Medical Coder Jobs in Waunakee, WI

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Medical Coder
Health Information Specialist
Surgical Coordinator
Health Information Coder
Medical Records Clerk
Certified Professional Coder
Record Management Specialist
Information Management Specialist
Health Information Manager
  • Health Information Specialist

    Associated Physicians, LLP

    Medical Coder Job 8 miles from Waunakee

    The Health Information Management Specialist, under the general supervision of the HIM & Coding Supervisor, is responsible for daily scanning; identifying information to be abstracted and verifying that it has been entered into medical record; processing and tracking of release of information; reviewing medical records for offsite storage and retrieval; ensuring accuracy, quality and security of the health record; processing mail; and answering telephone requests for charts and/or medical information release. Duties: - Organize and maintain medical records in a medical clinic setting - Ensure accuracy and completeness of patient information in electronic health records (EHR) using Epic EHR - Process requests for release of medical records in accordance with HIPAA regulations - Assign appropriate medical codes to diagnoses, procedures, and treatments - Review patient records for completeness and accuracy - Collaborate with healthcare providers to ensure proper documentation of patient care - Retrieve and compile data for statistical reports and research studies - Maintain confidentiality of patient information at all times Requirements: - High school diploma or equivalent - Certification as a Health Information Technician (RHIT) preferred - Proficiency in medical terminology and understanding of healthcare procedures and diagnoses - Familiarity with electronic health record systems and medical coding systems (ICD-10, CPT) - Strong attention to detail and organizational skills - Excellent communication and interpersonal skills - Ability to work independently and as part of a team - Knowledge of HIPAA regulations and patient privacy laws Note: This job description is intended to provide a general overview of the position. Duties and responsibilities may vary depending on the specific needs of the healthcare facility. Job Type: Full-time Pay: $18.70 - $20.50 per hour Expected hours: 40 per week Benefits: * 401(k) * 401(k) matching * Dental insurance * Disability insurance * Employee assistance program * Flexible spending account * Health insurance * Life insurance * Paid time off * Vision insurance Schedule: * 8 hour shift * Day shift * Monday to Friday Experience: * Medical records: 2 years (Preferred) Work Location: In person
    $18.7-20.5 hourly 60d+ ago
  • Health Market Clerk

    Hy-Vee 4.4company rating

    Medical Coder Job 8 miles from Waunakee

    Additional Considerations (if any): * At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a workforce that is fully engaged and committed to supporting our customers and each other. Job Description: Job Title: Health Market Clerk Department: Health Market FLSA: Non-Exempt General Function: As a Health Market Clerk, this position will be responsible for safely handling food and ensuring the work area is always clean and neat. You will review the status and appearance of the merchandise for freshness. Additionally, you will ensure a positive company image by providing courteous, friendly, and efficient customer service to customers and team members. Core Competencies * Partnerships * Growth mindset * Results oriented * Customer focused * Professionalism Reporting Relations: Accountable and Reports to District Store Director; Store Manager; Assistant Manager of Health Wellness Home, Store Operations, and Perishables; Health Market Department Manager Positions that Report to you: None Primary Duties and Responsibilities: * Provides prompt, efficient, and friendly customer service by exhibiting caring, concern, and patience in all customer interactions and treating customers as the most important people in the store. * Smiles and greets customers in a friendly manner, whether the encounter takes place in the employee's designated department or elsewhere in the store. * Makes an effort to learn customers' names and to address them by name whenever possible. Assists customers by escorting them to the products they're looking for, securing products that are out of reach, loading or unloading heavy items, making notes of and passing along customer suggestions or requests, performing other tasks in every way possible to enhance the shopping experience * Answers the telephone promptly when called upon, and provides friendly, helpful service to customers who call. * Works with co-workers as a team to ensure customer satisfaction and a pleasant work environment. * Understands and practices proper sanitation procedures and ensures the work area is always clean and neat. * Reviews the status and appearance of the merchandise for freshness. * Ensures an adequate product supply is ready and on hand and develops or follows a production list. * For homeopathic and natural wellness products, employees will assist customers by accessing/obtaining information and pointing to the product, however will not provide instruction on the product or its use. * Anticipates product needs for the department daily. * Checks in product put product away and may review invoices. * Reviews the status and appearance of the food for freshness and replenishes and rotates product. * Removes trash promptly. * Replenishes product as necessary. * Assists in educating customers by offering suggestions and answering questions, etc. * Maintains strict adherence to department and company guidelines related to personal hygiene and dress. * Adheres to company policies and individual store guidelines. * Reports to work when scheduled and on time. Secondary Duties and Responsibilities: * Orders products and supplies as necessary. * Prices products for customers as necessary. * Delivers orders as needed. * Assists in other areas of the store as needed. * Performs other job-related duties and special projects as required. Knowledge, Skills, Abilities, and Worker Characteristics: * Must have the ability to carry out detailed but uninvolved written or verbal instructions; deal with a few concrete variables. * Ability to do simple addition and subtraction; copying figures, counting, and recording * Possess the ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies orally or in writing. Education and Experience: Less than high school or equivalent experience and six months or less of similar or related work experience. Supervisory Responsibilities: None. Physical Requirements: * Must be able to physically perform medium work: exerting up to 50 pounds of force occasionally, 20 pounds of force frequently, and 10 pounds of force constantly to move objects. * Visual requirements include clarity of vision at a distance of more than 20 inches and less than 20 feet with our without correction, color vision, depth perception, and field of vision. * Must be able to perform the following physical activities: Climbing, balancing, stooping, kneeling, reaching, standing, walking, pushing, pulling, lifting, grasping, feeling, talking, hearing, and repetitive motions. Working Conditions: This position is frequently exposed to temperature extremes and dampness. There are possible equipment movement hazards, electrical shock, and exposure to cleaning chemicals and solvents. This is a fast-paced work environment. Equipment Used to Perform Job: Knives, wrapping machine, cash register, pallet jack, garbage disposal, trash compactor, cardboard compactor, and calculator. Financial Responsibilities: None. Contacts: Has daily contact with store personnel, customers, and the general public. Confidentiality: None. Are you ready to smile, apply today.
    $34k-39k yearly est. 4d ago
  • Hierarchical Condition Category (HCC) Coding Specialist

