Department:
13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical and Complex
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Remote
Desired experience: Trauma/Plastics
Pay Range
$30.70 - $46.05
Major Responsibilities:
Acts as a resource and role model to team members, which includes training/orienting, providing day-to-day work direction, and giving input on performance. Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues.
Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers. Meets or exceeds department quality and production standards.
Performs informal quality reviews on a monthly basis providing coding education to coding team members for accuracy. May assist with provider education/orientation regarding policy requirements of federal and state government agencies.
Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding guidelines, procedures and protocols. Detects, reports and acts as a resource to assist in resolving billing compliance issues. Serves as liaison between business office, medical records, patient care and/or coding department by providing feedback to caregivers and leaders.
Responsible for processing denial management claims and addressing patient concerns. Serves as a resource to caregivers regarding pre-authorizations, referrals, and estimating charges prior to a patient's visit. Coordinates payer audit reviews and acts as a resource for coding-related audits.
Participates in various department projects including but not limited to researching new services, claim scrubbing, quality checks/assessing errors, presenting demonstrations, etc. Acts as the system/application administrator; ensures the integrity of the system and recognizes performance issues. Performs calibration and troubleshooting procedures and escalates unresolved issues as needed.
Suggests modifications to current policies and procedures that are needed to coincide with requirements of insurance payers. Serves as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver.
Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate.
Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
Meets and exceeds departmental quality (95% or more) and productivity standards (100%). Achieves productivity expectations to support discharged not final billed (DNFB). Assist in the production of annual edit review based on CPT, ICD and HCPCS changes as well as assist in development of edits based on publications and society updates.
Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time. Answer and prioritize correspondence at all levels e.g., coding assistants, coders, leads, supervisors, and managers.
Licensure, Registration, and/or Certification Required:
Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
Education Required:
Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist (or equivalent experience)
Experience Required:
Typically requires 7 years of experience in professional coding that includes experiences in revenue cycle processes and health information workflows or related health care leadership experience.
Knowledge, Skills & Abilities Required:
Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. Knowledgeable in researching coding related topics and issues.
Advanced profiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
Excellent computer skills including the use of Microsoft officeproducts, electronic mail, including exposure or experience with electronic coding systems or applications.
Excellent communication (oral and written) and interpersonal skills.
Excellent organization, prioritization, and reading comprehension skills.
Excellent analytical skills, with a high attention to detail.
Ability to work independently and exercise independent judgment and decision making.
Ability to meet deadlines while working in a fast-paced environment.
Ability to take initiative and work collaboratively with others.
Physical Requirements and Working Conditions:
Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able tocontinuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
Operates all equipment necessary to perform the job.
This indicates the general nature and level of work expected of the incumbent. It is not designed
to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
# REMOTE
#LI -REMOTE
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$30.7-46.1 hourly Auto-Apply 60d+ ago
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CODER III
Direct Staffing
Medical coder job in Grand Rapids, MI
3-5 years experience preferred Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic, paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and
secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG),
Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for
Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient
records.
Utilizes encoder software applications, which includes all applicable online tools and references in the
assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
diagnosis and procedure codes, Current Procedural Terminology (CPT)-4 / Healthcare Common
Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI & ROM assignments and
assignment of APC's and all required modifiers.
Utilizes coding guidelines established by the Centers for Medicare/Medicaid Services (CMS), American
Hospital Association (AHA) Coding Clinic for ICD-9-CM, American Medical Association (AMA) for CPT-4
codes and CPT Assistant, American Health Information Management Association (AHIMA) Standards of
Ethical Coding, Unified Revenue Organization/Ministry Organization (URO/MO) coding policies and
Trinity Health Coding Manual (TBA).
SKILLS AND CERTIFICATIONS
Bachelor's Degree in HIM preferred
Registered HIT and/or Certified Coding Specialist (CCS) preferred
Registered HIA preferred
1 year experience coding INPATIENT records
IDEAL CANDIDATE
The ideal candidate has at least 1 year experience coding inpatient records in an acute setting. Although the job description requires only an Associates, we are really looking for someone who a) has a Bachelor's degree in HIM, b) is a Registered Health Information Technician (RHIT), c) is a Certified Coding Specialist (CCS), or d) is a Registered Health Information Administrator (RHIA).
IDEAL CANDIDATE SHOULD HAVE WORKED FOR THE FOLLOWING COMPANY(IES): Other healthcare organizations comparable in size with acute inpatient coding experience.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Direct Staffing Inc
$37k-53k yearly est. 1d ago
Sr. Coding Specialist
Alliancestaff, LLC
Medical coder job in Sturtevant, WI
Emerging private practice is looking for a strong Coding Specialist!
Responsibilities include:
Medical Coding
Charge entry
Review and post charges to patient accounts and actively get bills out
Ophthalmology and surgical specialty is strongly preferred
CPC and/or other license/designation preferred but not required
$39k-55k yearly est. 11d ago
Medical Coder - PSH
Pioneer Health Care Management Inc.
Medical coder job in Pontiac, MI
Job Description
Title: MedicalCoder - Long Term Acute Care Hospital
Reports to: Director of Operations
The MedicalCoder - Long Term Acute Care Hospital is responsible for accurate and compliant coding of diagnoses, procedures, and services for inpatient, outpatient, and skilled nursing encounters. This role supports appropriate reimbursement under Medicare, Medicaid, and commercial payers while ensuring compliance with CMS, DRG, and hospital coding regulations.
