Medical Coding Specialist II - Ophthalmology & Multi Specialty University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - Ophthalmology & Multi SpecialtyMiddleton, WIRemoteMinimum - Certification as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) required, or Certified Risk Adjustment Coder (CRC) required. 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 Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.
Medical Coding Specialist - Outpatient (full-time) Sauk Prairie Healthcare and HospitalMedical Coding Specialist - Outpatient (full-time)WIRemoteCertification(s): Required: Must obtain credentials through the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) in any of the following certifications within six months of date of hire and maintain such credential thereafter: Registered Health Information Technician (RHIT) or Administrator (RHIA). 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.
PT Instructor Pool - Medical Coding Specialist Program Madison CollegePT Instructor Pool - Medical Coding Specialist ProgramMadison, WisconsinMadison College offers degrees, diplomas, apprenticeships and certificates in Architecture & Engineering; Arts, Design & Humanities; Business; Construction, Manufacturing & Maintenance; Culinary, Hospitality & Fitness; Education & Social Services; Health Sciences; Information Technology; Law, Protective & Human Services; Science, Math & Natural Resources; and Transportation. This includes developing a relevant and progressive curriculum, designing and implementing effective learning strategies and environments, delivering instruction of high quality, assessing student learning, advising students, and participating in college service activities at the department, division and college levels.
Coding Specialist - Hospital Services Gundersen Health SystemCoding Specialist - Hospital ServicesWisconsin, WIEmplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. We are seeking a detail‑oriented Coding Specialist to support accurate outpatient hospital coding and ensure compliance with ICD‑10‑CM, CPT, and HCPCS guidelines.
Coding Quality Analyst - Inpatient University of Wisconsin Hospitals and Clinics AuthorityCoding Quality Analyst - InpatientMiddleton, WIRemoteOur respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. We are seeking a Coding Quality Analyst to: Assess the accuracy and completeness of the coding of inpatient cases by performing retrospective and concurrent audits and to ensure compliance with coding guidelines and regulatory requirements.
Coding Instructor Code NinjasCoding InstructorSun Prairie, WisconsinWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Coding Instructor Cognito LLCCoding InstructorSun Prairie, WIWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Ecommerce Coding Intern Mueller Sports Medicine IncEcommerce Coding InternPrairie Du Sac, WIPHYSICAL REQUIREMENTS: While performing the duties of this job, the team member is required to have ordinary ambulatory skills; ability to stand or sit, bend or stoop, and manipulate (lift, carry, move) light weights of up to 20 pounds. Requires good hand-eye coordination, arm, hand and finger dexterity, including ability to grasp, and visual acuity to use a keyboard, operate office equipment and read.
Life Safety Code Surveyor - Remote Essential Healthcare Solutions LLCLife Safety Code Surveyor - RemoteMadison, WIRemoteEssential HealthCare Solutions is expanding its deployment-ready bench of Life Safety and Physical Environment survey readiness consultants to support healthcare facilities — including Department of Veterans Affairs medical centers — in achieving and maintaining continuous regulatory readiness. This is an opportunity for experienced life safety and healthcare compliance professionals to apply their expertise in a flexible, project-based capacity across a growing portfolio of federal and commercial healthcare clients.
Senior Quality Analyst QuartzSenior Quality AnalystMadison, Wisconsin$66,800–$83,400 / yearFull timeThis is an exciting opportunity for an experienced analytical professional who enjoys solving complex problems, uncovering opportunities for improvement, and partnering with business leaders to strengthen processes that directly impact on our customers. Build advanced expertise across multiple business systems and operational processes, including claims, enrollment, customer service, billing, benefits, provider operations, reporting tools, and other enterprise applications.
Senior Quality Analyst Unity Health InsuranceSenior Quality AnalystMadison, WI$66,800–$83,400 / yearThis is an exciting opportunity for an experienced analytical professional who enjoys solving complex problems, uncovering opportunities for improvement, and partnering with business leaders to strengthen processes that directly impact on our customers. Build advanced expertise across multiple business systems and operational processes, including claims, enrollment, customer service, billing, benefits, provider operations, reporting tools, and other enterprise applications.