    Highmark Health 4.5company rating

    Medical Coder Job 8 miles from Waunakee

    This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J260756
    $26.5-41 hourly 17d ago
  • Special Investigation Unit Manager Clinical Certified Professional Coder (Aetna SIU)

    CVS Health 4.6company rating

    Medical Coder Job 8 miles from Waunakee

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard the organization's resources and reduce healthcare costs. This role involves leading a team of CPC's, working closely with internal and external stakeholders and ensuring compliance with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor a team certified coders who support fraud detection and prevention efforts. Establish team goals, monitor performance, and ensure alignment with organizational objectives. Direct and oversee complex reviews. Ensure timely and accurate reporting of review findings and coordinate with investigative to take appropriate action. Conducts team member evaluations and provides performance feedback to staff on an ongoing basis. Manages workload of their team to ensure equitable distribution and exposure to wide range of cases to match current skills and development needs Confirm staff are preparing comprehensive reports summarizing investigation outcomes. Ensure findings comply with state, federal, and industry regulations. Stay informed about changes in the industry practices related to healthcare coding. Provide training opportunities for staff to maintain their CEUs. Assist in preparing documentation for audits, compliance reviews, and regulatory inquiries. **Required Qualifications:** Minimum 5+ years of experience in healthcare fraud detection, investigation, or auditing In-depth knowledge of healthcare systems, claims processing, and regulatory requirements related to healthcare fraud. Proficient in researching information and identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team management ability Excellent communication and presentation skills. Ability to work cross-functionally with various teams and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse (RN) Previous leadership experience. AAPC Coding Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker (LCSW) Licensed Independent Social Worker (LISW) Licensed Master Social Worker (LMSW) **Education** Bachelor, Associates Degree or work equivalent Certification as a Certified Professional Coder (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 - $159,120.00 This 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. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | CVS Health (****************************************** We anticipate the application window for this opening will close on: 03/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $54.3k-159.1k yearly 60d+ ago
  • Medical Coding Specialist

    Group Health Cooperative of South Central Wisconsin 3.2company rating

    Medical Coder Job 8 miles from Waunakee

    Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Medical Coding Specialist is responsible for reviewing electronic encounter documents to ensure that the codes provided by the practitioners are accurate per coding protocols and comply with all established guidelines. The Medical Coding Specialist is responsible for assigning applicable codes to the medical records to ensure accuracy and completeness. The incumbent assists in providing coding education and required documentation criteria to practitioners and their staff and participates in job-related research projects. This position is responsible for reviewing insurance claims to determine possible coding errors and researching coding guidelines to support any insurance claim denials based on coding guidelines. As assigned, the incumbent may assist the Medical Coding Manager in various administrative tasks. The Medical Coding Specialist works under the general supervision and guidance of the Medical Coding Supervisor. The incumbent knows and abides by all GHC-SCW organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. JOB SPECIFIC MINIMUM QUALIFICATIONS High school graduation or equivalent is required. Graduation from an accredited Medical Coding Specialist Program or equivalent combination of education and/or relevant work experience is required. Minimum of one (1) year of medical coding experience is preferred. Knowledge of insurance processing is preferred. Certification as a CPC or CCS-P is required. Knowledge of CPT/HCPCS (supplies and pharmaceuticals), ICD-10-CM, E/M (evaluation and management), medical records and documentation is required. Knowledge of medical terminology, basic anatomy, physiology, and disease process is required. Knowledge of Medicare and Medicaid rules and regulations is required. Minimum of one (1) year of experience interacting with practitioners regarding coding requirements is preferred. Knowledge of or ability to learn various computer programs such as MS Office Suite, word processing, database, calendar and email is required. Knowledge of or ability to learn and effectively use systems including electronic medical record and electronic coding systems is required. Experience with EPIC is highly desirable. Excellent oral and written communication skills are required. Excellent customer service skills and the ability to work with a diverse patient population is required. Ability to work harmoniously and cooperatively with all staff and the public is required. Ability to identify coding needs and code accurately is required. Excellent organizational, analytical and problem-solving skills are required. Ability to maintain personnel related and patient confidentiality is required. Knowledge of or ability to learn HIPAA requirements. Ability to negotiate with individuals, including practitioners, is required. Ability to adhere to OSHA standards and other patient care protocols is required. Ability to see at near and mid range is required. Ability to use a keyboard regularly is required. Ability to travel among GHC sites on short notice is required. Manual dexterity, including the ability to perform fingering and handling with both hands is required. Ability to intermittently sit, stand, bend, stoop and stretch is required. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values: We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved GHC-SCW is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees, members, and patients feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together. Group Health Cooperative of South Central Wisconsin is proud to be an equal opportunity employer. GHC-SCW considers candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Other details Pay Type Hourly
    $45k-56k yearly est. 18d ago
  • Coding Specialist - 1.0 FTE

