Top 8 Coding specialist Jobs in Baldwin Wi

NP Physician Advisor
J2 Integrity Solutions, LLC —Hudson, WI
- Per diem
- Remote
- Nursing
- Continuous improvement
- Mentoring
Quick Apply
7d
Health Information Director
Presbyterian Homes & Services —Oak Park Heights, MN
- $22.12 - $27.65 an hour
- Full-time
- English
- Mid-level
- 3 years
- Health savings account
- AD&D insurance
Sr. Revenue Cycle Billing Specialist
Firstsource Transaction Services, LLC —United States
- $20 - $25 an hour
- Full-time
- HIPAA
- Research
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Director of Nursing RN
Bay Harbor Assisted Living —River Falls, WI
Active RN license in Wisconsin required. Ensure compliance with Wisconsin RCAC regulations, state guidelines, and company policies.
$80,000 - $100,000 a year
9d
EMDR Therapist (Independent Contractor)
Elite Recovery —Saint Paul, MN
Maintains up-to-date knowledge of professional and emerging work-related issues within their field. Responsibilities include conducting diagnostic assessments,…
From $60 an hour
Quick Apply

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Coder IV
OhioHealth —Columbus, OH
Review Diagnosis and CC/MCC for maximum SOI/ROM Clinical understand of laboratory and radiology values Knowledge of quality outcomes indicators Work with CDS to…
Documentation and Reimbursement Specialist
Nationwide Children's Hospital —Columbus, OH
Five years of experience in related field (physician billing experience), preferred. As required by listed licensure and/or certification requirement.
9d

Show more jobs in cities nearby

I want to receive the latest job alert for coding specialist in baldwin wi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

coding specialist jobs near baldwin wi

Nurse Practitioner jobs in Hudson, WI

Health Information Specialist jobs in Sacramento, CA

Health Information Specialist jobs in Macon, GA

Health Information Specialist jobs in Portland, ME

Health Coach jobs in Cleveland, OH

Health Information Specialist jobs in Rockford, IL

Entry Level Information Technology jobs in Raleigh, NC

Clinical Documentation Specialist jobs in Richmond, VA

Nurse Practitioner jobs in Boston, MA

Psychiatric Nurse Practitioner jobs in Oregon

Nurse Practitioner jobs in Longview, TX

Nurse Practitioner jobs in Indianapolis, IN

Part Time Nurse Practitioner jobs in Nashville, TN

Nurse Practitioner jobs in Hattiesburg, MS

Nurse Extern jobs in Richmond, VA

Cardiology Nurse Practitioner jobs in Chicago, IL

Revenue Cycle Specialist jobs in Sandy Springs, GA

Revenue Cycle Specialist jobs in Tulsa, OK

Revenue Cycle Specialist jobs in Salt Lake City, UT

Remote Revenue Cycle jobs in Minnesota

NP Physician Advisor

J2 Integrity Solutions, LLC
Hudson, WI

Quick Apply

Job Details

Per diem
7 days ago

Qualifications

Nurse Practitioner (NP)
Advanced practice provider

Full Job Description

Overview

At J2 Integrity Solutions, we believe people are at the heart of every high-performing revenue cycle. We bring trusted expertise, partnership, and integrity to hospitals and health systems nationwide, helping teams improve accuracy, elevate performance, and build sustainable, thriving operations. Our team members are more than subject matter experts, they are collaborators, teachers, and problem-solvers who lead with purpose and show up with excellence every day.

Position Summary

The Nurse Practitioner (NP) Physician Advisor serves as a clinical advisory expert embedded within J2's middle revenue cycle consulting practice. This role bridges clinical documentation and revenue integrity by providing advanced clinical knowledge to support CDI programs, utilization management, medical necessity review, denial management, and provider education. The NP Physician Advisor functions as a trusted partner to health system clients, translating complex clinical scenarios into actionable, compliant documentation and revenue cycle outcomes. This is a people-first, outcomes-driven role for a clinician who is equally comfortable in patient care data and payer policy.

