Top 27 Medical claims specialist Jobs in Appleton Wi

Medical Coding Specialist - Outpatient (full-time)
Sauk Prairie Healthcare —Wisconsin
- 8 hour shift
- Urgent Care
- No experience needed
- In-person
- Free parking
- Disability insurance
6d
EHS Specialist
A.O. Smith —Appleton, WI
- Full-time
- Microsoft Excel
- 5 years
- Residential
- Disability insurance
- Health insurance
Quick Apply
Chiropractic Billing Specialist
The Chiropractic Advantage —Appleton, WI
- From $20 an hour
- Full-time
- Mid-level
- High school diploma or GED
- In-person
Quick Apply
1d
Medical Billing Specialist (2-Years of Experience Preferred)
DeLorey Chiropractic Clinic, Inc. —De Pere, WI
- $23 an hour
- Part-time
- Mid-level
- Children
- Computer skills
- Employee discount
- Flexible schedule
Quick Apply
Accounts Receivable Specialist
ThedaCare —Neenah, WI
- Full-time
- 18 years or older
- Mid-level
- High school diploma or GED
EHS Specialist
AO Smith —Appleton, WI
- Microsoft Excel
- 5 years
- Residential
- Disability insurance
- Health insurance
Patient Supply Advocate (Urology Support)
HME Home Medical —Green Bay, WI
- $24 - $26 an hour
- Full-time
- HIPAA
- Office
- Administrative experience
- Health savings account
- Health insurance
Quick Apply
1d
Accounts Receivable Specialist
Fielmann USA —Green Bay, WI
- Full-time
- Mid-level
- Office
- High school diploma or GED
Quick Apply
8d
Accounts Payable Specialist
Winland Foods, Inc. —De Pere, WI
- $24.52 - $36.49 an hour
- Full-time
- Microsoft Excel
- Customer service
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
Sr Category Manager (Cap Ex Equipment)
Amcor —Neenah, WI
- $129,200 - $193,800 a year
- Full-time
- 3 years
- Bachelor's degree
- Senior level
- Paid parental leave
- Health savings account
Quick Apply
Member Solutions Specialist
Capital Credit Union - WI —Green Bay, WI
- Computer literacy
- Basic math
- Research
Quick Apply
10d
Manager Quality
Green Bay Packaging Coated Products —Green Bay, WI
- 5 years
- Bachelor of Science
- Engineering
- Disability insurance
- Health insurance
Quick Apply
Component Field Specialist
DREXEL SYSTEMS LLC —Wrightstown, WI
- Full-time
- Construction site
- Mid-level
- Children
- Profit sharing
- Paid holidays
Quick Apply
Installer Service Specialist
O'Reilly Automotive Stores —Little Chute, WI
- Full-time
- ASE Certification
- Mid-level
- Team management
- Employee stock purchase plan
- Health insurance
Quick Apply

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Medical Claims Clearinghouse Specialist
Orthopedic One —Westerville, OH
Responsible for the accurate entry of physician and ancillary charges into Claims Clearinghouse module. Identifies solutions and responds professionally to…
Employee Relations Specialist
Woda Cooper —Columbus, OH
Bachelor’s degree in Human Resources, Labor Relations, Business, Accounting, or related field required. Unemployment: Responds to separation requests; tracks…
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medical claims specialist jobs near appleton wi

Medical Coding Specialist - Outpatient (full-time)

Sauk Prairie Healthcare -
Wisconsin

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Job Details

Full-time
6 days ago

Benefits

Free parking
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Life insurance
Retirement plan

Qualifications

National Correct Coding Initiative (NCCI) guidelines
Healthcare billing policy development
Medical claim appeals
No experience needed
Job shadowing (employee development activity)
Medical coding for emergency department records
Retrospective medical coding audits
Charge capture (medical billing)
Electronic health record (EHR) management for billing and coding
Team training
Health record chart audits
Medical record abstraction
Technical training
Health information management
Clinical documentation standards
Associate's degree
Entry level
Documentation reviews

Full Job Description

Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here.

100% Remote position with option to work onsite. Wisconsin or Illinois residency required

POSITION SPECIFICS

Title: Medical Coding Specialist – Outpatient

FTE: 1.0 (40 hours per week)

Schedule: Monday to Friday, five (5) 8-hour shifts between hours of 6am and 5pm

Holiday Rotation: None

Weekend Rotation: None

On Call Requirements: None

POSITION SUMMARY

Reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis.

POSITION TECHNICAL RESPONSIBILITIES

Assigns codes for ambulatory outpatient services using International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding protocols, for facility and professional services. May include professional code entry for Emergency Room and Urgent Care providers.
Audits the electronic medical record for accuracy of patient information, insurance information, appropriate diagnosis, and procedure codes to ensure accurate documentation for billing and reimbursement.,
Reviews and resolves National Correct Coding Initiatives (NCCI) and Outpatient Code Editor (OCE) edits.
Communicates with clinical department directors and medical billing staff to clarify coding guidelines and resolve claim edits.
Identifies and communicates missed revenue opportunities to ambulatory departments. Works with business analyst to create new charge codes, as needed.
As assigned, investigates denied claims from insurance carriers and appeals timely to ensure accurate reimbursement.
Abstracts pertinent information from patient records using hospital information system.
Queries physicians as needed to provide clarification on documentation or code assignment.
Identifies coding concerns or trends. As needed, involves Revenue Cycle leadership to assist with resolution.
Provides education on coding changes.
Attends continuing education programs and reviews other educational resources to keep current on any changes pertaining to this position and for coding re-certification.
Assists with developing policies and procedures related to coding.
Assists in training new employees and job shadowing.
Performs other related work assignments as required.

POSITION REQUIREMENTS

Education:

Required: Successful completion of a professional American Health Information Management (AHIMA) or American Academy of Professional Coders (AAPC) recognized coding course and/or an Associate degree in a healthcare related program.
Preferred: Associates degree in a healthcare related program

Experience:

Required: None
Preferred: Prior Ambulatory Coding experience preferred.

Licenses and Registrations:

Required: None
Preferred: None

Certification(s):

Required: Must obtain credentials through the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) in any of the following certifications within six months of date of hire and maintain such credential thereafter:
- Registered Health Information Technician (RHIT) or Administrator (RHIA)
- Certified Coding Associate (CCA)
- Certified Coding Specialist (CCS)
- Certified Professional Coder – Hospital (CPC-H)
- Certified Professional Coder (CPC)
- Certified Inpatient Coder (CIC)
- Certified Outpatient Coder (COC)

BENEFIT SUMMARY

Competitive health and dental insurance options
Flexible paid time off to balance work and life
Retirement plan with immediate vesting and employer match
Discounted membership to our state-of-the-art fitness facility
Generous tuition reimbursement
Employer provided life and disability insurance
Free parking at facility

#IND100

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Refine Your Search

medical claims specialist jobs in appleton wi

Medical Coding Specialist - Outpatient (full-time)

EHS Specialist

Chiropractic Billing Specialist

Medical Billing Specialist (2-Years of Experience Preferred)

Accounts Receivable Specialist

EHS Specialist

Patient Supply Advocate (Urology Support)

Accounts Receivable Specialist

Accounts Payable Specialist

Sr Category Manager (Cap Ex Equipment)

Member Solutions Specialist

Manager Quality

Component Field Specialist

Installer Service Specialist

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