34 medical coding specialist jobs found in Baldwin, WI

Datavant is seeking experienced outpatient coders to join our remote team. You will review medical records, assign diagnoses and procedures, and ensure accurate APC coding while maintaining high accuracy and productivity. Candidates should hold AHIMA or AAPC credentials, have 2+ years hospital coding experience, and be proficient with injections/infusions among other coding specialties. Strong communication, time management, and the ability to work remotely are essential. #J-18808-Ljbffr

Job Description Job Description Description: Riverland Community Health is a Federally Qualified Health Center in St. Paul, where patients receive community-based Family Practice medical care in addition to mental health, dentistry, social work and other integrated services. When joining RCH, you become part of a diverse, inclusive, and welcoming team who are dedicated to serving our patients and pursuing our mission to deliver excellent healthcare for all and training for the providers of tomorrow.  JOB SUMMARY: The Medical Coding Specialist / Provider Educator is responsible for the review of medical records, notes, dictation and other related documentation to ensure the accurate and timely submission of charges for professional services provided by physicians and other providers as well as diagnoses for clinic services. The Medical Coding Specialist / Provider Educator is also responsible for conducting coding audits, providing education and communication of process...

The Indian Health Service is seeking a Medical Records Technician to support vital healthcare operations in Native communities. In this position, you will review medical records for accuracy, assign coding, and ensure compliance with medical standards. This rewarding career is essential for maintaining high-quality patient care and community well-being. Experience in medical coding and a CPC certification are preferred. #J-18808-Ljbffr

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Healthcare Billing Specialist We are seeking a detail-oriented billing professional to support the financial operations of our medical services team. This role focuses on accurate claim processing, insurance coordination, and maintaining compliant documentation. Key Responsibilities: Manage the full billing cycle for orthotic and prosthetic services, including claim creation, submission, and follow-up Address and resolve payer denials, discrepancies, and appeal requests Apply and reconcile payments, ensuring patient and insurance accounts remain accurate Verify insurance coverage, benefits, and eligibility for incoming orders Secure prior authorizations and confirm all required clinical/supporting documentation is on file Communicate clearly and professionally with patients, clinicians, and insurance partners Stay current with coding requirements, payer policies, and internal procedures Required Qualifications: Minimum of 4 years of experience in medical billing Experience with...

Datavant is seeking a Profee Auditing Specialist to conduct professional fee coding audits across medical records, applying ICD-10-CM, CPT, HCPCS, and modifiers. You will explain changes with solid documentation references and stay current with regulatory updates.This fully remote role offers a flexible schedule, with preferred 20 hours per week. Ideal candidates have multi-specialty experience, CPC certification, and a track record of high accuracy in audits.J-18808-Ljbffr

Healthcare Billing Specialist We are seeking a detail-oriented billing professional to support the financial operations of our medical services team. This role focuses on accurate claim processing, insurance coordination, and maintaining compliant documentation. Key Responsibilities: Manage the full billing cycle for orthotic and prosthetic services, including claim creation, submission, and follow-up Address and resolve payer denials, discrepancies, and appeal requests Apply and reconcile payments, ensuring patient and insurance accounts remain accurate Verify insurance coverage, benefits, and eligibility for incoming orders Secure prior authorizations and confirm all required clinical/supporting documentation is on file Communicate clearly and professionally with patients, clinicians, and insurance partners Stay current with coding requirements, payer policies, and internal procedures Required Qualifications: Minimum of 4 years of experience in medical billing Experience...

Position: Inpatient Coder Client: Healthcare Provider Location: 100% Remote (PST Hours) Contract Length: 6-months, with potential for extension Start Date: ASAP Summary Medasource is partnering with a leading regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity, multi-specialty environment and is ideal for coders with strong experience handling complex inpatient cases. Key Responsibilities Perform accurate inpatient coding across a wide range of specialties, including: Cardiology, Neurology, Surgical cases, Transplants, Neonatal Intensive Care Unit (NICU), Additional complex inpatient cases Assign appropriate diagnosis and procedure codes in accordance with organizational, regulatory, and industry standards Maintain timely and accurate coding in a fast-paced, high-acuity environment Consistently meet established productivity and quality expectations Qualifications Certified Coding...

Job Overview Fairview is looking to hire a PB Coder 2 to join our team. This position offers the flexibility to perform work from a home-based setting while staying closely connected and collaborating with the coding team. The ideal candidate will have Professional Billing (PB) specialty coding experience and be a hardworking, dependable team player with strong communication skills. Candidates should be comfortable working independently while also collaborating with colleagues to ensure accurate, timely, and compliant coding. Surgery and/or anesthesia coding experience is a plus. The Coder 2 analyzes clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM, CPT-4, and HCPCs Coding Classification systems. Utilizes an electronic...

Title: HCC & ProFee Coder Location: Remote Job Type: Contract to Hire Compensation: $30.00 per hour (W2) Industry: Hospital & Healthcare About the Role Our firm is recruiting on behalf of a healthcare services client that supports health plans, provider organizations, and value-based care initiatives through advanced coding, risk adjustment, and documentation review services. We are seeking an experienced HCC & ProFee Coder to perform high-level coding validation, risk adjustment auditing, and clinical documentation review activities. This role is ideal for a coding professional with deep expertise in CMS HCC, Rx HCC, ICD-10-CM, and Medicare coding guidelines who thrives in a detail-oriented, quality-focused environment. Job Description The HCC & ProFee Coder is responsible for reviewing medical records to validate coding accuracy, ensure compliance with regulatory guidelines, and support risk adjustment and quality improvement initiatives. The position requires...

