NewForensic Medical Coder Ensemble Health PartnersForensic Medical CoderWaukesha, WI$24.65–$27.10Demonstrates 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 CVTSWaukesha, WI$29.75–$32.70Extensive 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.
Medical Coder Ascension Health AllianceMedical CoderMilwaukee, WIRemote$23.03–$31.16 / hourOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
NewMedical Coder AscensionMedical CoderMilwaukee, WisconsinRemote$23.03–$31.16 / hourFull timeWhat minimum qualifications you'll need: Licensure/Certification/Registration: Preferred Credentials: Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA). Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
Coder Lead - Professional SSM HealthCoder Lead - ProfessionalWisconsinIs watchful for charge review, claim edit, and coding-related denial trends and shares trends with supervisor, managers, and team members to facilitate root cause analysis and continuous process improvement. 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.
PB Coder Wolcott, Wood and Taylor Inc.PB CoderMilwaukee, WIThis role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. Education/Experience : Certified professional coder CCS-P, CPC, RHIT or RHIA through AAPC or AHIMA with a minimum of two years' experience with CPT/ICD-10 coding of multispecialty services preferred.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)WI$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Coder II-Cardiology Advocate Aurora Health IncCoder II-CardiologyMilwaukee, WI$26.55–$39.85 / hourMajor Responsibilities: Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or; Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
INPATIENT CODER Froedtert & The Medical College of WisconsinINPATIENT CODERMilwaukee, WI$25.82–$44.16 / hourJob Summary: The Inpatient Coder is responsible for reviewing and accurately coding inpatient medical records within a complex academic medical center environment, where cases often include high‑acuity, multidisciplinary, trauma, surgical, and research‑driven encounters. EXPERIENCE DESCRIPTION: A minimum of 3 years of recent academic facility hospital inpatient coding experience, or an equivalent combination of academic experience and hospital inpatient coding experience is required.
Coder Lead - Risk Management Advocate Aurora Health IncCoder Lead - Risk ManagementMilwaukee, WIRemote$30.70–$46.05 / hourHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers.
Coder (Clinic - Iii) ThedaCareCoder (Clinic - Iii)CIN 3 Neenah Center, WIRemoteKEY ACCOUNTABILITIES: Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy. Summary: The Coder (Clinic- III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered.
Coder (Clinic - III) ThedaCare IncCoder (Clinic - III)Neenah, WIRemoteKEY ACCOUNTABILITIES: Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy. Summary: The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered.
Coder II-Cardiology Advocate Health and Hospitals CorporationCoder II-CardiologyMilwaukee, WisconsinRemoteIndependently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or; Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
Instructor, Medical Coding Specialist-Part-Time (Online) Milwaukee Area Technical CollegeInstructor, Medical Coding Specialist-Part-Time (Online)Mequon, WIRelated duties include advising students, evaluating student achievement, developing strategies to enhance student achievement, developing and evaluating curriculum, evaluating program effectiveness, participating in divisional and departmental activities, formulating or assisting in formulating departmental policy and procedures, developing or assisting in development of a program budget, ordering supplies and equipment, maintaining equipment, and other duties as assigned. Essential Supportive Technology: Experience with or willingness to learn the following supportive technologies: Online Information Management Systems - Experience with Self-Service or other online information management systems used for student advising, student programs, grading, class schedules and rosters.
Medical Coding Education Associate Elevance Health IncMedical Coding Education AssociateWaukesha, WI$58,000–$91,350 / yearRequires current, valid, active, and unrestrictive RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Cert Coding Specialist and/or CPC Cert Professional Coder. Provide providers with comprehensive feedback on current year coding guidelines and industry expertise, facilitated through phone and email correspondences to ensure that provider understands coding and documentation guidelines for the applicable concept(s).
Long-Term Care (LTC) Medical Coding Policy SME - Remote, Wisconsin Gainwell Technologies LLCLong-Term Care (LTC) Medical 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 Education Associate Elevance HealthMedical Coding Education AssociateWaukesha, WI$58,000–$91,350 / yearRequires current, valid, active, and unrestrictive RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Cert Coding Specialist and/or CPC Cert Professional Coder. Provide providers with comprehensive feedback on current year coding guidelines and industry expertise, facilitated through phone and email correspondences to ensure that provider understands coding and documentation guidelines for the applicable concept(s).
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.