Core Responsibilities:
Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes for inpatient encounters
Ensure accurate DRG/APR-DRG assignment and appropriate sequencing of diagnoses and procedures
Review operative reports, discharge summaries, progress notes, and ancillary documentation
Collaborate with CDI staff to clarify diagnoses and ensure complete, compliant documentation
General Responsibilities:
Ensure compliance with CMS, Medicare, Medicaid, and payer-specific coding guidelines
Maintain productivity and accuracy standards
Resolve coding-related denials, edits, and payer inquiries
Participate in internal and external audits and corrective action plans
Stay current with annual code updates and regulatory changes
Maintain HIPAA compliance and patient confidentiality
Minimum Qualifications:
High school diploma or equivalent required; associate or bachelor's degree in Health Information Management or related field preferred
Minimum of 2-5 years of medical coding experience in hospital and/or skilled nursing settings
Demonstrated knowledge of Long Term Acute Care Hospital.
Required / Preferred Certifications
Required: CPC, CCS, or CCS-P
Preferred: RHIT or RHIA
Hospital inpatient specialty certification a plus
Skills & Competencies
Strong understanding of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS
Knowledge of DRG/APC-Assignment, and clinical terminology
Proficiency with EHR systems and encoder software
High attention to detail and strong analytical skill
Create and send compliant queries to physicians to clarify documentation for coding
Ability to work independently and collaborate with multidisciplinary teams
$38k-56k yearly est. 1d ago
Certified Medical Coder
Lakeshore Bone & Joint Institute
Medical coder job in Portage, MI
As the region's dedicated experts in exceptional musculoskeletal care, our doctors and staff at Lakeshore Bone & Joint Institute have served the orthopedic needs of northwest Indiana since 1968. With state-of-the-art facilities, we are dedicated to delivering the exceptional, compassionate care patients need to keep moving and keep enjoying their life. Under the supervision of the Billing Manager, the Certified MedicalCoder will play a key role in reviewing and analyzing medical billing and coding for daily processing. They will review and accurately code office and hospital procedures for reimbursement. The employee will be responsible for performing annual coding audits of office visits, procedures, and surgeries
Essential Functions:
Review patient documents for accuracy to include but not limited to office visits, surgical, and non-surgical procedures.
Ensure proper coding on provider documentation.
Verify that all codes are current and active.
Report missing and/or incomplete documentation to provider and/or clinical staff.
Meet daily coding production expectations.
Perform accurate charge entries.
Understand coding and reimbursement regulations and recognize the order in which services are billed to ensure maximum reimbursement by reading various coding and insurance newsletters and websites.
Accurately post services based on global services data by applying NCCI edits, AAOC, NASS and ASSH Global Guidelines for all applicable insurance carriers.
Serve as a resource regarding insurance resolutions and coding questions.
Communicate changes and updates in coding requirements from insurance carriers to supervisor.
Post daily receipts and correct posting errors in practice management system.
Assist with external and/or internal audits as requested.
Review and make corrections based on the Missing Encounter Report.
Audit charges provided by hospitals/surgical centers to capture all charges for posting.
Other duties as assigned.
Education: Associates and/or Bachelor's degree preferred.
Experience: Minimum of 1-year of coding experience; orthopedic experience preferred.
Abilities:
Ability to analyze situations and solve problems
Employ Critical thinking and problem solving
Maintains composure and operates with emotional intelligence
Ethical reasoning and decision-making
Strong attention to detail
Receptive and responsive to feedback
Excellent verbal and written communication skills
Time management, prioritization, and sense of urgency
Physical Requirements
While performing the duties of this job, the employee may be required to sit and/or stand for prolonged periods, work longer than eight (8) hour shifts, and to work both day/evening shifts. Work may hand dexterity as well as the need to reach, climb, balance, stoop, kneel, crouch, talk, and hear. The employee must occasionally lift and/or move up to 50 lbs. While performing the responsibilities of the job, the employee is required to talk and hear. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to focus. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions of the job.
Environmental/Working Conditions
Work is performed in an office environment. Involves frequent personal and telephone contact with patients and with testing sites and surgery departments. Work may be stressful at times. Interaction with others is constant and interruptive. Contact involves dealing with injured sick people.
Compliance
All employees have a responsibility to comply with our organization's policies and procedures, adhere to our Code of Conduct, complete required compliance training modules, and report any observations of non-compliance.
EEO Statement
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
$37k-53k yearly est. 60d+ ago
Facility Inpatient Coder
Kode Health Inc.
Medical coder job in Holland, MI
Job DescriptionDescription:
CPC-As are not being considered at this time.
We're coding rebels with a cause. KODE is a health-tech company developed by medicalcoders for medicalcoders looking to change the way things are done in the industry. Our company may be young but we're growing rapidly. That also means we're not buried in outdated policies and bureaucracies.Coders play a critical role in healthcare, but have you ever felt like you're just a cog in the machine? At KODE there are no cogs, there are people. We aren't looking for a coder to fill an open position simply. We're looking for a new teammate passionate about professional coding who wants to join our collective mission to be awesome.We're serious about two things: coding and treating you like the professional you are. If this intrigues you, please keep reading.