Title: HCC & ProFee Coder Location: Remote Job Type: Contract to Hire Compensation: $30.00 per hour (W2) Industry: Hospital & Healthcare About the Role Our firm is recruiting on behalf of a healthcare services client that supports health plans, provider organizations, and value-based care initiatives through advanced coding, risk adjustment, and documentation review services. We are seeking an experienced HCC & ProFee Coder to perform high-level coding validation, risk adjustment auditing, and clinical documentation review activities. This role is ideal for a coding professional with deep expertise in CMS HCC, Rx HCC, ICD-10-CM, and Medicare coding guidelines who thrives in a detail-oriented, quality-focused environment. Job Description The HCC & ProFee Coder is responsible for reviewing medical records to validate coding accuracy, ensure compliance with regulatory guidelines, and support risk adjustment and quality improvement initiatives. The position requires...

Position: Inpatient Coder Client: Healthcare Provider Location: 100% Remote (PST Hours) Contract Length: 6-months, with potential for extension Start Date: ASAP Summary Medasource is partnering with a leading regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity, multi-specialty environment and is ideal for coders with strong experience handling complex inpatient cases. Key Responsibilities Perform accurate inpatient coding across a wide range of specialties, including: Cardiology, Neurology, Surgical cases, Transplants, Neonatal Intensive Care Unit (NICU), Additional complex inpatient cases Assign appropriate diagnosis and procedure codes in accordance with organizational, regulatory, and industry standards Maintain timely and accurate coding in a fast-paced, high-acuity environment Consistently meet established productivity and quality expectations Qualifications Certified Coding Specialist...

Inpatient Hospital Based Coder Fairview is looking for an Inpatient Hospital Based Coder to join our team! This is a position approved for a 1.0 FTE (80 hours per pay period) on the day shift. This position provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems. Utilizes an encoder and computer assisted coding (CAC) software to achieve accuracy and thorough coding. Researches complex coding scenarios and queries physicians on documentation for clarification. This is an HB Inpatient coding position for an experienced, trained inpatient coder. An Inpatient Coder analyzes clinical documentation; assigns appropriate diagnosis, procedure, and abstracts the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Assist in the...

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...

Fully Remote Lake Park Building Full time R182990 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...

Coder 3 Fairview is looking to add a Coder 3 to our team. This is a full-time, benefit-eligible position designed for an experienced coding professional with advanced expertise in complex coding. The Coder 3 is responsible for handling highly complex coding assignments and requires expert-level knowledge of coding guidelines, regulations, and reimbursement practices. The ideal candidate will demonstrate strong critical-thinking and research skills, exceptional attention to detail, and the ability to independently resolve complex coding scenarios. A CIRCC (Certified Interventional Radiology Cardiovascular Coder) credential is preferred. This is a clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient accounts. OP Coder 3 will have specialized knowledge in Interventional Radiology and Heart Catheterization. OP Coder 3 will competently assign ICD-10-CM, CPT-4, HCPCS codes to more complex outpatient accounts...

Professional Coding Specialist IPride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. Equal Employment Opportunity: Pride-Health is an equal opportunity employer. We do not discriminate on the basis of the race,...

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 requires 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. Qualifications -...

Job Overview Fairview is looking to add a Coder 3 to our team. This is a full-time, benefit-eligible position designed for an experienced coding professional with advanced expertise in complex coding. Job Overview Fairview is looking to add a Coder 3 to our team. This is a full-time, benefit-eligible position designed for an experienced coding professional with advanced expertise in complex coding. The Coder 3 is responsible for handling highly complex coding assignments and requires expert-level knowledge of coding guidelines, regulations, and reimbursement practices. The ideal candidate will demonstrate strong critical-thinking and research skills, exceptional attention to detail, and the ability to independently resolve complex coding scenarios. A CIRCC (Certified Interventional Radiology Cardiovascular Coder) credential is preferred. This is a clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient...

Job Overview Fairview is looking to hire a PB Coder 2 to join our team. This position offers the flexibility to perform work from a home-based setting while staying closely connected and collaborating with the coding team. The Coder 2 analyzes clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM, CPT-4, and HCPCs Coding Classification systems. Utilizes an electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for the services provided. Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and...

Job Overview Fairview is looking for Inpatient Hospital Based Coder to join our team! This ispositionapproved for a1.0 FTE (80 hours per pay period) on the day shift. This position provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems. Utilizes an encoder and computer assisted coding (CAC) software to achieve accuracy and thorough coding. Researches complex coding scenarios and queries physicians on documentation for clarification. This is an HB I npatient coding position for an experienced, trained inpatient coder. An Inpatient Coder analyzes clinical documentation; assigns appropriate diagnosis, procedure, and abstracts the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Assist in the resolution of clinical...

Medical Billing SpecialistTareen 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 requires 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.Qualifications - Medical...