SUPERVISOR- INPATIENT CODING - CODING Aspirus IncSUPERVISOR- INPATIENT CODING - CODINGWausau, WIThis includes oversight of the day-to-day workflow processes, staff scheduling, productivity monitoring, staff coaching and training, exercising judgement in hiring and corrective/disciplinary action, and including supervisory of direct reports for the functional area within the coding department. 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.
Faculty, Medical Coding Specialist Instructor Northcentral Technical CollegeFaculty, Medical Coding Specialist InstructorWausau, WITeaching & Student Success: Facilitate student learning through engaging instructional strategies and methodologies across various modalities, including in-person, online, hybrid, and out-of-classroom activities, and mentoring students and peers. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw conclusions to critically create resolutions; interpret instructions in mathematical or diagram form with abstract and concrete variables.
Medical Coding Policy SME - Remote Wisconsin Gainwell Technologies LLCMedical Coding Policy SME - Remote WisconsinWIRemote$64,500–$85,000 / yearThis role is responsible for reviewing and evaluating CPT, HCPCS, and ICD-10 coding updates, supporting MMIS-related initiatives, researching complex policy and coding questions, and partnering with internal and external stakeholders to ensure coding guidance, system configuration, and reimbursement policies remain accurate and compliant. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Medical Coding Specialist - Outpatient (full-time) Sauk Prairie HealthcareMedical Coding Specialist - Outpatient (full-time)WisconsinRemoteRequired: 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.
Coding Denials Specialist - Clinical Practice Services Medical College of WisconsinCoding Denials Specialist - Clinical Practice ServicesWisconsinConducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained, if a written appeal is needed, or if no action is needed. The individual is responsible for resolving coding claim edits, coding-related claim denials & coding correspondence, monitoring for trends and assist in the analysis, development, and implementation of solutions to minimize avoidable denials and adjustments.
NewSenior Director Coding Sanford HealthSenior Director CodingMarshfield, WI$67–$110.50 / hourCollaborates and coordinates with various Sanford Health leaders to ensure coding integrity and accurate data collection is achieved to support a seamless continuum of care, supporting provider compensation models, compliant processes, optimal reimbursement and efficient revenue cycle functions. Facility: Marsh Main Location: Marshfield, WI Address: 1000 N Oak Ave, Marshfield, WI 54449, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $67.00 - $110.50.
Coding Quality Analyst - Clinical Practice Services Medical College of WisconsinCoding Quality Analyst - Clinical Practice ServicesWisconsinAssist in performing medical coding audits on clinicians and/or coding staff as needed within multi-specialty physician practices to identify deficiencies and ensure coding remains compliant with coding guidelines as well as government and third-party payer regulations and guidelines. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.
FACILITY OUTPATIENT CODER - CODING Aspirus IncFACILITY OUTPATIENT CODER - CODINGWausau, WIRemoteThe health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan.
Coding Audit Specialist, Health Plan Sanford HealthCoding Audit Specialist, Health PlanWisconsinThe Coding Audit Specialist position conducts quality assurance activities to ensure the accuracy and integrity of risk adjustment data submitted to the Centers for Medicare & Medicaid Services (CMS) and Department of Health Services (DHS); identifies deficiencies and provides management with an analysis of outcomes and tools for improving accuracy in coding. Responsible for auditing medical record documentation to determine appropriate diagnostic coding for services provided, taking into account the AMA CPT coding guidelines, ICD‐9 & ICD‐10 Coding Guidelines, CMS Medicare, HHS, and DHS BadgerCare Plus risk adjustment policy and Hierarchical Condition Category Coding.
NewMANAGER - CODING AUDITING & EDUCATION Aspirus IncMANAGER - CODING AUDITING & EDUCATIONWausau, WIPartner with Revenue Cycle, Denials Management, and Patient Financial Services to analyze coding-related denial trends and implement corrective education and Epic build enhancements to prevent recurrence. Leverage Epic tools and reporting (e.g., claim edit workqueues, coding edits, denial reason codes, and analytics) to proactively detect risk, monitor performance, and support denial prevention strategies.
Engineer III - CICD Code Signing Automation (Remote) CrowdStrike IncEngineer III - CICD Code Signing Automation (Remote)WIRemote$120,000–$180,000 / yearAbout the Role: On the Engineering Systems team at CrowdStrike, we operate and maintain many of the systems and services that support the build, test, signing, and deployment of our software to the cloud and to our customers, as well as providing consultation, troubleshooting, and engineering support for the creation and maintenance of the pipelines that provide those functions. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements.
Medical Coder GI AssociatesMedical CoderWausau, WIFull timeAccurately reviews all data entry for correct CPT/HCPCS codes, ICD-10-CM diagnosis codes, modifiers, units of service, place of service, NDC codes, provider of service, referring provider, and any applicable attachments including admission and discharge dates, authorizations, and/or claim level notes. Essential Job Functions and ResponsibilitiesReviews documentation and enters codes and charges for all professional services and ASC facility services based on documentation and levels of service submitted by the provider.