    Prairie Ridge Health 4.3company rating

    Medical Coder Job 24 miles from Waunakee

    Prairie Ridge Health is looking for a team member to join our Medical Records Department in the role of Coding Specialist. This position is a 1.0 FTE (40 hours per week). Candidates must be within an hour drive of the hospital location. Training will take place in person and the position will be remote after the training period but require in-person attendance for meetings, etc. POSITION SUMMARY The Medical Coding Specialist is primarily responsible for assigning diagnosis (ICD-10), CPT procedure codes to hospital and clinic medical records as well as professional charging for ER/UC and Clinic encounters utilizing facility and payer guidelines. This position will also resolve Claim Edits and work with billing to resolve all insurance denials related to coding and charging. This role must have a strong understanding of payer policies, Local Coverage Determinations (LCD), and National Coverage Determinations (NCD) for successful claim submissions. This position serves as a coding resource for all hospital departments and communicates regularly with Business Services and Registration departments to ensure claims are submitted and reimbursed promptly and accurately. This position provides education to physicians regarding documentation and coding best practices. It is essential to understand the life cycle of billing a claim and how to improve the revenue cycle. POSITION SPECIFIC FUNCTIONS Utilize 3M 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. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives. Maintain an understanding and apply knowledge of Medically Unlikely Edits (MUEs), and applicable regulatory requirements as well as payer guidelines to select appropriate codes and modifiers. Must have a solid understanding of insurance policies and procedures to ensure accurate billing and coding and able to navigate insurance company portals to access the necessary information. EDUCATION REQUIREMENTS/LICENSURE/CERTIFICATION/REGISTRATION High School Diploma or equivalent and medical coding education required. Active Coding Certification required. Minimum one year of medical coding experience with an emphasis in diagnosis/procedures coding and E&M charging for facility (hospital) and professional claims required. Associate's degree in a healthcare related field preferred EPIC experience preferred Certifications accepted and required upon hire: Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Certified Coding Specialist (CCS) Certified Coding Specialist Physician-Based (CCS-P) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Shift: Monday-Friday, days. Candidates must be within an hour drive of the hospital location. Training will take place in person and the position will be remote after the training period, but require in-person attendance for meetings, etc.
    $58k-71k yearly est. 17d ago
  • Health Information Coder (ICD-10CM)

    Lindengrove Communities 3.9company rating

    Medical Coder Job 15 miles from Waunakee

    Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities * Maintains and actively promotes effective communication with all individuals. * Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. * Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. * Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes. * Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate. * Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines. * Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies. * Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. * Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary. * Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency. * Maintains confidentiality, privacy and security in all matters pertaining to this position. * Performs other duties, as assigned. Requirements * High School education or equivalent. * Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date. * One (1) year of coding experience preferred. * Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology. * Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA). * Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred. * Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications. * Strong organizational, analytical, and problem-solving skills, and attention to detail. * Strong Keyboarding and filing abilities. * Ability to exhibit professionalism, flexibility, dependability, and a desire to learn. * Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms. * Commitment to quality outcomes and services for all individuals. * Ability to relate well to all individuals. * Ability to maintain and protect the confidentiality of information. * Ability to exercise independent judgment and make sound decisions. * Ability to adapt to change. Benefits * Health, Dental, & Vision Insurance * Health Saving Account with Company Contributions * 401(k) with Company Match * Financial and Retirement Planning at No Charge * Paid Time Off and Holidays acquired from day one of hire * Basic Life Insurance & AD&D - Company Paid * Short Term Disability - Company Paid * Voluntary Ancillary Coverage * Employee Referral Bonus Program * Employee Assistance Program If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you! Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting. The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all. #IlluminusHQ
    $51k-60k yearly est. 37d ago
  • Health Information Coder (ICD-10CM)

    Illuminus

    Medical Coder Job 15 miles from Waunakee

    Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes. Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate. Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines. Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies. Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary. Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency. Maintains confidentiality, privacy and security in all matters pertaining to this position. Performs other duties, as assigned. Requirements High School education or equivalent. Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date. One (1) year of coding experience preferred. Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology. Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA). Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred. Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications. Strong organizational, analytical, and problem-solving skills, and attention to detail. Strong Keyboarding and filing abilities. Ability to exhibit professionalism, flexibility, dependability, and a desire to learn. Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms. Commitment to quality outcomes and services for all individuals. Ability to relate well to all individuals. Ability to maintain and protect the confidentiality of information. Ability to exercise independent judgment and make sound decisions. Ability to adapt to change. Benefits Health, Dental, & Vision Insurance Health Saving Account with Company Contributions 401(k) with Company Match Financial and Retirement Planning at No Charge Paid Time Off and Holidays acquired from day one of hire Basic Life Insurance & AD&D - Company Paid Short Term Disability - Company Paid Voluntary Ancillary Coverage Employee Referral Bonus Program Employee Assistance Program If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you! Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting. The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all. #IlluminusHQ
    $40k-55k yearly est. 13d ago
  • ROI Medical Records Specialist - On Site

    MRO Careers

    Medical Coder Job 8 miles from Waunakee

    The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests* TASKS AND RESPONSIBILITIES: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Answer phone calls concerning various ROI issues. If necessary, responds to walk-in customers requesting medical records and logs information provided by customer into ROI On-Line database. If necessary, responds and processes requests from physician offices on a priority basis and faxes information to the physician office. Logs medical record requests into ROI On-Line database. Scans medical records into ROI On-Line database. Complies with site facility policies and regulations. At specified sites, responsible for handling and recording cash payments for requests. Other duties as assigned. SKILLS|EXPERIENCE: Demonstrates proficiency using computer applications. One or more years experience entering data into computer systems. Experience using the internet is required. Demonstrates the ability to work independently and meet production goals established by MRO. Strong verbal communication skills; demonstrated success responding to customer inquiries. Demonstrates success working in an environment that requires attention to detail. Proven track record of dependability. High School Diploma/GED required. Prior work experience in Release of Information in a physician's office or HIM Department is a plus. Knowledge of medical terminology is a plus. Knowledge of HIPAA regulations is preferred. *This job description reflects management's assignment of essential functions. It does not prescribe or reflect the tasks that may be assigned. MRO's employees work at client facilities throughout the United States. We are proud of the culture we create for our employees and offer an outstanding work environment. We strive to match the right applicant to the right position. To learn more about us, visit www.mrocorp.com. MRO is an Equal Opportunity Employer. INDMP
    $31k-40k yearly est. 58d ago
  • Health Information Access Spec

