Top 14 Medical claims analyst 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
Claims Analyst II
Network Health, Inc —Menasha, WI
- Full-time
- Mid-level
- Office
- High school diploma or GED
Program Manager Analyst
Ducommun Inc. —Appleton, WI
- Word processing
- Mid-level
- Office
Quick Apply
8d
Materials Team Manager
Plexus —Neenah, WI
- $97,900 - $146,900 a year
- Background check
- Google Workspace
- Pass drug screening
- Health insurance
- Dental insurance
7d
Manager Quality
Green Bay Packaging Coated Products —Green Bay, WI
- 5 years
- Bachelor of Science
- Engineering
- Disability insurance
- Health insurance
Quick Apply
Solutions Configuration Analyst III
Signature Performance, Inc —United States
- $100,000 - $150,000 a year
- Full-time
- Background check
- HIPAA
- Research
- Paid holidays
- Disability insurance
Quick Apply

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medical claims analyst 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 analyst jobs in appleton wi

Medical Coding Specialist - Outpatient (full-time)

Claims Analyst II

Program Manager Analyst

Materials Team Manager

Manager Quality

Solutions Configuration Analyst III

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