Medical Coding Specialist II - Ortho/Rehab with Multi Spec University of Wisconsin Medical FoundationMedical Coding Specialist II - Ortho/Rehab with Multi SpecMiddleton, WIRemoteFull timeMaintain 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 Radiology University of Wisconsin Medical FoundationMedical Coding Specialist II - Profee RadiologyMiddleton, WIRemoteFull timeMaintain 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 - Ortho/Rehab with Multi Spec University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - Ortho/Rehab with Multi SpecMiddleton, WIMaintain 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 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 Systems Analyst Unity Health InsuranceMedical Coding Systems AnalystMadison, WI$72,500–$90,600 / yearSelf-motivated, organized, with the ability to work independently to successfully investigate complex issues, and manage multiple tasks simultaneously and complete timely. Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.
Medical Coding Systems Analyst QuartzMedical Coding Systems AnalystMadison, Wisconsin$72,500–$90,600 / yearFull timeSelf-motivated, organized, with the ability to work independently to successfully investigate complex issues, and manage multiple tasks simultaneously and complete timely. Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.
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 Coding & Prior Authorization Specialist Crossing Rivers HealthMedical Coding & Prior Authorization SpecialistPrairie Du Chien, WIAssigns diagnoses, procedural/treatment, professional billing codes for all patient type encounters (Clinic, Center for Specialty Care, Emergency, Urgent Care, Outpatient Services, Lab, Imaging, Physical/Occupational/Speech Therapy, Surgery, Observation/Inpatient, Obstetrics) utilizing ICD-10-CM, ICD-10-PCS or CPT guidelines. This position is responsible for coding all/assigned encounter types; reviewing and correcting coding related denials and managing prior authorization processes for specialty services, surgical procedures, therapies and imaging.
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.
Coding Auditor ThedaCareCoding AuditorAppleton, WIMinimum certification requirement is one of the following: CCS (Certified Coding Specialist/AHIMA), CPC (Certified Professional Coder/AAPC), CIC (Certified Inpatient Coder/AAPC), or COC (Certified Outpatient Coder/AAPC). Job Description: KEY ACCOUNTABILITIES: Performs compliance monitoring and auditing of billing, coding, and documentation related to inpatient, outpatient surgery, observation, emergency department, urgent care, and professional services for all payers to ensure compliance with regulatory requirements.
Inpatient Coding Supervisor Froedtert & The Medical College of WisconsinInpatient Coding SupervisorMilwaukee, WI$28.42–$48.62 / hourThis candidate must have and maintain a robust knowledge of inpatient coding conventions and rules established by Center for Medicare and Medicaid Services (CMS) and the ICD-10-CM/PCS Official Coding Guidelines for correct assign of diagnostic and procedure codes. Job Summary: Under the direction of the Inpatient Coding Manager, this position assists with the daily oversight of staff including staff scheduling, workflow analysis, productivity and quality monitoring, staff engagement, and training.
CODING EDUCATOR & AUDITOR Froedtert & The Medical College of WisconsinCODING EDUCATOR & AUDITORMANITOWOC, WI$24.05–$38.48 / hourShift Details: Holidays: Weekends: Job Summary: Responsible for developing and conducting coding and billing training programs for a multi-specialty physician practice and coding support staff while remaining compliant with government and third party payer regulations and guidelines. This role will work collaboratively with Community Physician professional services providers; Patient Financial Services (Billing & Collections); Charge Capture; Epic Charge Process; Clinic Operations; Clinical Compliance and Health information and Management staff.
Clinician Coding Liaison - Pulmonology Advocate Aurora Health IncClinician Coding Liaison - PulmonologyTwo Rivers, WIRemote$35.50–$53.25 / hourLicensure, Registration, and/or Certification Required: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
Coding Quality Analyst - Inpatient University of Wisconsin Hospitals and Clinics AuthorityCoding Quality Analyst - InpatientMiddleton, WIRemoteHigh School Diploma or equivalent and Medical Coding Program Graduate Required Graduate of a Health Information Technology program Preferred Work Experience 3 years of progressive acute care hospital inpatient coding experience to include experience coding Medicare DRG's Required More than five years of inpatient coding experience in an academic medical center. Preferred Experience with coding quality improvement projects Preferred Training experience Preferred Licenses & Certifications Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Required Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) Preferred.
SUPERVISOR - CODING AUDITING & EDUCATION, O-CDI Aspirus IncSUPERVISOR - CODING AUDITING & EDUCATION, O-CDIWausau, 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.
Clinician Coding Liaison - Pulmonology Advocate Health and Hospitals CorporationClinician Coding Liaison - PulmonologyTwo Rivers, WisconsinRemote$35.50–$53.25 / hourRegistered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
REIMBURSEMENT SPECIALIST City of Racine, WIREIMBURSEMENT SPECIALISTRacine, WI$56,056–$72,051.20 / yearNon City of Racine residents can receive up to $1,200 per year towards student loan repayments, and City of Racine residents can receive up to $2,400 per year towards student loan repayments. Working knowledge of community systems, ability to initiate referrals to community health care providers, social service, and advocacy agencies, and the ability to effectively refer clients as needed.