    University of Wisconsin Hospitals and Clinics Authority 3.9company rating

    Medical Coder Job 8 miles from Waunakee

    Work Schedule: 60% FTE. 8 hour shifts will be scheduled Monday, Wednesday, and Friday. Hours may vary based on the operational needs of the department. This position is hybrid for individuals living in Wisconsin or Illinois. Be part of something remarkable Every patient deserves confidentiality with their health care. Would you like the opportunity to impact patient care through Health Information Management (HIM)? We are seeking a Health Information Access Specialist who will: * Work with UW Specialty Clinics to identify pertinent patient information to assist in the scheduling, ambulatory access, and pre-visit planning processes. * Work with the internal HIM and other UW teams to optimize workflows around record gathering and abstraction, streamlining the prior authorization process, and optimizing use of electronic medical records. * Utilize EMR (electronic medical record) functionalities and Access Database to coordinate record retrieval from external providers. At UW Health, you will have: * An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. * Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. * Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. * The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions. * Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Qualifications * High School Diploma or equivalent Required * Associate's Degree in HIM, HIT, or other relevant discipline Preferred Work Experience * One (1) to Three (3) years prior experience performing release of information activities, patient access and/or scheduling and registration or direct patient care experience (Electronic setting preferred). Bachelor's degree in Health Information Management, or other related discipline may be substituted for years of experience Required * Experience with EMR (EPIC, Care Everywhere - preferred) Required Licenses & Certifications * RHIT Preferred * RHIA Preferred * CAHIMS Preferred * CPHIMS Preferred * CRIS Preferred * CNA Preferred * EPIC Certification Preferred Our Commitment to Diversity and Inclusion UW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in 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. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans. Job Description UW Hospital and Clinics benefits
    $31k-38k yearly est. 11d ago
  • Records Management Specialist

    Wisconsin Foundation and Alumni Association 3.6company rating

    Medical Coder Job 8 miles from Waunakee

    The Wisconsin Foundation and Alumni Association (WFAA)*, the private fundraising and alumni relations organization for UW-Madison. We are seeking a diligent and experienced Records Management Specialist to oversee the management of organizational records utilizing the OnBase system. This role will be integral in managing, maintaining, and optimizing our digital records, ensuring compliance with organizational policies and regulatory standards. The ideal candidate will have a strong background in document retention and destruction, scanning and Optical Character Recognition (OCR) processes, and optimizing the use of electronic records management tools. This position is a hybrid role and will require you to work in our Madison, WI office at least two days weekly. Who is WFAA? The Wisconsin Foundation and Alumni Association (WFAA) is a private, nonprofit corporation that encourages individuals and organizations to make gifts to the university and to connect with the UW. In 2014, the UW Foundation merged with the Wisconsin Alumni Association to better serve a growing population of UW alumni and donors. We believe that private support grows out of good relationships between campus leaders, faculty and program staff who need support, and the alumni and friends who want to invest in UW-Madison. We provide important engagement opportunities to link UW-Madison alumni to each other and to their alma mater, building a strong community of Badgers. Diversity and Inclusion: Just as the university community benefits from differing viewpoints, perspectives, and experiences, inclusion and diversity are imperative for the success of our mission. WFAA values people and the differences that they bring to the organization, and creates an environment in which all staff members and constituents feel respected and have opportunities to thrive. Essential Functions Electronic Records Management Oversee the classification, retention, retrieval, and disposition of electronic records in compliance with organizational policies and regulatory requirements. Develop and implement effective document retention policies and schedules. Ensure that all records are securely stored, easily retrievable, and destroyed in compliance with legal and regulatory requirements. Oversee the scanning of physical documents and the application of OCR (Optical Character Recognition) technology to convert them into searchable electronic formats. Ensure high accuracy and quality of digitized documents. Optimize the use of OnBase and other electronic management tools. Ensure efficient organization, tracking and retrieval of electronic documents. Identify opportunities to streamline records management processes and improve efficiency. Compliance and Risk Management Ensure all records management practices comply with relevant laws, regulations, and organizational policies. Identify and mitigate risks related to records management. Training and Support Provide guidance and training to staff on electronic records management practices and the use of electronic records management tools. Develop user-friendly records management guidelines and best practices. Foster a culture of compliance and efficiency within the organization. Audits and Reporting Conduct regular audits of records management practices and report findings to management. Implement improvements based on audit results and feedback. Qualifications Required Qualifications: Bachelor's degree in Information Management, Library Science, or a related field OR comperable professional work experience . 3 + years of experience in records management, preferably in a non-profit organization. Proficiency in scanning, OCR, and electronic records management tools, particularly OnBase. Strong knowledge of document retention policies and legal requirements. Other Qualifications: Excellent organizational and project management skills. Strong attention to detail and accuracy. Excellent analytic, communication and training skills. At WFAA, we are dedicated to creating an inspiring, creative, and respectful work environment for our employees. We offer competitive pay and an outstanding benefits program, including a generous 10% 401k contribution after just one year of service! Join us and be part of a team that values your growth and well-being. Click here to learn more about our employee benefits! The Wisconsin Foundation and Alumni Association is an Equal Opportunity Employer *The Wisconsin Foundation and Alumni Association is the “doing business as” name of the merged organization comprising the University of Wisconsin Foundation (supportuw.org) and the Wisconsin Alumni Association (uwalumni.com). Its legal corporate name is registered as the University of Wisconsin Foundation.
    $32k-41k yearly est. 28d ago
  • HIM Coding Specialist (40 hours per week) #3208