Program Assistant II Tryfacta, IncProgram Assistant IIMadison, WI$13–$16.10 / hourTryfacta is certified by the Joint Commission for Healthcare Staffing Services & has numerous ISO Certifications that capture our commitment to continuous improvement. Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private &public sector firms across the US.
NewPatient Financial Advocate Firstsource SolutionsPatient Financial AdvocateMadison, WIThe Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Director of Revenue Cycle Mile Bluff Medical Center IncDirector of Revenue CycleMauston, WILocated on the Lemonweir River and next door to Wisconsin's second and fourth largest lakes, Petenwell and Castle Rock Lake, our community finds you surrounded by natural wonder, wildlife and a rich variety of outdoor recreation. Position Responsibilities: Direct and actively oversee operations across all revenue cycle functions, including scheduling, registration, insurance verification, coding, charge capture, billing, claims processing, payment posting, denials, and collections.
Insurance Billing Specialist Optimal Health and WellnessInsurance Billing SpecialistBaraboo, WIPart timePosition ResponsibilitiesSubmit and monitor insurance claims accurately and in a timely mannerFollow up on unpaid, denied, or rejected claimsVerify insurance eligibility and benefitsPost insurance payments and reconcile accountsReview Explanation of Benefits (EOBs) and make necessary claim correctionsCommunicate with insurance companies regarding claim status and appealsAssist patients with billing questions and insurance inquiriesMaintain accurate patient account documentationWork closely with providers and front office staff to ensure proper coding and documentationIdentify billing trends and recommend process improvementsMaintain HIPAA compliance and patient confidentiality QualificationsPrevious medical insurance billing experience requiredKnowledge of ICD-IO, CPT, and HCPCS coding preferredExperience with electronic medical records (EMR) systemsStrong organizational skills and attention to detailExcellent communication and customer service skillsAbility to work independently while collaborating with the healthcare teamExperience with claim appeals and insurance follow-up is highly preferredWhat We OfferFlexible part-time scheduleSupportive and positive team environmentOpportunity to work in a growing functional and regenerative medicine practiceEmployee discounts on clinic services and productsOpportunities for professional growth and continued learningPosition DetailsSchedule: Part-TimeCompensation: per hour, based on experienceLocation: Optimal Health and WellnessIf you are organized, motivated, and passionate about helping patients while ensuring the financial health of a thriving medical practice, we would love to hear from you. This is a part-time, in-office position for someone who enjoys problem-solving, working with insurance claims, and helping ensure patients receive exceptional service behind the scenes.
Medical Billing Specialist Mile Bluff Medical Center IncMedical Billing SpecialistMauston, WICommunicate and collaborate with coding, denial management specialists, insurance companies, patients, clinical staff and healthcare providers regarding billing inquiries or issues to ensure accurate charges, billing, and reimbursement. Position Summary: The Medical Billing Specialist is responsible for accurately preparing, submitting, and following up on medical claims to insurance companies and patients.
Hospice Nurse Practitioner Gentiva Health Services Inc (Inactive)Hospice Nurse PractitionerMadison, WIComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
Trauma Coordinator - Trauma Program Aspirus IncTrauma Coordinator - Trauma ProgramPortage, WIThe Trauma Program Coordinator works closely with the hospital medical staff, administration, department managers, ancillary services, referral agencies, and nursing personnel to nurture and sustain a professional practice environment through effective leadership, relationship building, and communication in alignment with Aspirus'' core values. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians.
Contracting and Revenue Integrity Specialist Mile Bluff Medical Center IncContracting and Revenue Integrity SpecialistMauston, WIThis role serves as a key liaison between Administration, Finance, Patient Financial Services, Clinic Operations, Compliance, and Clinical Departments to promote accurate charging, maximize reimbursement, and maintain the financial integrity of Mile Bluff Medical Center services. Position Summary: The Contracting and Revenue Integrity Specialist supports the Chief Financial Officer in managing payer contracting activities, reimbursement analysis, and revenue optimization initiatives for the hospital and affiliated clinics, nursing homes, and retail pharmacies.
Medicare Pricing Analyst Wisconsin Physicians Service Insurance CorpMedicare Pricing AnalystMadison, WIRemoteThe Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.