAPC credentials. The position offers a 1-year contract, with a 40-hour workweek, primarily remote but on-site coding support may occur as needed. Ideal candidates have VA coding exposure and are capable of processing inpatient and outpatient records quickly, accurately, and within set deadlines. #J-18808-Ljbffr

University of Vermont Health is seeking a Coder Level II for remote work in our Emergency Care Center coding team. You will assign ICD-10 CM diagnostic and CPT procedure codes to outpatient Fast Track accounts and may work in other outpatient areas such as Ancillary Services, Clinics, OB-GYN or Medical Necessity. The role requires familiarity with ICD-10CM and CPT guidelines, and AHIMA credentials. A strong accuracy rate and the ability to meet productivity standards are essential, with remote #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Position Overview Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here. 100% Remote position with option to work onsite. Wisconsin or Illinois residency required. Title Medical Coding Specialist – Outpatient Position Specs FTE: 1.0 (40 hours per week) Schedule: Monday to Friday, five (5) 8-hour shifts between hours of 6am and 5pm Holiday Rotation: None Weekend Rotation: None On Call Requirements: None Position Summary Reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis. This role will primarily focus on Emergency Department and Urgent Care coding but will also assist in other areas. Technical Responsibilities Assigns codes for ambulatory outpatient services using International Classification of Diseases (ICD) and Current Procedural Terminology (CPT)...

Medical Coding Specialist II - Ophthalmology & Multi Specialty This is a Monday - Friday, 40 hours per week position. Hours are flexible and will be discussed in the interview process. This is a remote position. 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) directives, Medically Unlikely Edits (MUEs), and...