    Reedsburg Area Medical Center 3.7company rating

    Medical Coder Job 37 miles from Waunakee

    The Health Information Coding Specialist - Outpatient is a Registered Health Information Technician or Medical Coding Specialist. This position plays a crucial part in our organization - The outpatient coder reviews the clinical documentation contained in medical records to accurately assign and sequence diagnostic and procedural codes to outpatient medical records for use in reimbursement and data collection. They are responsible for correctly coding healthcare claims to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare. Education and Training Required: Rural Health Clinic Coding experience preferred ◾High school diploma or equivalent. ◾Graduation from an accredited school for health information management/coding. ◾Certified Coding Professional (AHIMA or AAPC), RHIA or RHIT Certified. Experience: ◾Minimum 1 year of relevant experience preferred. Special Knowledge, Skills and Abilities: ◾Knowledge of medical terminology, anatomy and physiology, clinical medicine, surgery, diagnostic tests and various medical specialties. ◾Knowledge of ICD-10-CM and CPT coding systems. ◾Excellent written and oral communication skills, grammar, punctuation and style. ◾Ability to use the following equipment: personal computer, FAX, and photocopier. ◾General knowledge of office procedures and operations. ◾Skill in completing assignments accurately and with attention to detail. ◾Skill in collecting, organizing, and analyzing data. Physical Requirements: ◾Physical Demands: ⚬Continuously sits at a desk. ⚬Frequently stands to perform tasks. ⚬Frequently walks to distribute documents and to meet with other staff. ⚬Continuously requires fine motor skills for the operation of computer/keyboard, copier and telephone equipment. ⚬Frequently handles objects such as pencils, staple pullers, staplers, etc. to perform duties. ◾Sight: ⚬Continuously requires visual acuity with correction to 20/40 to read written and computer information. ⚬Occasionally requires a vision of colors to perform tasks. ◾Cognition/Communication: ⚬Continuously needed to communicate effectively with other staff, physicians, volunteers, and customers using hearing skills, comprehensive speech, and simple and complex writing and reading skills. ⚬Continuously requires recognizing medical terminology when transcribing and coding medical reports. ⚬Continuously communicates utilizing various methods available: telephone, paging, e-mail, print, or in person. ⚬Occasionally uses math skills for invoicing, budget acquisitions, and statistical applications. ◾Potential Hazards: ⚬OSHA Blood Borne/TB Classification Class II - Occupational exposure to blood and Other Potentially Infectious Materials (OPIMs) is not reasonably expected to occur in routine performance duties. ◾Psychological, Situational, Functional Factors: ⚬Occasionally performs work independently under stressful situations (essential for Team Leader). ⚬Occasionally required to work overtime. ⚬Occasionally required to manage conflict and difficult situations related to the department (essential Team Lead). ⚬Continuously requires using appropriate interpersonal skills when working with others. ⚬Continuously requires maintaining concentration while performing prolonged job tasks. ⚬Occasionally requires using influential skills during project management (Team Leader). ⚬Continuously required to plan, direct, control and monitor activities/projects (Team Leader). ⚬Frequently requires using skills related to creativity, problem-solving, analyzing and interpreting data (continuously for Team Leader). ⚬Occasionally requires using skills related to conflict management and difficult situations (essential for Team Leader)
    $48k-66k yearly est. 60d+ ago
  • Health Information Specialist I- (HYBRID) Beaver Dam, WI

    Datavant

    Medical Coder Job 36 miles from Waunakee

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. Position Highlights: This is a Hybrid role (Work home and Onsite) Full-time Monday- Friday 8 AM- 4:30 PM CST Full time benefits including medical, dental, vision, 401K, tuition reimbursement - Paid time off (including major holidays) Opportunity for growth within the company You will: Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. Maintain confidentiality and security with all privileged information. Maintain working knowledge of Company and facility software. Adhere to the Company's and Customer facilities Code of Conduct and policies. Inform manager of work, site difficulties, and/or fluctuating volumes. Assist with additional work duties or responsibilities as evident or required. Consistent application of medical privacy regulations to guard against unauthorized disclosure. Responsible for managing patient health records. Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. Ensures medical records are assembled in standard order and are accurate and complete. Creates digital images of paperwork to be stored in the electronic medical record. Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. Answering of inbound/outbound calls. May assist with patient walk-ins. May assist with administrative duties such as handling faxes, opening mail, and data entry. May schedules pick-ups. Assist with training associates in the HIS I position. Generates reports for manager or facility as directed. Must exceed level 1 productivity expectations as outlined at specific site. Participates in project teams and committees to advance operational strategies and initiatives as needed. Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training. Other duties as assigned. What you will bring to the table: High School Diploma or GED. Must be 18 years of age or older. Able to travel local/regionally 75% or more of the time. Ability to commute between locations as needed. Able to work overtime during peak seasons when required. 1-year Health Information related experience Meets and/or exceeds Company's Productivity Standards Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. Professional verbal and written communication skills in the English language. Detail and quality oriented as it relates to accurate and compliant information for medical records. Strong data entry skills. Must be able to work with minimum supervision responding to changing priorities and role needs. Ability to organize and manage multiple tasks. Able to respond to requests in a fast-paced environment. Bonus points if: Previous production/metric-based work experience. In-person customer service experience. Ability to build relationships with on-site clients and customers. Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please contact us at ***********************. We will review your request for reasonable accommodation on a case-by-case basis. For more information about how we collect and use your data, please review our .
    $28k-37k yearly est. 12d ago
  • Health Market Clerk