Key Responsibilities

Clinical Documentation Integrity (CDI) Support: Conduct clinical reviews of inpatient and outpatient medical records to identify documentation gaps, clarify diagnoses, and support accurate DRG assignment. Collaborate with CDI specialists and physicians to ensure documentation reflects the full complexity and severity of patient conditions.
Medical Necessity Review and Utilization Management: Perform clinical reviews to assess appropriateness of level of care, admission status, and continued stay criteria in alignment with payer requirements, InterQual/MCG criteria, and CMS guidelines.
Denial Prevention and Clinical Appeals: Partner with Revenue Integrity and Coding teams to review and respond to clinical denials, prepare evidence-based clinical appeal letters, and provide root cause analysis to reduce recurrence.
Provider Education and Engagement: Design and deliver targeted provider education on documentation best practices, CDI query processes, and regulatory requirements, building trusted relationships that promote sustainable documentation improvement.
CDI Query Management and Optimization: Develop, review, and refine clinical documentation queries in alignment with AHIMA and ACDIS query practice standards, monitoring query response rates and outcomes to improve quality, timeliness, and clinical specificity.
Clinical Advisory Consulting: Serve as a subject matter expert on clinical topics including sepsis, respiratory failure, malnutrition, chronic disease complexity, and surgical complications, guiding client teams and project leadership on clinically complex cases.
Payer Policy and Regulatory Compliance: Stay current on CMS coverage policies, LCD/NCD updates, payer-specific clinical criteria, and applicable coding guidelines (ICD-10-CM/PCS, CPT) to advise clients on compliant documentation and billing practices.
Client Engagement and Reporting: Participate in client-facing meetings and workgroups as a clinical voice, communicating findings and recommendations in a clear, executive-appropriate format for CFOs, CMOs, and HIM leadership.
Quality Metrics Monitoring and Improvement: Track and analyze KPIs including query rates, response rates, CC/MCC capture rates, denial rates, and case mix index (CMI) trends to drive continuous improvement and demonstrate measurable value.
Collaborative Teaming and Knowledge Sharing: Function as an integrated member of J2's clinical and consulting teams, contributing to internal knowledge-sharing and peer mentoring while modeling J2's Excellence standards in every engagement.

QualificationsExperience

Certification: Active, unrestricted Nurse Practitioner license required. CDIP (Certified Documentation Integrity Practitioner) or CCDS (Certified Clinical Documentation Specialist) credential preferred.
Education: MSN, DNP, or equivalent advanced practice nursing degree.
Experience: Minimum 3–5 years of clinical practice (acute care, hospitalist, or critical care preferred), with demonstrated experience in CDI, utilization management, or revenue cycle advisory. Background in denial management, clinical appeals, or utilization review nursing preferred.
Technical Proficiency: Familiarity with payer criteria tools (InterQual, MCG/Milliman, Optum ClinicalAdvisor) and major EHR platforms (Epic, Cerner) in a revenue cycle context.
Industry Knowledge: Strong working knowledge of ICD-10-CM/PCS coding, DRG methodology, CMS coverage policies, LCD/NCD guidance, and clinical documentation requirements.
Skills: Advanced clinical judgment; revenue cycle fluency; excellent written and verbal executive communication; integrity and accountability; and collaborative leadership that elevates the people and teams around them.

Why Join J2 Integrity Solutions?

At J2 Integrity Solutions, we are committed to excellence, integrity, and innovation in healthcare coding and compliance. As part of our team, you will have the opportunity to drive meaningful changes, support diverse clients, and be part of a dynamic team of professionals.

Quick Apply

Refine Your Search

coding specialist jobs in baldwin wi

NP Physician Advisor

Health Information Director

Sr. Revenue Cycle Billing Specialist

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for coding specialist in baldwin wi

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected