NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorBeloit, WIRemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Coding Quality Analyst - Inpatient University of Wisconsin Hospitals and Clinics AuthorityCoding Quality Analyst - InpatientMiddleton, WIRemoteFull timeOur 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.
Supervisor Coding - Fiscal Denials University of Wisconsin Hospitals and Clinics AuthoritySupervisor Coding - Fiscal DenialsMiddleton, WI2 years medical coding experience with at least one (1) year in a leadership role (for non-HCC role) or 2 years HCC Risk Adjustment experience with at least one (1) year in a leadership role (for HCC-specific role) Required. Our 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.
Medical Coding Specialist II - Fiscal Coder University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - Fiscal CoderMiddleton, WIRemoteMaintain 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. We are seeking a Medical Coding Specialist II - HB Fiscal Coder to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
NewMedical Coding Specialist II - Ortho/Rehab with Multi Spec University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - Ortho/Rehab with Multi SpecMiddleton, WIRemoteMaintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National CoveraDocuments (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. We are seeking a Medical Coding Specialist II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
Medical Coding Specialist II - Profee - Multi Specialty University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - Profee - Multi SpecialtyMadison, WIRemoteMaintain 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. We are seeking a Medical Coding Specialist II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
Medical Coding Specialist II - Profee Radiology University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - Profee RadiologyMiddleton, WIRemoteMaintain 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. We are seeking a Medical Coding Specialist II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
Medical Coding Specialist II - Inpatient University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - InpatientRockford, ILRemoteFull timeOur 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. Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Medical Coding Specialist II - ENT/Plastics/Derm/Multi Specialty University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - ENT/Plastics/Derm/Multi SpecialtyMiddleton, WIRemoteMaintain 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. We are seeking a Medical Coding Specialist II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
NewMedical Coding Specialist II - Anesthesia/Pain University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - Anesthesia/PainMiddleton, WIRemoteMaintain 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. We are seeking a Medical Coding Specialist II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
NewRemote HCC Coding Specialist for Risk Adjustment Highmark HealthRemote HCC Coding Specialist for Risk AdjustmentMadison, WIRemote$27.02–$41.85 / hourThe role supports remote patient monitoring projects, with minimal travel required, offering a pay range of $27.02 to $41.85 per hour.#J-18808-Ljbffr. This role involves delivering risk adjustment coding for Medicare Advantage and ACA projects, ensuring compliance with CMS guidelines.
Supervisor - Inpatient Coding University of Wisconsin Hospitals and Clinics AuthoritySupervisor - Inpatient CodingMiddleton, WIFull time2 years medical coding experience with at least one (1) year in a leadership role (for non-HCC role) or 2 years HCC Risk Adjustment experience with at least one (1) year in a leadership role (for HCC-specific role) Required. Our 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.
Coding Coordinator Fort HealthCareCoding CoordinatorFort Atkinson, WisconsinFort HealthCare is proud to be named a 16-time award winner of the Top Workplace award for Southeastern Wisconsin, a 6-time award winner of the USA Top Workplaces award, and a 2-time winner of their Top Workplaces Culture Excellence award for Purpose & Values. Fort HealthCare is a patient-centered hospital and healthcare system serving individuals, businesses and families in Jefferson, Dane, and Walworth Counties, and we are seeking a Coding Coordinator to join our Health Information Management team.
Certified Medical Coder Staffmark Group LlcCertified Medical CoderRockford, ILBy applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners. At Staffmark, we connect hardworking people with great companies, creating opportunities that make a lasting impact.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerOconomowoc, WI5+ years’ experience pharmaceutical and/or biotech experience and 2+ years’ relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement. Provide information to HCP on how the products are covered under the benefit design and educate key private and public payer coverage and changes that impact the products access for patients.
Billing Specialist Clinical Research University of Wisconsin Hospitals and Clinics AuthorityBilling Specialist Clinical ResearchRockford, ILOur 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. At UW Health in northern Illinois, you will have: Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance.
Financial Resource Specialist, Revenue Cycle - Day Shift Mercy Health System CorporationFinancial Resource Specialist, Revenue Cycle - Day ShiftWoodstock, IllinoisPartnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals. Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.
Supervisor, Rev Cycle Systems (Prelude) Exact Sciences CorpSupervisor, Rev Cycle Systems (Prelude)Madison, WIRemote$76,400–$114,600 / yearCollaborate with finance and analytics to identify, analyze, and determine next steps to address negative revenue pull-through scenarios specific to payers and across payer segments, including Medicare Advantage, Blues, Medicaid, etc. Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage.
Supervisor, Rev Cycle Systems (Resolute) Exact Sciences CorpSupervisor, Rev Cycle Systems (Resolute)Madison, WIRemote$76,400–$114,600 / yearThe Supervisor, Rev Cycle Systems' (Resolute) primary responsibilities include providing supervision, hiring, training, and coaching, managing workloads, and handling escalated concerns as related to revenue cycle systems and analytics. Collaborate with finance and analytics to identify, analyze, and determine next steps to address negative revenue pull-through scenarios specific to payers and across payer segments, including Medicare Advantage, Blues, Medicaid, etc.
Revenue Integrity Audit Specialist SSM HealthRevenue Integrity Audit SpecialistMadison, WisconsinMaintains current knowledge of Charge Description Master (CDM), Charge Preference List (CPL) and Flowsheet Charging to provide support for assigned health ministry to produce a bill/claim by attending coding conferences, workshops, and self-guided learning. Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Risk Adjustment Compliance Project Manager Medica Health Plans IncRisk Adjustment Compliance Project ManagerWI$70,200–$105,315 / yearThe Risk Adjustment Compliance Project Manager is responsible for leading compliance focused initiatives that ensure the accuracy, integrity, and regulatory adherence of Medica's Risk Adjustment programs across Medicare Advantage, Medicaid, and ACA lines of business. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data.