    Hy-Vee 4.4company rating

    Medical Coder Job 8 miles from Waunakee

    Job Title: Health Market Clerk Department: Health Market FLSA: Non-Exempt General Function: As a Health Market Clerk, this position will be responsible for safely handling food and ensuring the work area is always clean and neat. You will review the status and appearance of the merchandise for freshness. Additionally, you will ensure a positive company image by providing courteous, friendly, and efficient customer service to customers and team members. Core Competencies Partnerships Growth mindset Results oriented Customer focused Professionalism Reporting Relations: Accountable and Reports to District Store Director; Store Manager; Assistant Manager of Health Wellness Home, Store Operations, and Perishables; Health Market Department Manager Positions that Report to you: None Primary Duties and Responsibilities: Provides prompt, efficient, and friendly customer service by exhibiting caring, concern, and patience in all customer interactions and treating customers as the most important people in the store. Smiles and greets customers in a friendly manner, whether the encounter takes place in the employee's designated department or elsewhere in the store. Makes an effort to learn customers' names and to address them by name whenever possible. Assists customers by escorting them to the products they're looking for, securing products that are out of reach, loading or unloading heavy items, making notes of and passing along customer suggestions or requests, performing other tasks in every way possible to enhance the shopping experience Answers the telephone promptly when called upon, and provides friendly, helpful service to customers who call. Works with co-workers as a team to ensure customer satisfaction and a pleasant work environment. Understands and practices proper sanitation procedures and ensures the work area is always clean and neat. Reviews the status and appearance of the merchandise for freshness. Ensures an adequate product supply is ready and on hand and develops or follows a production list. For homeopathic and natural wellness products, employees will assist customers by accessing/obtaining information and pointing to the product, however will not provide instruction on the product or its use. Anticipates product needs for the department daily. Checks in product put product away and may review invoices. Reviews the status and appearance of the food for freshness and replenishes and rotates product. Removes trash promptly. Replenishes product as necessary. Assists in educating customers by offering suggestions and answering questions, etc. Maintains strict adherence to department and company guidelines related to personal hygiene and dress. Adheres to company policies and individual store guidelines. Reports to work when scheduled and on time. Secondary Duties and Responsibilities: Orders products and supplies as necessary. Prices products for customers as necessary. Delivers orders as needed. Assists in other areas of the store as needed. Performs other job-related duties and special projects as required. Knowledge, Skills, Abilities, and Worker Characteristics: Must have the ability to carry out detailed but uninvolved written or verbal instructions; deal with a few concrete variables. Ability to do simple addition and subtraction; copying figures, counting, and recording Possess the ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies orally or in writing. Education and Experience: Less than high school or equivalent experience and six months or less of similar or related work experience. Supervisory Responsibilities: None. Physical Requirements: Must be able to physically perform medium work: exerting up to 50 pounds of force occasionally, 20 pounds of force frequently, and 10 pounds of force constantly to move objects. Visual requirements include clarity of vision at a distance of more than 20 inches and less than 20 feet with our without correction, color vision, depth perception, and field of vision. Must be able to perform the following physical activities: Climbing, balancing, stooping, kneeling, reaching, standing, walking, pushing, pulling, lifting, grasping, feeling, talking, hearing, and repetitive motions. Working Conditions: This position is frequently exposed to temperature extremes and dampness. There are possible equipment movement hazards, electrical shock, and exposure to cleaning chemicals and solvents. This is a fast-paced work environment. Equipment Used to Perform Job: Knives, wrapping machine, cash register, pallet jack, garbage disposal, trash compactor, cardboard compactor, and calculator. Financial Responsibilities: None. Contacts: Has daily contact with store personnel, customers, and the general public. Confidentiality: None. Are you ready to smile, apply today.
    $34k-39k yearly est. 16d ago
  • Health Information Coder (ICD-10CM)

    Illuminus

    Medical Coder Job 15 miles from Waunakee

    Full-time Description Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes. Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate. Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines. Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies. Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary. Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency. Maintains confidentiality, privacy and security in all matters pertaining to this position. Performs other duties, as assigned. Requirements High School education or equivalent. Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date. One (1) year of coding experience preferred. Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology. Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA). Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred. Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications. Strong organizational, analytical, and problem-solving skills, and attention to detail. Strong Keyboarding and filing abilities. Ability to exhibit professionalism, flexibility, dependability, and a desire to learn. Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms. Commitment to quality outcomes and services for all individuals. Ability to relate well to all individuals. Ability to maintain and protect the confidentiality of information. Ability to exercise independent judgment and make sound decisions. Ability to adapt to change. Benefits Health, Dental, & Vision Insurance Health Saving Account with Company Contributions 401(k) with Company Match Financial and Retirement Planning at No Charge Paid Time Off and Holidays acquired from day one of hire Basic Life Insurance & AD&D - Company Paid Short Term Disability - Company Paid Voluntary Ancillary Coverage Employee Referral Bonus Program Employee Assistance Program If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you! Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting. The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all. #IlluminusHQ
    $40k-55k yearly est. 32d ago
  • Surgical Recovery Coordinator - Organ Procurement Organization

