54 jobs found in Wisconsin

Job Type Full-time Description Illuminus is seeking a full-time Health Information Coder tojoin our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. Researches and analyzes health records to verify clinical documentation supports...

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 Inpatient Coder to join our team! This Position Can Be Trained and Worked Fully Remote Assigns ICD-10 CM, ICD-10 PCS 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 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of medical record and coding practices normally acquired through completion of an Bachelor or Associate Degree in Health Information Technology or Coding, or an equivalent program with emphasis in coding...

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 PROFESSIONAL FEE CODER to join our CODING team! The Professional Fee Coder accurately processes professional service charges, including verification of CPT and ICD codes through our EPIC Workques. May process technical component charges in compliance with Provider Based or RHC Billing requirements. The Professional Fee Coder will perform coding functions for either primary care or specialty focused areas. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of coding principles normally acquired through an Associate's Degree in Health Information Management, Healthcare Business Services, or an equivalent program with emphasis in coding or a minimum of two years coding experience. Experience or...

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 Wausau Hospital in Wausau, WI is seeking a Nursing Supervisor to join our Adult Medical Unit combined with a smaller Pediatrics Unit! The Nursing Supervisor has day to day responsibility for the coordination, leadership and development of the nursing department, personnel, and operations. Assists with patient safety, quality efforts, financial management, employee satisfaction and community accountabilities. Assumes leadership responsibility in the absence of the manager or director. Promotes an environment where nursing/clinical staff can flourish through professional development, improvement in workflow and workload, optimization of talent and resources, implementation and validation of best practices, consistent and clear communication including closed loop feedback, real...

This position is full-time and will work 40-hours per week. It is full-time benefit eligible. Remote and/or hybrid can be an option after 6-months of on-site training. Coder Certified Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health-they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care. Job Summary The Certified Coder is responsible for accurately translating medical records and patient services into standardized numerical codes for billing and reimbursement purposes. This role ensures compliance with federal, state, and organizational regulations, while maintaining the highest standards of patient confidentiality. The Certified Coder works...

Medical Coding Specialist II - Inpatient Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist II - Inpatient to: Determine and assign ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes. Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Access to great resources through the UW Health...

Medical Coding Supervisor 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 staff meetings, addressing inquiries or...

Coder I, Professional It's more than a career, it's a calling WI-Turville Bay Job Highlights: This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements: Primary Responsibilities: 1. Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. 2. Identifies all billable services....

Current Madison College employees must apply to the internal career site by logging into Workday Job Posting Date: January 29, 2025 Application Deadline: Salary Information: Salary depends upon workload. Department: School of Health Science_OTA, MA, MC, OptTech, TM&Rad_PT Faculty Job Description: Madison College is recruiting a pool of highly motivated and qualified candidates to teach part time courses for the Medical Coding Specialist program. Applications will be accepted on a continuous basis for the 2025-2026 academic school year. If you possess the aspiration to help others succeed, this is an opportunity for you to positively impact the community and lives of our students. Madison College is a first-choice institution that offers exceptional educational opportunities to our students providing high-demand skills for professional and academic growth. Madison College's dedication to promoting equity, inclusion and diversity is reflected in our...

Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes and expertise in...

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. We're looking for experienced and credentialed outpatient 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 you to help shape the...

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...

A healthcare service provider in West Allis, Wisconsin is seeking a Billing Specialist responsible for managing and submitting medical claims, ensuring accurate billing processes, and adhering to compliance requirements. The ideal candidate should possess 2-3 years of experience in medical billing, strong communication skills, and proficiency in billing software. This role emphasizes attention to detail and the ability to work independently while addressing billing inquiries and follow-ups. Competitive benefits include health and dental insurance, 401(k), and paid time off. #J-18808-Ljbffr

Details Client Name Froedtert Health - Froedtert Hospital Job Type Local Offering Non-Clinical Profession Professional Specialty Finance Job ID 14766891 Job Title Medical Billing Specialist Weekly Pay $910.0 Shift Details Shift Days 5x8 Scheduled Hours 40 Job Order Details Start Date 08/19/2024 End Date 11/14/2024 Duration 12 Week(s) Job Description Duties: Responsible for billing and follow-up of patient and client accounts based on working knowledge of regulations governing CPT codes, diagnosis codes, Medicare, Medicaid, managed care, and commercial insurance guidelines. Researches and resolves pending and unpaid laboratory claims to resolution. Accurately interprets remittance advices regarding payments, adjustments and patient responsibility ensuring payment amounts and patient billing are accurate. Reviews Electronic Fund Transfers (EFTs) / insurance payments where applicable to ensure money is posted to...

Department: 35400 AMC Grafton - Observation Unit Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Join our dynamic leadership team at Aurora Medical Center Grafton in this full-time RN supervisor role supporting our MS1 (General Surgical) and Observation units. Full-time schedule supporting off hours for the departments. Pay Range $44.15 - $66.25 Aurora Medical Center - Grafton a 132 bed facility is recognized as a leading destination for healthcare, offering private patient rooms, comfortable family areas, and a comprehensive selection of specialized services. Supported by a team of more than 450 Nurses, Grafton provides thoughtful amenities such as tranquil meditation gardens and a welcoming cafeteria, all designed to enhance comfort and peace of mind. With a strong focus on accessibility and advanced technology, the facility is preparing for a significant expansion, with a new patient...

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

Medical Coding Specialist Major Responsibilities: Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software. Adheres to the organization and departmental guidelines, policies and protocols. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes. Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends. Abided by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices...

Coding Specialist Minimum of five years' of coding experience in an academic medical center or an equivalent combination of coding experience and education with demonstrated competency of knowledge base. Coding QA background or similar experience preferred. Satisfactory completion of college level courses in anatomy, physiology and medical terminology preferred. EPIC health information system experience preferred. Coding certification CCA, CIC, CPC-H, CPC, CCS, RHIT, or RHIA required Ensures the timely and accurate coding and completion of patient accounts within established departmental accuracy and productivity standards. Applies correct ICD CM/PCS (Inpatient) and ICD CM/CPT codes (Outpatient) guidelines meeting departmental policy regarding compliant methods, timeframes, use of applications and productivity. Assists in demonstrating medical necessity for procedures performed by ensuring that all documented disease processes are coded. Demonstrates proficiency in...

Coding Specialist 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 HCPCS. Assigns and ensures correct code selection following official coding guidelines and compliance with federal and insurance regulations utilizing an EMR and/or computer assisted coding software. Serves as subject matter expert in your assigned specialty and actively participate in the coding meetings as a problem...

Medical Coder Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical Modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries...