- Ascension Health (Glendale, WI)
- …prior to hire date or job transfer date. All specialties accepted. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional ... Registration: + One or more of the following: + Certified Coding Specialist (CCS) credentialed from the American Health...date or job transfer date. All specialties accepted. + Coder specializing in Cardiac credentialed from the American Academy… more
- Humana (Madison, WI)
- …required: AAPC CPC (no Apprentice) + Minimum of 3 years' experience as a Certified Medical Coder + Demonstrate ability to problem-solve complex coding ... Qualifications** + Bachelor'sDegree + 5 or more years of experience as a Certified Medical Coder + CPMA certification + MS-DRG auditing or APR auditing… more
- CVS Health (Madison, WI)
- …with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with ... to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years...Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of… more
- Highmark Health (Madison, WI)
- …in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ... and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of… more
- Baylor Scott & White Health (Madison, WI)
- … 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 competitive benefits package… more
- Banner Health (WI)
- …care. Looking for a motivated, experienced **Inpatient Facility, Acute Care, Remote Medical Complex Coder ** to join our talented Inpatient Facility-coding team. ... care coding Inpatient team members. 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
- 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 (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 ... codes using ICD-10-CM and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation +… more
- Molina Healthcare (Madison, WI)
- …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Molina Healthcare (Milwaukee, WI)
- …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss,… more
- Molina Healthcare (Racine, WI)
- …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Molina Healthcare (Green Bay, WI)
- …software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional… more
- Molina Healthcare (Madison, WI)
- …software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ...(CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current… more
- 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 ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … more
- Marshfield Clinic (Marshfield, WI)
- …to determine if restrictions are substantially related to the position._ **Minimum Required:** Certified Professional Coder (CPC) or Certified Professional ... years of hire based on the department position the resides in. **Preferred/Optional:** Certified Professional Coder (CPC) or Certified Professional Coder… more
- 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 ... from your own workspace! Seeking an experienced Same day surgery and Observation Coder with 3-5 years of hands-on outpatient coding experience. The ideal candidate… more
- 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 ... healthcare from your own workspace! Seeking full time ancillary coder . Must have experience coding labs, pathology, radiology, and...and 3M required **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and… more
- Humana (Madison, WI)
- …strategy **Use your skills to make an impact** **Required Qualifications** + AAPC CPC ( Certified Professional Coder ) Certification + 2 or more years of ... public speaking and presentation skills **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting with healthcare… more
- Datavant (Madison, WI)
- …and existing coders. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG ... HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary...experience auditing + Associate or Bachelor's degree from an AHIMA- certified HIM or Nursing Program, or completion of a… more
- Humana (Madison, WI)
- …Previous auditing, Nurse Coder Background, and/or CPT procedural code experience/ certified coder (CPC) + Nursing experience preferred in Acute care, ... The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and billing for services rendered is complete, compliant… more