NewMedical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistMadison, WIRemote$20.45–$24.70Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorJanesville, 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.
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 - Anesthesia/Pain Coder University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - Anesthesia/Pain 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 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 - 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.
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.
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.
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.
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.
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.
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.
Medical Office -Front Desk Receptionist ATI Physical Therapy IncMedical Office -Front Desk ReceptionistWIIndividual is responsible for the clinical administrative functions of patient intake, scheduling, and registration, and clinic-based activities required to ensure accurate billing and claims. This position serves as the front office point of contact for business ancillary service locations and is responsible to ensure timely and accurate responses to the client requests.
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.
NewHospice 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.
Biller & Insurance Specialist - 1.0 FTE Prairie Ridge Health Inc.Biller & Insurance Specialist - 1.0 FTEColumbus, WIPart timeExperience paper and electronic billing for Medicare, Medicaid, managed care, commercial insurances and workers compensation; including knowledge of hospital and professional claim forms strongly preferred. They are responsible for interactions with all Payers regarding timely and accurate claims filings, follow-up, appeals and applicable claims re-submissions.
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.
Tutor Specialist Moraine Park Technical CollegeTutor SpecialistBeaver Dam, WITutor Specialists enhance the learning of MPTC students by informally assessing student knowledge, identifying areas needing improvement, providing supplemental instruction, clarifying assignments and course content, modeling and supporting appropriate study strategies, and guiding students toward independence and self-direction in their course work. Tutor Specialist provide academic support to students in various disciplines not offered by the Student Success Center such as, Accounting, Architecture, Electricity, Graphic Design, Information Technology, Mathematics, Medical Coding, Nursing, Pharmacology, Radiography, and Respiratory Therapy.
Professional Tutor Moraine Park Technical CollegeProfessional TutorBeaver Dam, WIProfessional Tutors enhance the learning of MPTC students by informally assessing student knowledge, identifying areas needing improvement, providing supplemental instruction, clarifying assignments and course content, modeling and supporting appropriate study strategies, and guiding students toward independence and self-direction in their course work. Professional Tutors provide academic support to students in various disciplines not offered by the Student Success Center such as, Accounting, Architecture, Electricity, Graphic Design, Information Technology, Mathematics, Medical Coding, Nursing, Pharmacology, Radiography, and Respiratory Therapy.
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.
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.
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.
Lead Engineer, Internal Developer Platform American Family Insurance GroupLead Engineer, Internal Developer PlatformMadison, WI$131,000–$220,000 / yearDemonstrated experience designing, building, and operating Kubernetes platforms and tooling (e.g., cluster lifecycle, upgrades, workload onboarding patterns, ingress, service discovery, secrets/config management). Demonstrated experience with CI/CD tooling and practices (e.g., Jenkins, GitLab CI, GitHub Actions, Bitbucket pipelines), including build/test/release automation, artifact management, and environment deployment strategies.
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.