About this Role
We're looking for a Facility Inpatient Coder to join our company!
Responsibilities:
Review medical records to assign appropriate ICD-10, CPT, HCPCS codes accurately
Review physician documentation and perform audits to determine accuracy as needed
Meet and exceed acceptable productivity & quality standards
Review tasks and correct codes as needed
Work collaboratively with coding team to improve coding outcomes
Perform miscellaneous job-related duties as assigned
Required Qualifications:
Associate degree in Health Information Management or equivalent
3+ years of professional specialty coding experience required
RHIA, RHIT, CCS by AHIMA or AAPC coding credentials
Additional Skills & Abilities:
Has working knowledge of coding guidelines
Ability to use independent judgment to manage and impart confidential information
Advanced knowledge of medical coding, electronic medical record systems, and coding systems
Ability to analyze and solve problems
Strong communication and interpersonal skills
Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation
Knowledge of current and developing issues and trends in medical coding diagnosis and procedure code assignment
Requirements:
$37k-53k yearly est. 18d ago
Quality Assurance Coder
Optimal Care 3.9
Medical coder job in Michigan
Optimal Care is where your dedication meets a rewarding career.
As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care.
We live a simple Mission:
Serve Together, Provide Value, and Deliver Exceptional Quality Care.
What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work.
Exceptional Benefits:
Minimum of 3 Weeks Paid Time Off (PTO)
Company Vehicle Program
Flexible Work Schedule
Mentorship Culture
Medical, Dental, and Vision Insurance
401(k) with Employer Match
Mileage Reimbursement
Cutting Edge Technology
Key Responsibilities
As a Quality Assurance Coder, you'll ensure accurate coding for home care and hospice cases, supporting regulatory compliance, appropriate reimbursement, and most importantly - high-quality patient care. This position is ideal for a detail-oriented coding professional who wants to apply their technical skills in a meaningful healthcare setting. You'll work closely with our quality assurance team to maintain coding accuracy across all cases while staying current with evolving regulations and guidelines.
What You'll Do
Apply Expert Coding Knowledge
Apply ICD-10 diagnosis codes to patient conditions and disease processes using current coding guidelines
Identify and code the primary focus of care and terminal diagnoses along with all relevant comorbidities
Ensure accurate coding to support PDGM reimbursement and regulatory compliance
Maintain expertise in ICD-10-CM coding standards and stay current with updates
Review and Audit Documentation
Review Face-to-Face documents for home health and hospice regulatory compliance
Use Face-to-Face documentation to identify focus of care for home health patients
Verify continuing criteria for eligibility for hospice patients
Audit medical records using critical thinking skills to ensure accuracy and completeness
Support Compliance and Quality
Communicate significant findings, problems, and changes related to compliance standards to leadership
Monitor federal, state, and local regulations including CMS Conditions of Participation
Stay informed about Medicare, Medicaid, and third-party payor requirements
Identify and report potential payment coverage issues proactively
Manage Workflow and Process Improvement
Track cases to ensure timely billing and regulatory compliance
Identify problematic coding sequences and provide solutions to prevent care disruptions
Prepare reports as directed by the Director of Quality Assurance
Participate in special audits as requested or assigned
Ensure Regulatory Compliance
Maintain knowledge of changes in Conditions of Participation affecting quality improvement
Ensure adherence to all federal, state, local, and OSHA regulations
Support compliance initiatives across the organization
Contribute to continuous quality improvement activities
Required Qualifications
High school diploma
ICD-10 coding certification
Minimum 3 years of quality assurance experience
Current knowledge of ICD-10-CM coding guidelines
Reliable transportation with valid automobile insurance
Essential Skills and Knowledge
Expert knowledge of ICD-10 coding standards and regulations
Strong understanding of home health care and hospice reimbursement (PDGM)
Demonstrated decision-making and analytical skills
Critical thinking abilities with attention to detail
Effective verbal and written communication skills
Strong interpersonal skills for collaboration with clinical and administrative teams
Microsoft Office proficiency preferred
Ability to interpret and apply complex regulatory requirements
What Makes You Successful
You're a coding specialist who takes pride in accuracy and understands that proper coding is essential to both reimbursement and quality patient care. You have a sharp eye for detail and the critical thinking skills to identify issues before they become problems. You're proactive about staying current with regulatory changes and coding updates, viewing ongoing education as an essential part of your professional practice. You can work independently while also collaborating effectively with quality assurance specialists and clinical staff. You're organized and process-oriented, able to manage your workflow efficiently while maintaining the highest standards of accuracy. You understand the bigger picture - that your work supports compliance, financial integrity, and ultimately, excellent patient care.
Work Environment
This is primarily an office-based position with occasional travel to branch locations for audits or educational events. The role involves extended periods of computer work in a comfortable, professional setting as part of a collaborative quality assurance team.
Location
Office Location: Jackson, MI
This is a remote position for those located in Michigan, Indiana, Ohio, Texas, or Mississippi only
Hours
8:00 am - 5:00 pm, Monday through Friday
Background Screening Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Equal Opportunity Employer Optimal Care is an equal-opportunity employer.
