166 jobs found in Wisconsin

Information Providers, Inc. (IPI) is seeking a full-time Insurance Compliance Auditor to perform field-based and remote audits nationwide from a home base in Wisconsin. The role involves examining payroll records, financial statements, and operational data to ensure compliance and accuracy. You will dispatch to job sites and coordinate client appointments with professionalism. This position requires proficiency with technology, strong communication skills, and the ability to work independently #J-18808-Ljbffr

Job Description Job Description Chippewa Valley Eye Clinic has an opening for a full time Business Office Representative.  Successful candidates will possess strong working knowledge of CPT and ICD10 coding and solid understanding of private/commercial insurance rules and regulations.  Must be highly motivated with the ability to handle multiple tasks in a busy medical practice, be able to work independently and as a member of a team.  Preferred candidate will have previous experience with medical billing. In this position, you will play a key role in reviewing and analyzing medial billing for office visits, testing, procedures and out patient surgeries.  Communication and teamwork skills are essential as staff must correspond with physicians, insurance companies, patients and professional colleagues.  Responsibilities for this position include, but are not limited to; Utilize electronic medical records to review patient charts and documents for accuracy...

Job Description Job Description About the Role We are seeking a hands-on Billing Department Supervisor to lead our billing and coding team and strengthen the performance of our revenue cycle operations. This role is responsible for overseeing day-to-day billing functions, supporting staff development, monitoring key performance indicators, ensuring regulatory compliance, and building strong working relationships with providers and administration. Key Responsibilities Lead, support, and mentor a team of billing and coding professionals while promoting collaboration, accountability, and professional growth. Oversee daily billing operations, including claims submission, payment posting, denial and appeal management, coding, accounts receivable follow-up, and patient billing interactions. Monitor productivity and revenue cycle KPIs, analyze performance trends, identify opportunities for improvement, and implement corrective action plans. Serve as a primary point of contact...

ThedaCare Coder (Clinic - III) The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits. Job Description: Schedule: Full time, benefit eligible 40 hrs/week Business hours (i.e 8:00am-5:00pm) Remote Position Preferred skill set and experience strong in surgical coding; Urology primarily to...

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...

Job Description Job Description The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other...

Discover. Achieve. Succeed. #BeHere Pay is expected to be between: (expressed as hourly) $25.82 - $44.16. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Major Responsibilities: Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or; Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards Identify the need for formal clinical queries for documentation clarification when necessary for professional or facility records Maintain high accuracy and productivity standards...

Job Description Job Description 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 Experienced Medical Billing Specialist to join our ever-expanding company. 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, payment posting, and general duties related to medical billing. Candidates must be able to work in a Team environment, handle multiple tasks, comfortable working with numbers and problem-solving skills. Position requires someone who is reliable and self-motivated. Strong customer service skills required. Ultimately the goal of this role is to streamline the billing process, reduce claim denials, and enhance the financial health of the organization. We invite you to apply...

Major Responsibilities: Acts as a resource and role model to team members, which includes training/orienting, providing day-to-day work direction, and giving input on performance. Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues. Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers. Meets or exceeds department quality and production standards. Performs informal quality reviews on a monthly basis providing coding education to coding team members for accuracy. May assist with provider education/orientation regarding policy requirements of federal and state government agencies....

This is an exciting time to join the FYZICAL family! If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approach to physical therapy, you are a great fit for our Medical Billing Specialist position in Horizon City, TX!In this Medical Billing Specialist role, you will be able to enhance your career under the guidance of a helpful, supportive practice leader in an exciting, fast-paced environment. With state-of-the-art technology at your fingertips, you will always have the tools you need to be successful. In addition, you will have access to continuing education, keeping you at the forefront of your profession.If you are ready to be part of an energetic atmosphere where you can achieve success and career satisfaction, apply for FYZICAL's Medical Billing Specialist job opening today!A great support team. An exciting work environment. Room to grow. Cutting-edge technology at your fingertips. This...