Medical Coder GI Associates SCMedical CoderWausau, WIAccurately reviews all data entry for correct CPT/HCPCS codes, ICD-10-CM diagnosis codes, modifiers, units of service, place of service, NDC codes, provider of service, referring provider, and any applicable attachments including admission and discharge dates, authorizations, and/or claim level notes. You'll review clinical documentation, assign and verify appropriate diagnosis and procedure codes, and help ensure services are coded accurately and in accordance with current payer, state, and federal guidelines.
NewAdministrative Assistant- Billing Wausau Comprehensive Treatment CenterAdministrative Assistant- BillingWausau, WisconsinFamiliarity with MAT Protocols and Guidelines: The billing specialist should understand how Medication-Assisted Treatment works, including services like opioid substitution therapy (e.g., methadone, buprenorphine) and how these treatments are billed differently from other medical services. Wausau Comprehensive Treatment Center (CTC), located in Wausau, WI, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation.
Patient Account Specialist GI AssociatesPatient Account SpecialistWausau, WIReceives billing calls, answers questions, and assists patients with issues they may have regarding their accounts, and receives collection calls on delinquent accounts and arranges payment plans, or refers to financial counselor, if appropriate. From processing payments and submitting insurance claims to researching denials and assisting patients with billing questions, you'll play a key role in delivering excellent service and maintaining the integrity of our revenue cycle!
Patient Account Representative GI Associates SCPatient Account RepresentativeWausau, WIReceives billing calls, answers questions, and assists patients with issues they may have regarding their accounts, and receives collection calls on delinquent accounts and arranges payment plans, or refers to financial counselor, if appropriate. The Patient Account Representative is responsible for the overall processing of all billed services, including claims submission, payment and remittance entry, research of unpaid or denied claims and aged accounts receivable follow up.
Payment Integrity Policy Analyst QuartzPayment Integrity Policy AnalystWisconsin$72,500–$90,600 / yearFull timeQualifications: Bachelor's degree with 2+ years of payment integrity, coding integrity or revenue integrity experience OR associate degree with 5+ years of payment integrity, coding integrity, or revenue integrity experience. Overview: If you’re passionate about medical coding accuracy, payment integrity, and making a meaningful impact on healthcare affordability and quality, this is your opportunity to make a difference for our members and providers.
Physician Assistant / Nurse Practitioner GI AssociatesPhysician Assistant / Nurse PractitionerWausau, WIFull timeAdvanced clinical knowledge of the GI system, pharmaceuticals, and GI related diagnostic testing (lab and radiology).Knowledge of location, care, operation, and safety hazards of medical equipment, instruments and procedures to administer effective, safe patient care. This role delivers high-quality, efficient, and cost-effective care to patients and their families within our clinics, playing a key part in ensuring continuity, clinical excellence, and an exceptional patient experience.
Certified Registered Nurse Anesthetist (CRNA) GI AssociatesCertified Registered Nurse Anesthetist (CRNA)Wausau, WIIn this role, you'll provide safe, high-quality anesthesia care for patients undergoing endoscopic procedures while collaborating closely with our experienced gastroenterologists, nurses, and clinical team to deliver an exceptional patient experience. SkillsPossesses interpersonal, communication, and listening skills necessary to deal effectively and courteously with patients, physicians, and all staff members.
Authorizations Team Lead Bone and Joint Center, S.C.Authorizations Team LeadWausau, WIFull timeWhat You'll DoAs our Authorizations Team Lead, you will:Guide and support the Prior Authorizations team in processing surgical, PT, and clinic authorizationsEnsure authorizations are accurate, compliant, and submitted timelyStay on top of payer rules, CPT/HCPCS codes, and medical necessity guidelinesMonitor turnaround times, trends, and potential bottlenecksIdentify process improvements that reduce denials and optimize revenueCollaborate with Coding, Billing, and Clinical teams to support clean documentationTrain, mentor, and onboard new and existing staffSupport hiring, evaluations, and workflow optimizationServe as backup when the Supervisor is out of officeTravel to Bone & Joint locations as needed for onsite leadershipWhat You BringHigh school diploma required; associate degree preferred2+ years' experience in prior authorizations, billing, coding, or revenue cycleCoding certification (CPC, COC, etc.) preferredStrong understanding of payer rules & medical necessityAnalytical mindset with experience in reporting & trend analysisProven leadership or mentorship experienceExcellent communication, organization, and problem‑solving skillsProficiency with Microsoft Office and PM/EHR systemsValid WI driver's licenseWhy Join Us? Bone & Joint is seeking a Prior Authorizations Team Lead to support and elevate our surgical, clinic, and physical therapy authorization operations.