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.
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.
NewForensic Medical Coder Ensemble Health PartnersForensic Medical CoderJanesville, WIRemote$24.65–$27.10 / hourDemonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects.
NewSpecialized Coder - Cardiology, Vascular and CVTS Ensemble Health PartnersSpecialized Coder - Cardiology, Vascular and CVTSMadison, WIRemote$29.75–$32 / hourExtensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy.
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.
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.
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.
Medical Record Specialist Acadia Healthcare Co IncMedical Record SpecialistMadison, WIMedical Record Specialist to assist with Maintaining medical record integrity through filing, assembling, analysis and retrieving confidential patient records. Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.
Medical Record Specialist Shorewood Behavioral HealthMedical Record SpecialistMadison, WisconsinPart timeMedical Record Specialist to assist with Maintaining medical record integrity through filing, assembling, analysis and retrieving confidential patient records. · Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.
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.
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.
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.
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.
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.
NewProvider Contracting Strategist QuartzProvider Contracting StrategistMadison, Wisconsin$78,000–$98,500 / yearFull timeResponsibilities: Evaluate and assess provider network contracts for new and existing provider agreements, ensuring mutually beneficial terms that are aligned with current national and local competitive landscape and practices Identify outliers and opportunities for improvement in new and existing provider agreements . This critical role will bring a deep understanding of the interdependencies between health plan and provider reimbursement strategies and rely on sound financial analysis to advise upon appropriate contractual terms that support both financial performance and high-quality patient care.