24 medical coding specialist jobs found in Baldwin, WI

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 billing software...

Western Wisconsin Health is seeking a full-time Medical Coding Specialist to join the Health Information Management department in Wisconsin. This role involves reviewing clinical documentation and applying ICD-10-CM and CPT codes for billing and reporting. Candidates must have a high school diploma and a coding certificate, with an understanding of coding systems. The position allows for remote work after training, with a work schedule of Monday to Friday, 7:30 am to 4 pm. Join a growing team dedicated to future healthcare delivery! #J-18808-Ljbffr

Job Summary: The Accounts Receivable/Medical Billing Specialist is responsible for managing patient-facing billing inquiries, resolving accounts receivable, and driving collections performance through high-volume inbound and outbound phone interactions. This role serves as a subject matter expert in patient billing and acts as a key resource to the Revenue Cycle Manager for resolving complex AR issues, reducing aged receivables, and improving cash flow. The ideal candidate is highly skilled in communicating with patients, comfortable with collections activities, and experienced in navigating billing systems, payer requirements, and patient financial discussions with professionalism and empathy. This role is eligible for remote work after a period of on-site training determined by proficiency in the role. The training will be onsite at our Vadnais Heights location and the hours for this role are 8am CST -4:30pm CST. Duties/Responsibilities Patient Communication &...

Humana is looking for a skilled medical coder to review records, map conditions to HCCs, and apply ICD-10 codes. You will follow regulations, work on special projects, and often communicate with providers by phone. Overtime may be required to meet deadlines and ensure timely tasks completion. Training is 3 weeks remote, Mon–Fri 8am–4:30pm ET. After training, you will work 40 hours weekly within your own time zone, with occasional overtime as needed. #J-18808-Ljbffr

Location: This role enables associates to work virtually full-time, except for 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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 accommodation is granted as required by law. The Patient Safety DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in...

Humana is looking for a skilled medical coder to review records, map conditions to HCCs, and apply ICD-10 codes. You will follow regulations, work on special projects, and often communicate with providers by phone. Overtime may be required to meet deadlines and ensure timely tasks completion. Training is 3 weeks remote, Mon–Fri 8am–4:30pm ET. After training, you will work 40 hours weekly within your own time zone, with occasional overtime as needed. #J-18808-Ljbffr

Job Overview Fairview is seeking a Coder 2 to join our team. This is a full-time, benefit-eligible position (80 hours per pay period) offering the opportunity to work within a collaborative and supportive coding environment. The role includes a weekend rotation requiring one Saturday shift per month; when scheduled to work a Saturday, you will receive a weekday off (Tuesday, Wednesday, or Thursday) during the same week. This position provides flexibility in where work is performed following training and departmental expectations, while remaining closely connected to the coding team and organizational operations. The ideal candidate will have coding experience across Hospital Billing (HB), Professional Billing (PB), and Emergency Department (ED) accounts, along with a strong understanding of ICD-10-CM, CPT, and HCPCS coding guidelines. Candidates should possess excellent attention to detail, coding accuracy, and a commitment to maintaining compliance with coding, documentation, and...

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:...

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and reimbursement...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

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...

Job Description Job Description Salary: $24-$28/hour Job Summary: The Accounts Receivable/Medical Billing Specialist is responsible for managing patient-facing billing inquiries, resolving accounts receivable, and driving collections performance through high-volume inbound and outbound phone interactions. This role serves as a subject matter expert in patient billing and acts as a key resource to the Revenue Cycle Manager for resolving complex AR issues, reducing aged receivables, and improving cash flow. The ideal candidate is highly skilled in communicating with patients, comfortable with collections activities, and experienced in navigating billing systems, payer requirements, and patient financial discussions with professionalism and empathy. This role is eligible for remote work after a period of on-site training determined by proficiency in the role. The training will be onsite at our Vadnais Heights location and the hours for this role are 9am CST -5:30pm CST....

Minnesota Eye Consultants is seeking a full-time Medical Billing (AR) Specialist who can work hybrid or fully remote from Bloomington. The role is crucial in the revenue cycle, handling medical claims and ensuring compliance with payer requirements. Candidates should have a high school diploma, 2+ years of medical billing experience, and strong knowledge of coding systems. Benefits include health insurance and paid time off. #J-18808-Ljbffr

At Unifeye Vision Partners (UVP) our mission is simple: to partner with leading eye care practices and support them in their quest to improve the quality of their patients’ lives. We are building the leading, nationally recognized integrated eye care community in the country through these partnerships and our commitment to upholding our mission and core values. Unifeye Vision Partners is currently hiring for a full‑time Medical Billing (AR) Specialist. This position can be hybrid (Bloomington) or fully remote. Summary The Medical Billing (AR) Specialist at UVP plays a vital role in the revenue cycle process by ensuring accurate and timely submission of medical claims, working denials, and supporting the financial health of the organization. This individual will work closely with clinical and administrative teams to ensure billing accuracy and compliance with payer requirements. Starting pay for the position is $22.00–24.00/hour. Essential Duties And Responsibilities Prepare and...