Compliance Program Manager - Research Billing University of Wisconsin Medical FoundationCompliance Program Manager - Research BillingMiddleton, WIFull timeOur 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. Use independent judgement and apply a comprehensive understanding of regulations and policies in administering processes to ensure they are structured to comply with CMS, FDA, HRSA, and other governmental regulatory requirements related to research billing compliance.
Office Specialist ATI Physical TherapyOffice SpecialistOconomowoc, WisconsinFull timeQualifications: Minimum Education Required: • High School diploma or equivalent Minimum Experience Required: • 1 or more years in an administrative position Preferred: • Previous health care office experience • Previous medical billing and coding • Knowledge of benefit verification and authorization Knowledge Skills and Abilities • The ability to communicate effectively and professionally • Proficient with Microsoft Office Suite • Bilingual language skills in some clinics preferred Virtual Employee?: Overview: Leverage your healthcare office experience and expertise in billing, coding, and insurance authorizations in a front office role where you’ll support patient intake, scheduling, and accurate claims—while serving as a key point of contact for clinic operations.
Medical Scribe CVS Health CorpMedical ScribeRockford, IL$17–$28.46 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Office Specialist ATI Physical Therapy IncOffice SpecialistOconomowoc, WILeverage your healthcare office experience and expertise in billing, coding, and insurance authorizations in a front office role where you'll support patient intake, scheduling, and accurate claims-while serving as a key point of contact for clinic operations. Individual is responsible for the clinical administrative functions of patient intake, scheduling, and registration, and clinic-based activities required to ensure accurate billing and claims.
Utilization Review & Quality Assurance Specialist (32449) ExamWorks Group IncUtilization Review & Quality Assurance Specialist (32449)Rockford, ILRemoteResponsibilities may include: Evaluate clinical information received, write and/or review various reports including, but not limited to: Medical Record Reviews, Medical Record Chronologies, Provider Bill Reviews, Coding Reviews, Hospital Bill Reviews, List of Missing Records, Medical Bill Apportionments, Mock Billing Invoice and Medical Summary Statements. ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services.
NewBilling Specialist Community Health Systems of WisconsinBilling SpecialistBeloit, WIJOB SUMMARY: Processes insurance; gathers charge information; completes billing process; files insurance claims; performs collection and follow up work. Analyzes patient denials for possible re-submission and reports to Revenue Cycle Manage denial trends.
Supervisor, Clinical Quality Review Medica Health Plans IncSupervisor, Clinical Quality ReviewWI$78,700–$118,020 / yearTranslates regulatory and coding requirements into practical guidance for internal teams and external partners Serves as a clinical subject matter resource during internal, vendor, or provider discussions Assists Director and Manager as needed to develop, introduce and support overall goals Develops linkages with specific departments on behalf of the Clinical Review area such as Data Management, Legal, Network Management, Compliance, Pharmacy and Complementary Networks. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data.
Senior Web/App Engineer Blain's Farm & FleetSenior Web/App EngineerJanesville, WI$118,000–$142,000 / yearWeb/App Engineer is responsible for leading the design, development, and implementation of complex software applications, with a strong focus on customer-facing and commerce front-end experiences, alongside associate-facing technologies. Work closely with product managers, designers, and other stakeholders to deliver innovative solutions, with strong emphasis on front-end development using modern JavaScript frameworks and responsive design practices.
Software Engineer Accuray IncSoftware EngineerMadison, WIBut our commitment to innovation offers a truly unique opportunity: the chance to change the fight against cancer - helping to develop, introduce and support new treatment delivery systems and software that will give new hope and new health to cancer patients and cancer survivors around the world. Our radiation therapy for cancer makes treatment shorter, safer, personalized and more effective, ultimately enabling patients to live longer, better lives.
Fullstack Engineer Accuray IncFullstack EngineerMadison, WIBut our commitment to innovation offers a truly unique opportunity: the chance to change the fight against cancer - helping to develop, introduce and support new treatment delivery systems and software that will give new hope and new health to cancer patients and cancer survivors around the world. SUMMARY: The Software Engineer participates in requirements, design, development, integration, and testing of software systems used to create, store, optimize, and manage patient treatment plans.
Research Billing Specialist University of Wisconsin Hospitals and Clinics AuthorityResearch Billing SpecialistRockford, ILOur 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. At UW Health in northern Illinois, you will have: Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance.
NewRCM Coordinator (Remote) LEARN BehavioralRCM Coordinator (Remote)Madison, WisconsinRemoteResponsibilities: Manage the complete revenue cycle for assigned Wisconsin payors, including accurate claim submission, payment posting review, denial resolution, appeals, and follow-up to maximize reimbursement and reduce accounts receivable. Partner with Clinical Operations, Utilization Management, Credentialing, and other cross-functional teams to resolve billing issues, improve revenue cycle performance, and support timely, accurate reimbursement for ABA services.
NewRCM Coordinator (Remote) Learn-it Systems LLCRCM Coordinator (Remote)Madison, WIRemoteManage the complete revenue cycle for assigned Wisconsin payors, including accurate claim submission, payment posting review, denial resolution, appeals, and follow-up to maximize reimbursement and reduce accounts receivable. Partner with Clinical Operations, Utilization Management, Credentialing, and other cross-functional teams to resolve billing issues, improve revenue cycle performance, and support timely, accurate reimbursement for ABA services.
Application Security Engineer Ryder System IncApplication Security EngineerMadison, WICompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.