$29k-36k yearly est. Auto-Apply 1d ago
PT Instructor Pool - Medical Coding Specialist Program
Madison College 4.3
Medical coder job in Madison, WI
Current Madison College employees must apply to the internal career site by logging into Workday
Application Deadline:
Salary Information:
Salary depends upon workload.
Department:
School of Health Science_OTA, MA, MC, OptTech, TM&Rad_PT Faculty
Job Description:
Madison College is recruiting a pool of highly motivated and qualified candidates to teach part time courses for the Medical Coding Specialist program. Applications will be accepted on a continuous basis for the 2025-2026 academic school year. If you possess the aspiration to help others succeed, this is an opportunity for you to positively impact the community and lives of our students. Madison College is a first-choice institution that offers exceptional educational opportunities to our students providing high-demand skills for professional and academic growth.
Madison College's dedication to promoting equity, inclusion and diversity is reflected in our Mission, Vision, and Values. We believe every member on our team enriches our diversity by exposing us to a broad range of ways to understand and engage with the world, identify challenges, and to discover, design, and deliver solutions. We value the ability to serve students from a broad range of cultural heritages, socioeconomic backgrounds, genders, abilities, and orientations. Therefore, we seek applicants who demonstrate they understand the benefits of diversity in a higher education community. Hiring a diverse workforce that mirrors our student population is more than just a commitment at Madison College - it is the foundation of what we are striving to do. Come be part of our great team!
Organizational Function and Responsibilities:
This position is responsible for instruction in the Medical Coding Specialist program at the college level. This includes developing a relevant and progressive curriculum, designing and implementing effective learning strategies and environments, delivering instruction of high quality, assessing student learning, advising students, and participating in college service activities at the department, division and college levels.
This position reports to the Associate Dean - School of Health Sciences.
Essential Duties:
The following duties are typically expected of this position. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned.
1. Responsible for instruction in the Medical Coding Specialist program including but not limited to the following courses or curriculum area: Foundations of Health Information Management, Health Care Reimbursement and Management of Coding Services.
2. Develop and plan appropriate instructional strategies and alternative delivery strategies when appropriate including but not limited to hybrid, face-to-face and on-line course delivery.
3. Participate in in-service meetings, convocation training, staff development training or other activities or programs requested by the Department.
4. Assist and advise students who have problems with assignments, tests, grades, course content, career concerns, and other academic matters.
5. Comply with college policies and directions regarding student testing, record keeping, advanced standing, providing grades on a timely basis, evaluating student performance and maintaining office hours for student assistance and counseling, etc.
6. Maintain competencies as an instructor as aligned with the Faculty Quality Assurance System.
7. Assist students in developing work experience assignments such as internships, work study assignments, team projects, etc.
8. Maintain Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification.
9. Demonstrate a commitment to the college's mission, vision and values.
Knowledge, Skills, and Abilities:
1. Knowledge of current educational methods and strategies, including learner-centered instruction, assessment, evaluation and collaborative techniques and strategies that address closing the gap in student access and achievement across race, gender and disability.
2. Skill in the use of educational technology and alternative delivery methods.
3. Knowledge and ability to infuse multicultural perspectives into course content and delivery.
4. Skill in communications and human relations with populations having diverse socio-economic and racial backgrounds, as well as individuals with disabilities.
5. Ability to interact with business and industry to establish partnerships.
Qualifications:
1. Technical diploma in Medical Coding and one of the following coding certifications:
American Academy of Professional Coders (AAPC)
o Certified Professional Coder (CPC)
o Certified Outpatient Coder (COC)
o Certified Inpatient Coder (CIC)
American Health Information Mmgt Assoc (AHIMA)
o Certified Coding Specialist (CCS)
o Certified Coding Specialist Physician-Based (CCS-P)
o Certified Coding Associate (CCA)
2. Expectation to obtain an Associate's degree in health information technology within three (3) years of hire.
3. Expectation to obtain certification as a Registered Health Information Technician (RHIT) within three (3) years of hire.
4. Two (2) years or 4,000 hours of related work experience.
SPECIAL INSTRUCTIONS TO APPLICANTS:
Madison College utilizes pool postings for all Part-time Instructor positions. This posting is a pool position to collect applications for potential part-time instruction positions. Part-time Instructors are hired on a per course basis each semester, and teaching one semester does not guarantee assignment for the following semester. The teaching hours for a part-time instructor vary and can include day, evening, and weekend classes.
If interested, please complete the required online application and attach a resume, cover letter, and transcripts (unofficial copy). Please note that all transcripts will be checked for verification of accreditation before hire. This pool will close on approximately January 31, 2026. If you are not contacted by this time and you are still interested in employment with Madison College, you will be asked to reapply to a new pool. All communications will be through the email provided on your application materials.
We regard diversity in the workforce as a competitive advantage and strongly support its presence in our educational environment.
If you are experiencing application issues, please contact us at the Talent Acquisition email ************************* or HR hotline **************.
To ensure that emails from us regarding your application do not go to your spam folder, please add the @madisoncollege.edu domain as a safe sender in your email.