Medical Billing Specialist Tareen Dermatology is seeking an experienced Medical Billing Specialist with hands-on experience in claim submission, denial management, payment posting, accounts receivable follow-up, and insurance reimbursement. This role is ideal for a candidate who has worked directly in medical billing and is comfortable managing the full revenue cycle within a fast-paced specialty practice. This position is primarily remote, with occasional on-site meetings required. Ideal candidates are organized, independent, and thrive in a fast-paced healthcare environment. This position is focused on medical billing and revenue cycle functions, including claim submission, payment posting, denial management, appeals, and accounts receivable follow-up. Candidates whose experience is primarily in patient registration, scheduling, insurance verification, prior authorizations, call center operations, or front desk responsibilities may not meet the qualifications for this role....

Accounts Receivable/Medical Billing Specialist The Accounts Receivable/Medical Billing Specialist is responsible for managing patient-facing billing inquiries, resolving accounts receivable, and driving collections performance through high-volume inbound and outbound phone interactions. This role serves as a subject matter expert in patient billing and acts as a key resource to the Revenue Cycle Manager for resolving complex AR issues, reducing aged receivables, and improving cash flow. The ideal candidate is highly skilled in communicating with patients, comfortable with collections activities, and experienced in navigating billing systems, payer requirements, and patient financial discussions with professionalism and empathy. This role is eligible for remote work after a period of on-site training determined by proficiency in the role. The training will be onsite at our Vadnais Heights location and the hours for this role are 9am CST -5:30pm CST. Duties/Responsibilities...

Job Type Full-time Description PLEASE NOTE: THIS IS NOT A FULLY REMOTE POSITION. CANDIDATES MUST RESIDE WITHIN COMMUTING DISTANCE OF ROSEVILLE, MN. Job Summary: Tareen Dermatology is seeking an experienced Medical Billing Specialist with hands-on experience in claim submission, denial management, payment posting, accounts receivable follow-up, and insurance reimbursement. This role is ideal for a candidate who has worked directly in medical billing and is comfortable managing the full revenue cycle within a fast-paced specialty practice. This position is primarily remote , with occasional on-site meetings required. Ideal candidates are organized, independent, and thrive in a fast-paced healthcare environment. Please note: This position is focused on medical billing and revenue cycle functions, including claim submission, payment posting, denial management, appeals, and accounts receivable follow-up. Candidates whose experience is primarily in patient...

Who Are We Life Link III is a premier, nationally recognized air medical transport company, known for our clinical excellence, superior aviation program and reliable response in providing care to critically ill or injured patients. Our priority is to do everything possible to give every patient their best chance for the best possible outcome - demonstrated by our unwavering commitment to providing the highest level of care to our patients while on board safe, state-of-the-art aircraft. We continually focus on innovation and work to put cutting-edge technology and education in the hands of our flight medical crew, pilots, mechanics, operational control specialists and communication specialists so we can provide uncompromising care to the communities we serve. We do this work while living out our core values of safety, customer focus, excellence, integrity, innovation, and collaboration. As a Medical Billing Specialist, you will play an important role in ensuring accurate billing,...

Guidehouse is hiring a Revenue Integrity Coding Billing Specialist for a fully remote role. The position focuses on resolving claims, applying pre-bill edits, and validating codes (ICD-10, CPT, HCPCS) with an emphasis on medical necessity and payer rules. Strong knowledge of Medicare/Medicaid and UB-04 is required. The ideal candidate has 5+ years in Revenue Integrity, AAPC or AHIMA certification, and the ability to ensure compliance across outpatient settings. #J-18808-Ljbffr

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and reimbursement...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Medical Billing Specialist The Medical Billing Specialist is responsible for managing the billing and payment activities of multiple programs, clients and/or 3rd party payee accounts and will serve as a point of contact for primarily for clients, at times for internal staff regarding billing-related matters, and occasionally deals with third-party payers. The role can include seasonal special projects. JFCS is a multi-faceted human services agency with the mission to provide essential services to people of all ages and backgrounds to sustain healthy relationships, ease suffering and offer support in times of need. JFCS is a place where you can put your values to work every day. You will be able to: Make a positive difference in the lives of others Feel energized to give your best effort and enjoy a healthy work/life balance Learn, grow and accomplish new things JFCS serves and employs people of all cultures and faith traditions and highly values inclusion and diversity. All...

Summary The Medical Billing Specialist is responsible for managing the billing and payment activities of multiple programs, clients and/or 3rd party payee accounts and will serve as a point of contact for primarily for clients, at times for internal staff regarding billing-related matters, and occasionally deals with third-party payers. The role can include seasonal special projects. EEO Statement JFCS serves and employs people of all cultures and faith traditions and highly values inclusion and diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. AA/EEO Benefits Work-life balance including vacation, wellness leave (sick time), paid family and medical leave, holidays, flexible schedule, and a hybrid working schedule with the ability to work from home up to 60% of the time. Competitive benefits package...

Job Type Full-time Summary The Medical Billing Specialist is responsible for managing the billing and payment activities of multiple programs, clients and/or 3rd party payee accounts and will serve as a point of contact for primarily for clients, at times for internal staff regarding billing-related matters, and occasionally deals with third‑party payers. The role can include seasonal special projects. Agency Information JFCS is a multi‑faceted human services agency with the mission to provide essential services to people of all ages and backgrounds to sustain healthy relationships, ease suffering and offer support in times of need. JFCS is a place where you can put your values to work every day. You will be able to: Make a positive difference in the lives of others Feel energized to give your best effort and enjoy a healthy work/life balance Learn, grow and accomplish new things JFCS serves and employs people of all cultures and faith traditions and highly values inclusion and...