Profee Surgical Coding Specialist III - REMOTE Children's Hospital and Health SystemProfee Surgical Coding Specialist III - REMOTEWest Allis, WisconsinRemoteone of the following: - N/A, CCS-Certified Coding Specialist - American Health Information Management Association, CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association, CPC-Certified Professional Coder - American Board of Professional Coders, RHIT-Registered Health Information Technician - American Health Information Management Association. The Profee Surgical Coding Specialist III will work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture.
Profee Surgical Coding Specialist III - REMOTE Children's WisconsinProfee Surgical Coding Specialist III - REMOTEWest Allis, WIRemoteCertifications/Licenses: one of the following: - N/A, CCS-Certified Coding Specialist - American Health Information Management Association, CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association, CPC-Certified Professional Coder - American Board of Professional Coders, RHIT-Registered Health Information Technician - American Health Information Management Association. The Profee Surgical Coding Specialist III (Pediatric Urology and ENT) will work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture.
NewProgram Integrity Auditor NACBAProgram Integrity AuditorMadison, WIEducationAssociate's degree or equivalent experience (2+ years of relevant experience + high school diploma or GED).Anticipated Weekly Hours40Time TypeFull timePay Range$46,988.00 - $122,400.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Primary ResponsibilitiesServe as an audit team member for a health plan(s) which currently administers benefits to Medicaid members across multiple lines of business including acute, behavioral health, individuals with developmental disabilities, and children in out-of-home care.
Professional Coding Lead-Oncology Advocate Aurora Health IncProfessional Coding Lead-OncologyMilwaukee, WI$30.70–$46.05 / hourAdvocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: • Compensation • Premium pay such as shift, on call, and more based on a teammates job • Incentive pay for select positions • Opportunity for annual increases based on performance • Benefits and more • Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and • Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
Coding Coordinator Fort Healthcare IncCoding CoordinatorFort Atkinson, WIPart timeFort 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.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystMilwaukee, WIRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
NewCoding Specialist IV - Clinical Practice Services Medical College of WisconsinCoding Specialist IV - Clinical Practice ServicesMilwaukee, WisconsinResolve edits for electronic charges, following established policies and procedures to ensure that all data elements (claim requirements – CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied. Expert knowledge of multispecialty coding, which may include surgical, inpatient, emergency, and/or ambulatory coding; assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation.
Denials Coding Specialist (Drg Hospital Inpatient) Gundersen Health SystemDenials Coding Specialist (Drg Hospital Inpatient)Iowa, WIThis role reviews inpatient medical records to assess coding accuracy, supports appeal processes, and ensures appropriate ICD-10-CM coding and DRG assignment to reflect the patient's severity of illness and level of care. Emplify 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.
Denials Coding Specialist (DRG Hospital Inpatient) Gundersen Health SystemDenials Coding Specialist (DRG Hospital Inpatient)Wisconsin, WIThis role reviews inpatient medical records to assess coding accuracy, supports appeal processes, and ensures appropriate ICD-10-CM coding and DRG assignment to reflect the patient's severity of illness and level of care. Emplify 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.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Milwaukee, WIRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Coding Specialist II Medical College of WisconsinCoding Specialist IIMilwaukee, WisconsinResolve edits for electronic charges, following established policies and procedures to ensure that all data elements (claim requirements – CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied. 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.
NewCoding Specialist II - Clinical Practice Services Medical College of WisconsinCoding Specialist II - Clinical Practice ServicesWauwatosa, WisconsinResolve edits for electronic charges, following established policies and procedures to ensure that all data elements (claim requirements – CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied. 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.
NewCoding Specialist II, Psychiatry - Clinical Practice Services Medical College of WisconsinCoding Specialist II, Psychiatry - Clinical Practice ServicesWisconsinEmployees, 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. Resolve edits for electronic charges, following established policies and procedures to ensure that all data elements (claim requirements – CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied.
INPATIENT CODING AUDITOR Froedtert & The Medical College of WisconsinINPATIENT CODING AUDITORMILWAUKEE, WIThe Inpatient Auditor collaborates with Coding Leadership, the Inpatient Trainer and Education Coordinator, and interdisciplinary teams to promote coding quality, regulatory compliance, and continuous improvement across the organization. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTMadison, WIRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.