Madison Area Technical College does not discriminate on the basis of race, color, national origin, sex, disability or age in employment, admissions or its programs or activities. Madison College offers degrees, diplomas, apprenticeships and certificates in Architecture & Engineering; Arts, Design & Humanities; Business; Construction, Manufacturing & Maintenance; Culinary, Hospitality & Fitness; Education & Social Services; Health Sciences; Information Technology; Law, Protective & Human Services; Science, Math & Natural Resources; and Transportation. Admissions criteria vary by program and are available by calling our Enrollment Office at ************** or ************** Ext. 6210. The following person has been designated to coordinate Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973 and to handle inquiries regarding the college's nondiscrimination policies: Lisa Muchka, Compliance Coordinator, 1701 Wright Street, Madison, WI 53704 **************
$68k-83k yearly est. Auto-Apply 60d+ ago
Outpatient Professional Coder
Apidel Technologies 4.1
Medical coder job in Farmington Hills, MI
Job Description
Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patient\'s medical record for reimbursement/billing purposes. Requirements: High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding. CCS, CCS-P, CPC, or COC certification required. Minimum of two (2) years\'\' experience coding outpatient medical records using ICD-10-CM, ICD-10-PCS, CPT-4 and E&M classification systems required. Proficient with ICD-10-PCS coding.
Licensure:
Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA required.
Skills:
Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA - Required
Education:
High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding - Required
$44k-60k yearly est. 3d ago
Medical Record Review Specialist - Tissue Donation- Full-Time
Versiti 4.3
Medical coder job in Milwaukee, WI
Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute, we enable life saving gifts from our donors, and provide the science behind the medicine through our diagnostic laboratories. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. At Versiti, we are passionate about improving the lives of patients and helping our healthcare partners thrive.
Position Summary
Under the supervision of department leadership, performs a second level review of records and data to ensure all processes are performed in accordance with standard operating procedures and all regulatory and accrediting standards. Assists in developing and maintaining documentation required for compliance, operations, training, quality, process improvement and/or environmental health and safety program. Partners with departmental management in collecting and analyzing data to support continuous improvement resulting in value-added customer/donor service and increased product yields and financial results while maintaining compliance and quality.
Total Rewards Package
Benefits
Versiti provides a comprehensive benefits package based on your job classification. Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO) and Holidays, Short- and Long-term disability, life insurance, 7% match dollar for dollar 401(k), voluntary programs, discount programs, others.
Responsibilities
Uses data and information collected through medical record review to assess organ donor potential, to identify missed opportunities for donation, and to evaluate the effectiveness of referral processes, thereby supporting continuous improvement efforts and organizational growth.
Maintains confidentiality while reviewing OPO/TB records to ensure compliance with organizational procedures and regulatory and accrediting standards.
Interprets and prepares performance and compliance reports for donor hospitals, medical examiners, and tissue processors.
Identifies and develops relationships with hospital partners' key health information management staff
Ensures accurate and timely data collection, data entry, and data analysis related to medical record review, donor potential, and regulatory reporting requirements
Prepares metric reports according to organizational standards for structure, style, format, order, clarity, etc., while using professional judgement within set parameters with regards to overall design and data presentation.
Submits required regulatory reports to appropriate agency by required timeframe.
Performs audits of operational functions.
Practices a high degree of autonomy in a self-directed manner, demonstrating continuous improvement, innovation, and creativity in problem solving, sound critical analysis and judgment
Generates the appropriate deviation reporting forms and communicates with departmental management.
Supports external inspections and facilitate timely audit responses.
Organizes and correlates in an established manner all paperwork associated in the review process for record retention purposes.
Assists in the implementation of federal requirements, Versiti directives, and standard operating procedures.
Works collaboratively with customers as needed to ensure timely submission of required donor information.
Performs other duties as assigned
Complies with all policies and standards
Qualifications
Education
Bachelor's Degree required
Degree in a Biological Science preferred
Equivalent combination of education and related experience (3-5 years) may be substituted for the degree with HR approval required
Experience
1-3 years experience in a regulated environment where change management and continual process improvement were required and successfully implemented required
Experience in data analysis, record review, or quality control preferred
Knowledge, Skills and Abilities
Excellent written and verbal communication skills.
Knowledge of medical terminology.
Demonstrated knowledge of current Good Manufacturing Processes.
Strong analytical skills and attention to detail.
Knowledge of and ability to apply quality management/process improvement tools including LEAN, root cause analysis, and use of statistics.
Ability to analyze information and make recommendations for improvements and corrective actions.
Ability to exercise initiative and independent judgement in addressing procedural, technical, and equipment problems.
Tools and Technology
Personal Computer (desk top, lap top, tablet). required
Multiple computer systems required
General office equipment (computer, printer, fax, copy machine). required
Microsoft Suite (Word, Excel, PowerPoint, Outlook). required
Not ready to apply? Connect with us for general consideration.
$31k-39k yearly est. Auto-Apply 32d ago
Coder Senior Medical Records
Corewell Health
Medical coder job in Sterling Heights, MI
Under general supervision and according to established procedures, provides technical support to the Inpatient Coding Staff and coordinates daily workflow based on the needs of the department. On a daily basis, provides the Coding Manager with departmental statistics such as the monitoring/tracking of Inpatient coder productivity and uncoded figures. Works with the Coding Manager and Coding Educator to identify and resolve coding issues. Serves as the primary contact for outside departments for Inpatient coding related questions. Reports to the Director of Medical Records and the Coding Manager a list of aged accounts. Follow-up with the Medical Records Staff and/or Physician as necessary to obtain required documentation to code all accounts in a timely manner. Provides coding support as directed by the Coding Manager.