    University of Wisconsin Hospitals and Clinics Authority 3.9company rating

    Medical Coder Job 8 miles from Waunakee

    Work Schedule: 100% FTE. 40 hours/pay period. This is a hybrid position, some long distance traveling may be required. Monday - Friday 8:00AM - 4:30PM. Approximately 12 x 24 hour call days per month covering days, nights, weekends and holidays. Hours may vary based on the operational needs of the department. Pay: Relocation assistance may be available for qualified applicants. Be part of something remarkable Join the #1 hospital in Wisconsin! Giving the gift of life - join our tight-knit team of healthcare professionals who are passionate about organ transplantation. We are seeking a Surgical Recovery Coordinator (Organ Transplant Coordinator): The UW Organ and Tissue Donation service is recognized as one of the most successful organ procurement programs in the nation. Coordinate the surgical recovery portion of the donation process. Set-up area where organs are flushed, measured and packaged for transport. Deliver sensitive and compassionate care to patients who are at the end of life and support their families who are grieving. Act as a resource and support person to donor hospital staff before, during and after the organ recovery. There a variety of backgrounds that would succeed in this role. Examples: Experience working as a surgical technologist, paramedic, EMT, coroner, or in a funeral home. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Full time benefits for part time work (for positions 60% FTE and higher). Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. Qualifications Post-secondary education in healthcare field. Relevant certification or experience may be considered in lieu of coursework or degree in addition to the experience listed below Required Surgical technician or surgical first assistant Preferred Work Experience 1 year of experience in a surgical and/or pre-hospital environment, including but not limited to functioning as a surgical recovery coordinator, tissue/eye bank specialist, surgical technician, first assistant, first responder experience, circulating nurse. Completion of an accredited surgical technician or medical assistant program, or a closely related program, may be considered in lieu of work experience. Required 1 year of experience as a surgical / organ recovery coordinator, surgical technician or first assistant Preferred Licenses & Certifications Valid WI Driver's License and current auto insurance Upon Hire Required Registered Nurse, Certified Surgical Technologist or EMT, CTP, CFA Preferred Our Commitment to Diversity, Equity and Inclusion UW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in 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. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans. University Hospital in Madison is a Magnet -designated facility that's ranked Wisconsin's #1 hospital and considered one of the nation's leading hospitals, teaching institutions and referral centers. Job Description UW Hospital and Clinics benefits
    $42k-50k yearly est. 60d+ ago
  • Health Information Specialist I

    Datavant

    Medical Coder Job 36 miles from Waunakee

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. * Position Highlights: * Monday-Friday 8:00 am- 4:30 pm CST * Location: Beaver Dam, WI * Full time benefits including medical, dental, vision, 401K, tuition reimbursement * Paid time off (including major holidays) * Hybrid- Opportunity for growth within the company You will: * Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. * Maintain confidentiality and security with all privileged information. * Maintain working knowledge of Company and facility software. * Adhere to the Company's and Customer facilities Code of Conduct and policies. * Inform manager of work, site difficulties, and/or fluctuating volumes. * Assist with additional work duties or responsibilities as evident or required. * Enhanced need for attention to detail for medical records. * Consistent application of medical privacy regulations to guard against unauthorized disclosure. * Responsible for managing patient health records. * Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. * Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. * Ensures medical records are assembled in standard order and are accurate and complete. * Creates digital images of paperwork to be stored in the electronic medical record. * Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. * Answering of inbound/outbound calls. * May assist with patient walk-ins. * May assist with administrative duties such as handling faxes, opening mail, and data entry. * May schedules pick-ups. * Assist with training associates in the HIS positions. * Generates reports for manager or facility as directed. * Must exceed level 1 productivity expectations as outlined at specific site. * Participates in project teams and committees to advance operational Strategies and initiatives as needed. * Mentor HIS staff for further professional development. * Inform senior leadership of issues, opportunities or challenges. * Assist throughout the region with training, mentoring and/or coverage as needed. * Participate and assist with onboarding activities for new employees. * Assist with Quality Assurance tasks as directed by management. * Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training. * Leads training sessions for timely staff development. * Other duties as assigned. What you will bring to the table: * High School Diploma or GED. * Must be 18 years of age or older. * Ability to commute between locations as needed. * Able to work overtime during peak seasons when required. * 1-year Health Information related experience. * Basic computer proficiency. * Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. * Professional verbal and written communication skills in the English language. * Detail and quality oriented as it relates to accurate and compliant information for medical records. * Strong data entry skills. * Must be able to work with minimum supervision responding to changing priorities and role needs. * Ability to organize and manage multiple tasks. * Able to respond to requests in a fast-paced environment. * Presentation skills for small group settings. * Forward thinking and ability to problem solve. Bonus points if: * 2+ year Health Information related experience. * Meets and/or exceeds Company's Productivity Standards. * Previous production/metric-based work experience. * In-person customer service experience. * Ability to build relationships with on-site clients and customers. * Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please contact us at ***********************. We will review your request for reasonable accommodation on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.
    $28k-37k yearly est. 2d ago
  • HIM Manager, System and Support