Emplify Health, in partnership with Gundersen Health System, is seeking a detail‑oriented Coding Specialist to support accurate outpatient hospital coding and ensure compliance with ICD‑10‑CM, CPT, and HCPCS guidelines. You will review medical records, assign codes, apply modifiers, and use standard query processes to clarify clinical information, supporting accurate billing and quality data. The role involves reviewing outpatient records, following coding standards, and staying updated on #J-18808-Ljbffr

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: Benefits may vary based upon position type and/or level. Job...

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...

About Ease DME Ease DME is a U.S.-based Durable Medical Equipment provider specializing in urology supplies. We are building a structured Medicare revenue cycle team and are hiring an experienced DME Billing & AR Specialist. Position Summary This role focuses exclusively on claim submission, denial management, and accounts receivable follow-up for Medicare and commercial DME claims. You must have hands-on Medicare DME billing experience. Core Responsibilities Submit clean Medicare Part B DME claims Monitor rejections and denials Perform corrected claim submissions Manage AR aging and follow-up cadence Prevent timely filing expirations Coordinate with documentation team on claim corrections Maintain clean system notes and audit trail 30-60-90 Day Plan 30–60–90 Day Success Plan – First 30 Days: Systems & Accuracy • Learn company-specific DME workflows, payer mix, and billing policies • Understand Medicare vs MA vs Commercial billing and reimbursement rules • Review common...

HIM/Scheduler Work Where You Matter! At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient's quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Health Information Manager-Scheduler Position Overview The Health Information Manager (HIM)Scheduler serves as an office manager building culture and community within the branch and keeping things running smoothly to support patients, their families and the clinical care team in the field. HIM has primary responsibility and accountability for scheduling staff, maintaining patient records, managing supply inventory, answering the branch phone, planning team meetings and events, and other related clerical duties. Essential Functions and Skills Scheduling and Coordination Schedule field staff tasks in the electronic...

Job Description Job Description Hiring: Insurance Compliance AuditorCompany: Information Providers, Inc.Location: LaCrosse, WIAt Information Providers Inc. (IPI), we believe great work starts with great people. Since 1996, we've established ourselves as a leader in Property & Casualty and Premium Audit information services, serving insurance companies nationwide through innovative technology and experienced professionals. With over 430 employees and a unique field force supported by regional offices, we deliver accurate, high-quality information. Our core values, service, reliability, flexibility, timeliness, and innovation, drive our growth and foster a supportive workplace. At IPI, your ideas matter, your growth is supported through mentorship and opportunity, and your contributions make a meaningful impact every day. Join us and be part of a team that values its people as much as its purpose!What You'll Do As Our Full-time Insurance Compliance Auditor:Dispatch daily to job...

Cook Children's Health Care System is seeking an HIM Coder Analyst I to assign ICD-10-CM/PCS and CPT-4 codes with precision for emergency and outpatient settings, based on physician documentation. The role emphasizes timely coding and collaboration with clinicians. The candidate should have 1 year of coding experience, proficiency with EHR systems, Excel and Word, and be capable of working independently. Certifications (RHIA/RHIT/CCS/CPC) are preferred or obtainable through education within 3–12 #J-18808-Ljbffr

Role: Certified Professional Coder (CPC) responsible for medical claim reviews within the SIU, ensuring accurate coding and compliant documentation across various services including medical, behavioral, and transportation. Key Responsibilities Conduct audits of medical records to verify coding accuracy and compliance. Summarize audit findings and prepare reports for investigators and regulatory agencies. Communicate effectively with investigators and regulators regarding coding issues and compliance matters. Qualifications & Skills Certified CPC credential required. Minimum of 3 years experience in coding and auditing. Strong knowledge of CPT, HCPCS, and ICD-10 coding systems. Proficiency in Excel and Word for documentation and reporting. #J-18808-Ljbffr

A healthcare services provider is seeking a skilled Medical Biller to join their team in the United States. This role involves processing medical claims and invoices accurately, ensuring timely reimbursement from insurance providers and patients. Responsibilities include claims processing, insurance verification, and communication with patients regarding billing inquiries. Candidates should possess strong attention to detail and effective communication skills, ideally with a year of experience in medical billing. Flexibility to work from home is offered. #J-18808-Ljbffr