Essential Functions
Provides technical coding support to the Inpatient Coding Staff and coordinates daily workflow based on the needs of the department and as directed by the Manager of Coding.
On a daily basis, submits to the Manager of Coding departmental statistics such as coder productivity and uncoded figures
Works with the Coding Manager and Coding Educator to identify and resolve coding issues
Reports all aged accounts to the Director of Medical Records and Manager of Coding. Works with the Medical Records Staff and/or Physician to obtain all necessary documentation to code all accounts in a timely manner.
Provides coding/abstracting support as directed by the Manager of Coding
Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures. Assigns proper ICD 9 CM and HCPCS diagnostic and operative procedure codes to charts and related records by reference to designated coding manuals and other reference material
Applies Uniform Hospital Discharge Data Set definitions to select the principal diagnosis, principal procedure and other diagnoses and procedures which require coding, as well as other data items required to maintain the Hospital data base.
Applies sequencing guidelines to coded data according to official coding rules.
Assesses the adequacy of medical record documentation to ensure that it supports the principal diagnosis, principal procedure, complications and comorbid conditions assigned codes. Consults with the appropriate physician to clarify medical record information.
Answers physicians/clinician questions regarding coding principles, DRG assignment and Prospective Payment System. Assists Finance, Data Processing and other departments with coding/DRG issues.
Remains abreast of developments in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature and so forth.
Attends all required Safety Training programs and can describe his/her responsibilities related to general safety, department/service safety, specific job-related hazards.
Follows the Hospital Exposure Control Plans/Bloodborne and Airborne Pathogens.
Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.
Promotes effective working relations and works effectively as part of a department/unit team inter and intra departmentally to facilitate the department's/unit's ability to meet its goals and objectives
Acts as a liaison with lead technician(s) and provides employee performance feedback as necessary. Performs quality monitoring and works on quality improvement initiatives and projects.
Qualifications
Required
Associate's degree or equivalent Medical Information Technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD 9 CM coding and prospective payment).
2 years of coding experience in an acute care setting
Preferred (any of the following certificates)
CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association
CRT-Registered Health Information Technician (RHIT) - AHIMA American Health Information Management Association
CRT-Coding Specialist, Certified-Physician Based (CCS-P) - AHIMA American Health Information Management Association
CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association
About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Family Medicine Center - 44250 Dequindre Road - Sterling Hts
Department Name
Family Medicine Sterling Heights HOPD - Troy Prof Svcs
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
Days Worked
Weekend Frequency
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling ************.
$44k-67k yearly est. Auto-Apply 14d ago
Coder I
Cottonwood Springs
Medical coder job in Ishpeming, MI
Your experience matters
At UP Health System- Bell, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.
What we offer
Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
Competitive Paid Time Off
Employee Assistance Program - mental, physical, and financial wellness assistance
Tuition Reimbursement/Assistance for qualified applicants
And much more...
Job Summary
Coder
Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.
Education: High school diploma or equivalent Required, Graduate of a Program in Discipline Required
Essential Function
Assigns accurate ICD diagnosis codes, using compliant documentation.
Assigns accurate CPT/HCPCS codes to records, using compliant documentation.
Applies knowledge of Coding Guidelines to select the appropriate diagnosis code.
Uses available research and reference tools to understand the disease process and diagnosis.
Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation.
Enhances coding knowledge and skills with continuing education activities as described in HIM.COD.003 policy and by reviewing pertinent literature.
EEOC Statement: UP Health System- Bell is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
$35k-48k yearly est. Auto-Apply 2d ago
Medical Device QMS Auditor
Environmental & Occupational
Medical coder job in Milwaukee, WI
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
* Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
* Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
* Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
* Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
* Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
* Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
* Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
* Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
* Associate's degree or higher in Engineering, Science or related degree required
* Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
* The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
* Knowledge of business processes and application of quality management standards.
* Good verbal and written communication skills and an eye for detail.
* Be self-motivated, flexible, and have excellent time management/planning skills.
* Can work under pressure.
* Willing to travel on business intensively.
* An enthusiastic and committed team player.
* Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
$40k-61k yearly est. Auto-Apply 47d ago
Medical Device QMS Auditor
Bsigroup
Medical coder job in Milwaukee, WI
We exist to create positive change for people and the planet. Join us and make a difference too!
Job Title: QMS Auditor
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
$40k-61k yearly est. Auto-Apply 48d ago
Health Information Coder (ICD-10CM)
Lindengrove Communities 3.9
Medical coder job in Fitchburg, WI
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 onsite 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
* Employee Referral Bonus Program.
* Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution)
* Paid Time Off and Holidays acquired from day one of hire.
* Health (low to no cost), Dental, & Vision Insurance
* Flexible Spending Account (Medical and Dependent Care)
* 401(k) with Company Match
* Financial and Retirement Planning at No Charge
* Basic Life Insurance & AD&D - Company Paid
* Short Term Disability - Company Paid
* Voluntary Ancillary Coverage
* Employee Assistance Program
* Benefits vary by full-time, part-time, and PRN status.