    University of Wisconsin Hospitals and Clinics Authority 3.9company rating

    Medical Coder Job 8 miles from Waunakee

    Work Schedule: This is a full-time, 1.0 FTE position that is scheduled to work Monday through Friday from 8:00 am to 4:30 pm. Hours may vary based on the operational needs of the department. This position is remote for individuals living in Wisconsin or Illinois. If able to work in the office, the location is 8501 Excelsior Dr in Madison, WI. Be part of something remarkable Bring your managerial experience to the #1 hospital in Wisconsin! We are seeking a HIM Manager, Document Imaging to: Ensure effective operation of the team as a customer-focused, service-oriented unit providing the highest quality services to UW Health. Serve as an expert resource in UW Health and HIM specific systems and operational analysis and design for business partners, staff, and users to assist. Manage and optimize system-wide operations utilizing Solarity, OnBase and Epic Systems. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. Qualifications Bachelor's Degree Four (4) years of relevant experience in Healthcare may be considered in lieu of a degree, in addition to the required experience below Required Bachelor's Degree in Healthcare, Information Technology, Business, or related field Preferred or Master's Degree in Healthcare, Information Technology, Business, or related field Preferred Work Experience Three (3) to five (5) years' experience in planning and implementing mid to large scale projects, including two (2) years supervisory or management experience Required Extensive project management experience. Five (5) years supervisory or management experience Preferred Licenses & Certifications Epic Certification Preferred Registered Health Information Technician (RHIT) Preferred or Registered Health Information Administrator (RHIA) Preferred Our Commitment to Diversity and Inclusion UW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in 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. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans. Job Description UW Hospital and Clinics benefits
    $47k-60k yearly est. 60d+ ago
  • Health Information Access Spec

    University of Wisconsin Hospitals and Clinics Authority 4.3company rating

    Medical Coder Job 8 miles from Waunakee

    Work Schedule: 60% FTE. 8 hour shifts will be scheduled Monday, Wednesday, and Friday. Hours may vary based on the operational needs of the department. This position is hybrid for individuals living in Wisconsin or Illinois. Be part of something remarkable Every patient deserves confidentiality with their health care. Would you like the opportunity to impact patient care through Health Information Management (HIM)? We are seeking a Health Information Access Specialist who will: Work with UW Specialty Clinics to identify pertinent patient information to assist in the scheduling, ambulatory access, and pre-visit planning processes. Work with the internal HIM and other UW teams to optimize workflows around record gathering and abstraction, streamlining the prior authorization process, and optimizing use of electronic medical records. Utilize EMR (electronic medical record) functionalities and Access Database to coordinate record retrieval from external providers. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Qualifications High School Diploma or equivalent Required Associate's Degree in HIM, HIT, or other relevant discipline Preferred Work Experience One (1) to Three (3) years prior experience performing release of information activities, patient access and/or scheduling and registration or direct patient care experience (Electronic setting preferred). Bachelor's degree in Health Information Management, or other related discipline may be substituted for years of experience Required Experience with EMR (EPIC, Care Everywhere - preferred) Required Licenses & Certifications RHIT Preferred RHIA Preferred CAHIMS Preferred CPHIMS Preferred CRIS Preferred CNA Preferred EPIC Certification Preferred Our Commitment to Diversity and Inclusion UW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in 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. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans. Job Description UW Hospital and Clinics benefits
    $33k-41k yearly est. 8d ago
  • Surgical Recovery Coordinator

    University of Wisconsin Hospitals and Clinics Authority 3.8company rating

    Medical Coder Job 8 miles from Waunakee

    Work Schedule: 100% FTE. 40 hours/pay period. This is a hybrid position, some long distance traveling may be required. Monday - Friday 8:00AM - 4:30PM. Approximately 12 x 24 hour call days per month covering days, nights, weekends. Rotating holiday on call coverage. Hours may vary based on the operational needs of the department. Pay: * Relocation assistance may be available for qualified applicants. Be part of something remarkable Join the #1 hospital in Wisconsin! Giving the gift of life - join our tight-knit team of healthcare professionals who are passionate about organ transplantation. We are seeking a Surgical Recovery Coordinator (Organ Transplant Coordinator): * The UW Organ and Tissue Donation service is recognized as one of the most successful organ procurement programs in the nation. * Coordinate the surgical recovery portion of the donation process. * Set-up area where organs are flushed, measured and packaged for transport. * Deliver sensitive and compassionate care to patients who are at the end of life and support their families who are grieving. Act as a resource and support person to donor hospital staff before, during and after the organ recovery. There a variety of backgrounds that would succeed in this role. Examples: Experience working as a surgical technologist, paramedic, EMT, coroner, or in a funeral home. At UW Health, you will have: * An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Full time benefits for part time work (for positions 60% FTE and higher). * Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. * Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. * Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. Qualifications * Post-secondary education in healthcare field. Relevant certification or experience may be considered in lieu of coursework or degree in addition to the experience listed below Required * Surgical technician or surgical first assistant Preferred Work Experience * 1 year of experience in a surgical and/or pre-hospital environment, including but not limited to functioning as a surgical recovery coordinator, tissue/eye bank specialist, surgical technician, first assistant, first responder experience, circulating nurse. Completion of an accredited surgical technician or medical assistant program, or a closely related program, may be considered in lieu of work experience. Required * 1 year of experience as a surgical / organ recovery coordinator, surgical technician or first assistant Preferred Licenses & Certifications * Registered Nurse, Certified Surgical Technologist or EMT, CTP, CFA Preferred Our Commitment to Diversity and Inclusion UW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in 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. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans. Job Description UW Hospital and Clinics benefits
    $34k-42k yearly est. 15d ago

Learn More About Medical Coder Jobs

How much does a Medical Coder earn in Waunakee, WI?

The average medical coder in Waunakee, WI earns between $33,000 and $62,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average Medical Coder Salary In Waunakee, WI

$46,000

What are the biggest employers of Medical Coders in Waunakee, WI?

The biggest employers of Medical Coders in Waunakee, WI are:
  1. University of Wisconsin-Eau Claire
  2. Baylor Scott & White Health
  3. Highmark
  4. Humana
  5. Group Health Cooperative Of Eau Claire
  6. University of Wisconsin-Superior
  7. Elevate Medical Solutions
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