• Certified Medical Coder

    Ascension Health (Glendale, WI)
    …used in lieu of education or experience, if applicable. **Additional Preferences** Seeking certified medical coders with 1-3 years experience including but not ... hire date or job transfer date. All specialties accepted. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders… more
    Ascension Health (05/08/25)
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  • Physician Coding Cardiology Complex Coder

    Banner Health (WI)
    …this 100% remote position. Apply today. We are looking for a motivated, experienced ** Certified Medical Coder | Physician Practice Complex Coder ... coding software and abstracting systems. PREFERRED QUALIFICATIONS Specialty Certification. Radiology Certified Coder (RCC) if employed in the Imaging space.… more
    Banner Health (05/08/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Madison, WI)
    …Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified ... researching information and identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team… more
    CVS Health (04/23/25)
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  • Facility Coding Inpatient CQA Acute

    Banner Health (WI)
    …your abilities - you belong at Banner Health. In this **Inpatient Facility/HIMS Certified Medical Coder , Quality Associate** position, you bring your ... reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to...required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified more
    Banner Health (04/13/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (WI)
    …Health. Looking for a motivated, experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder , with CPC or CCS and/or RHIT or RHIA ... AHIMA Standards of Ethical Coding. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes...field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified more
    Banner Health (05/01/25)
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  • Outpatient Coder -Same Day Surgery…

    Datavant (Madison, WI)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... future of healthcare from your own workspace! Preferred: OP Coder who specializes in SDS, OBS, with solid interventional...Powerchart and 3M360. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and… more
    Datavant (04/29/25)
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  • Associate Manager Physician Coder Surgical

    Banner Health (WI)
    …Management Association (AHIMA) or American Academy of Professional Coders (AAPC) or Radiology Certified Coder (RCC) if employed in the Imaging space. Must ... patient care. POSITION SUMMARY This position leads a designated medical coding team across multiple locations. The position has...education. Requires Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified more
    Banner Health (04/13/25)
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  • HCC Risk Adjustment Coder PRN PPC

    Datavant (Madison, WI)
    …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using ... while certified + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes. + Ability… more
    Datavant (03/27/25)
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  • Inpatient Medical Coder - FT - Up…

    Datavant (Madison, WI)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation… more
    Datavant (03/27/25)
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  • Medical Claim Review Nurse (RN) Remote IL &

    Molina Healthcare (WI)
    …and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified ... knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal… more
    Molina Healthcare (04/25/25)
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  • Delegation Oversight Nurse Remote based in CA…

    Molina Healthcare (WI)
    …**Preferred License, Certification, Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + ... Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified Professional in Health Care Quality (CPHQ) + or other healthcare… more
    Molina Healthcare (04/12/25)
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  • Coding Auditor Educator

    Highmark Health (Madison, WI)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
    Highmark Health (05/09/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Madison, WI)
    Certified Coding Specialist (CCS) Certified Coding Specialist Physician-based (CCS-P) Certified Professional Coder (CPC) Certified Outpatient Coder ... (COC) Certified Inpatient Coder (CIC) Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our benefits are designed to help you… more
    Baylor Scott & White Health (05/07/25)
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  • Utilization Management Coordinator (Home-Based)…

    Sanford Health (WI)
    … Coding Specialist (CCS), Certified Coding Specialist - Physician based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder - ... and Joint Commission (TJC) required functions and credentialing. Assists medical records coding personnel as needed to correctly identify... Certified Outpatient Coder (COC), or Certified Ambulance Coder (CAC). Obtains and subsequently… more
    Sanford Health (04/30/25)
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  • Coding Specialist - 1.0 FTE

    Prairie Ridge Health (Columbus, WI)
    …field preferred EPIC experience preferred Certifications accepted and required upon hire: Certified Professional Coder (CPC) Certified Coding Associate (CCA) ... is looking for a team member to join our Medical Records Department in the role of Coding Specialist.... Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Certified more
    Prairie Ridge Health (03/04/25)
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  • Investigator

    Highmark Health (Madison, WI)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
    Highmark Health (05/08/25)
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  • Claims Specialist - Remote

    Rising Medical Solutions (Milwaukee, WI)
    …degree preferred + CPC ( Certified Professional Coder ), CCS ( Certified Coding Specialist) or equivalent medical coding certification preferred Experience ... members + Assist members in managing and resolving reimbursement issues related to medical services and covered expenses that are medically necessary + Correspond to… more
    Rising Medical Solutions (04/19/25)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …if restrictions are substantially related to the position._ **Minimum Required:** Certified Professional Coder certification awarded by American Academy of ... one year. State of Wisconsin Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American Academy of… more
    Marshfield Clinic (03/31/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Waukesha, WI)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
    Elevance Health (04/29/25)
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  • DRG Coding Auditor

    Elevance Health (Waukesha, WI)
    …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of… more
    Elevance Health (05/08/25)
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