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
Salary Description
$22 - $25 per hour depending on experience
$22-25 hourly 51d ago
Health Information Coder (ICD-10CM)
Illuminus
Medical coder job in Fitchburg, WI
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 onsite 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 (low to no cost options), 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
Salary Description $22 - $25 per hour depending on experience
$22-25 hourly 52d ago
Certified Peer Specialist
Focused Staffing
Medical coder job in Detroit, MI
Job DescriptionAbout Us
Join Focused Staffing Group and be a catalyst for positive change! At Focused Staffing, we don't just fill positions-we transform lives, one rockstar talent at a time. Whether you're eager to make a meaningful difference in behavioral health or dedicated to empowering students in K-12 education, our mission is to connect skilled, passionate professionals with the communities that need them most. As a leader in specialized staffing, we provide exceptional opportunities and support for every member of our team, creating lasting impact for those we serve and those who serve with us. Discover how your unique strengths can help build brighter futures across schools and behavioral health organizations nationwide.
Want to love what you do? Let's make it happen! Check out our candidates' success stories!
The Role
We are seeking a compassionate Peer Support Specialist to provide guidance and support to individuals facing mental health and substance use challenges. Using lived experience and professional training, you will empower clients to develop coping strategies, build resilience, and achieve personal recovery goals.
This position is ideal for someone who is empathetic, patient, and committed to fostering a safe and supportive environment for clients at various stages of their recovery journey.
What You'll Do
Participate in the orientation process of new clients and complete intakes, assessments, and necessary documentation.
Provide one-on-one support to clients, helping them build recovery networks through support groups, 12-step meetings, and community events.
Assist clients in accessing essential resources such as housing, food, health insurance, and clothing.
Complete recovery plans, authorizations, and re-authorizations in a timely manner.
Facilitate educational groups, therapy sessions, and recovery-related activities with effective communication and theoretical knowledge.
Conduct or facilitate random urine analyses as requested.
Maintain regular contact with clients via meetings and phone calls.
Provide coverage as needed, including evenings, weekends, and holidays.
Support and adhere to organizational policies, participate in professional development, and contribute to a positive program culture.
Qualifications
High school diploma or equivalent required.
One year of experience in substance abuse treatment and/or mental health support.
Certified Peer Recovery Mentor - Michigan (CPRM-M) or Peer Support Specialist certification (or completion plan upon hire).
No felony convictions within the past five years.
Strong organizational skills and knowledge of community resources.
Experience in group facilitation preferred.
Familiarity with the 12-step model, Social Model, and substance abuse provider networks preferred.
Proficiency with Microsoft Office; ability to use databases and documentation systems preferred.
$40k-59k yearly est. 23d ago
Certified Peer Specialist
Genesis/Matt Talbot/Horizon
Medical coder job in Milwaukee, WI
Horizon Healthcare, Inc. is seeking Part and Full-Time Wisconsin-Certified Peer Specialists
The Peer Specialist program provides support and assistance to persons suffering from chronic mental illness, models for recovery from mental illness due to their experience, strength, and hope in mental health recovery. Peer Specialists are responsible for helping service recipients understand recovery and achieve their own recovery wants, needs, and goals, guided by the principle of self-determination.
Peer Specialists engage and encourage mental health service recipients in recovery, and provide them with a sense of belonging, supportive relationships, valued roles, and community in order to promote wellness, independent living, self-direction, and recovery focus, enhacing the skill and ability of service recipients to meet their chosen goals. Peer Specialists work with service recipients as equals except in having more recovery experience and training, looking for and empowering signs of wellness and recovery, and encouraging strength and self-direction. They are examples of recovery, meaning previous first-hand experience with some parts of what the service recipients are experiencing at the time support services are needed.
Duties & Responsiblities
Demonstrate cultural sensitivity and competence
Provide strength-based assessments of individuals' assets, strengths, and abilities
Encourage the development of symptom management for individuals by providing recovery-based education and support
Assist individuals in the development and implementation of a Welness Recovery Action Plan (WRAP) and support community or office-based WRAP planning
Provide observation of individuals' capacity and functioning and report any changes to the Targeted Case Management (TCM) team
Participate in the intake process with assigned case managers
Attend and participate in staff meetings, in-service training, seminars, and conferences as required. Keep current knowledge relevant to recovery and openly share this knowledge with coworkers and service recipients.
Work with individuals' collateral and community contacts to promote continuity of care
Participate in conducting home and community visits with assigned case managers
Assist clients with their process of stabilization and recovery in community-based crisis facilities
Facilitate psychosocial or other self-help, recovery-based groups to engage individuals in recognizing and understanding early triggers or signs of relapse, and assist in the development of coping skills
Be open and share with service recipients and coworkers stories of hope and recovery and like-wise be able to identify and describe the supports that promote recovery and resilience
Respect the rights, dignity, privacy, and confidentiality of service recipients at all times
Inform service recipients when first discussing confidentiality that contemplated or actual harm to one's self or other cannot be kept confidential. Inform service recipients the degree to which information will be shared with other team members based on agency policy and job description.
Inform appropriate staff members immediately about any person's possible harm to self or others or abuse from caregivers
Advocate service recipients to make their own decisions when partnering with professionals
Provide service and support within the hours, days, and locations that are authorized by the agency
Utilize supervision and abide by the standards for supervision established by their employer. The Peer Specialist will seek supervision to assist them in providing recovery-oriented services to recipients
Protect the welfare of all service recipients by ensuring all conduct will not constitute physical or psychological abuse, neglect, or exploitation
Provide trauma-informed care at all times
Other job-related duties as may be necessary to carry out the responsibilities of the position
$40k-58k yearly est. 60d+ ago
Certified Peer Specialist - TCM
La Causa Inc. 3.8
Medical coder job in Milwaukee, WI
La Causa Social Services is dedicated to supporting individuals with complex mental health, developmental, and behavioral needs, and is seeking an empathetic, collaborative, and recovery-focused Certified Peer Specialist - TCM to join our Social Services team.
Why Join La Causa, Inc.?
Meaningful work supporting individuals and families on their recovery journey.
Collaboration with a dedicated network of mental health and community professionals.
Professional development and training opportunities.
Potential for career advancement within the organization.
Competitive benefits and paid leave including a day off for your birthday!
Your Role:
As a Certified Peer Specialist - TCM, you will use your personal lived experience with recovery to provide peer support and advocacy to individuals navigating mental health challenges. You will collaborate with consumers and care teams to empower personal growth, encourage engagement, and support long-term stability in the community.
What You'll Do:
Provide Supportive Services - Deliver person-centered, trauma-informed support through advocacy, transportation as needed, one-on-one meetings, and collaboration with care teams to help consumers work toward or maintain recovery.
Advocate for Consumers - Represent and support consumers in meetings, appointments, and within community systems to ensure their voices are heard and respected.
Empower Recovery - Use your lived experience to help individuals identify strengths, set goals, and connect with appropriate community resources and recovery supports.
Ensure Compliance - Follow all legal, organizational, and contractual policies, including documentation, audits, and program requirements.
Document and Report - Prepare, complete, and submit accurate and timely notes and required paperwork according to program timelines.
Promote Communication and Collaboration - Build and maintain strong relationships with consumers, team members, and external partners.
Fulfill Mandated Reporting Duties - Comply with all mandated reporting responsibilities related to child safety and welfare.
Engage in Professional Development - Attend meetings, training sessions, and professional development opportunities as directed.
Support the Team - Perform additional duties as assigned to contribute to the success of the program.
What We're Looking For:
Bachelor's degree from an accredited school in Social Work or related field (Required).
Master's degree from an accredited school in Social Work or related field (Highly preferred).
Certified as a State of Wisconsin Peer Specialist (Required).
Minimum of one (1) year of experience working in the community.
Bilingual (Spanish and English): Highly preferred.
Skills & Competencies:
Strong cultural competency and interpersonal relationship skills.
Excellent written and verbal communication abilities across diverse audiences.
Critical thinking and problem-solving skills with sound judgment.
Highly organized with the ability to manage multiple priorities.
Proficient in Microsoft Office Suite.
Reliable transportation, valid Wisconsin driver's license, state minimum auto insurance, and ability to meet La Causa, Inc. driving standards.
Must successfully complete and pass all required background checks, including an annual influenza vaccination.
Flexible schedule availability, including evenings and weekends as needed.
Work Environment:
Work performed in both office and field settings (travel required).
Local travel required; occasional state-wide travel as needed.
Flexible work hours including evenings or weekends based on program needs.
Regularly required to drive, stand, sit, reach, stoop, bend, and walk.
Frequent talking, seeing, and hearing; finger dexterity required.
Infrequent lifting, including files and materials.
Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.
About La Causa, Inc.:
La Causa, Inc., founded in 1972, is one of Wisconsin's largest bilingual, multicultural agencies. Our mission is to provide children, youth and families with quality, comprehensive services to nurture healthy family life and enhance community stability. We have several divisions that provide vital services to the community including Crisis Nursery & Respite Center, Early Education & Care Center, La Causa Charter School, Social Services: Adult Services and Youth Services, and Administration. At the heart of our mission is the dedicated staff that welcomes all into Familia La Causa and serves the children and families of Milwaukee.
You can learn more about La Causa at
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Join Our Team-Apply Today!
Be part of something bigger. Join Familia La Causa and help us empower youth and families as a Certified Peer Specialist-TCM
Apply now and take the next step in your career!
Salary Description $35,796.28 to $40,145.56
$35.8k-40.1k yearly 3d ago
Release of Information Specialist
VRC Metal Systems 3.4
Medical coder job in Traverse City, MI
Requirements
Minimum Knowledge, Skills, Experience Required
High School Diploma (GED) required; degree preferred
Prior experience with ROI fulfillment preferred
Demonstrated attention to detail
Demonstrated ability to prioritize, organize, and meet deadlines
Demonstrated documentation and communication skills
Demonstrated ability to maintain productivity and quality performance
Basic knowledge of medical records and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) preferred
Prior experience with EHR/EMR platforms preferred
Prior experience with Windows environment and Microsoft Office products
Displays strong interpersonal skills with team members, clients, and requestors
Must have strong computer skills and Microsoft Office skills
Prior experience with operations of equipment such as printers, computers, fax
machines, scanners, and microfilm reader/printers, etc. preferred
Must be detailed oriented, self-motivated and can stay focused on tasks for extended periods of time.
Must be able to read, write, speak, and comprehend English. Bilingual skills are desirable.
Salary Description $20/hr to $23/hr
How much does a medical coder earn in East Bay, MI?
The average medical coder in East Bay, MI earns between $31,000 and $61,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.