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:
First shift
REMOTE
Desired coding experience: Podiatry
Pay Range
$26.55 - $39.85
Major Responsibilities:
Reviews medical documentation at a 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 an EMR and/or Computer Assisted Coding software.
Adheres to the organization and departmental guidelines, policies and protocols.
Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.
Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends.
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 then exceeds departmental quality and productivity standards.
Recommend modifications to current policies and procedures as needed to coincide with government regulations.
Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable
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 in Medical Coding or related field (or equivalent knowledge)
Experience Required:
Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows.
Knowledge, Skills & Abilities Required:
Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
Intermediate computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications.
Advanced communication (oral and written) and interpersonal skills.
Advanced organization, prioritization, and reading comprehension skills.
Advanced 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 to continuously 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 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.
$26.6-39.9 hourly Auto-Apply 5d ago
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Coder Lead - Trauma/Plastics
Advocate Health and Hospitals Corporation 4.6
Medical coder job in Milwaukee, WI
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
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 Coding Specialist - 1.0 FTE
Prairie Ridge Health Inc. 4.3
Medical coder job in Columbus, WI
Job Description
Prairie Ridge Health is looking for a team member to join our Medical Records Department in the role of Coding Specialist. This position is a 1.0 FTE (40 hours per week). Candidates must be within an hour drive of the hospital location. Training will take place in person and the position will be remote after the training period but require in-person attendance for meetings, etc.
POSITION SUMMARY
The Medical Coding Specialist is primarily responsible for assigning diagnosis (ICD-10), CPT procedure codes to hospital and clinic medical records as well as professional charging for ER/UC and Clinic encounters utilizing facility and payer guidelines. This position will also resolve Claim Edits and work with billing to resolve all insurance denials related to coding and charging. This role must have a strong understanding of payer policies, Local Coverage Determinations (LCD), and National Coverage Determinations (NCD) for successful claim submissions. This position serves as a coding resource for all hospital departments and communicates regularly with Business Services and Registration departments to ensure claims are submitted and reimbursed promptly and accurately. This position provides education to physicians regarding documentation and coding best practices. It is essential to understand the life cycle of billing a claim and how to improve the revenue cycle.
POSITION SPECIFIC FUNCTIONS
Utilize 3M encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes
and Evaluation and Management (E&M) codes.
Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives.
Maintain an understanding and apply knowledge of Medically Unlikely Edits (MUEs), and applicable regulatory requirements as well as payer guidelines to select appropriate codes and modifiers.
Must have a solid understanding of insurance policies and procedures to ensure accurate billing and coding and able to navigate insurance company portals to access the necessary information.
EDUCATION REQUIREMENTS/LICENSURE/CERTIFICATION/REGISTRATION
High School Diploma or equivalent and medical coding education required.
Active Coding Certification required.
Minimum one year of medical coding experience with an emphasis in diagnosis/procedures coding and E&M charging for facility (hospital) and professional claims required.
Associate's degree in a healthcare related field preferred
EPIC experience preferred
Certifications accepted and required upon hire:
Certified Professional Coder (CPC)
Certified Coding Associate (CCA)
Certified Outpatient Coder (COC)
Certified Inpatient Coder (CIC)
Certified Coding Specialist (CCS)
Certified Coding Specialist Physician-Based (CCS-P)
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)
Shift: Monday-Friday, days. Candidates must be within an hour drive of the hospital location. Training will take place in person for approximately 6 months and then will be remote after the training period, but require in-person attendance for meetings, etc.
$58k-71k yearly est. 6d ago
CODER INPATIENT III
Froedtert Memorial Lutheran Hospital 4.6
Medical coder job in Menomonee Falls, WI
ELIGIBLE FOR $2,000 SIGN ON BONUS Discover. Achieve. Succeed. #BeHere This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift Details: Holidays: Weekends:
Job Summary: This is a remote, high-level position functioning under general supervision and utilizing independent decision making. The Coder III correctly assigns ICD diagnosis and procedure codes, MS-DRGs, and APR-DRGs for inpatient hospital services for Froedtert Health, which includes an academic, Level I Trauma Center. The level III Coder completes coding on highly complex trauma and acutely ill patients, including mortality, extended length of stay, and high dollar cases. This position is differentiated from the Coder II level by the high complexity and longer lengths of stay. The Coder III will also be required to perform chart audits as needed for Coder Inpatient I's and II's. The senior coding staff in this position will apply all official and departmental coding rules, regulations, and guidelines, and meet or exceed productivity and quality standards. The integrity of the codes assigned and entered into the databases play an important role in the hospital's strategic financial initiatives. Coding staff in this position communicate directly with care providers to clarify or gain information required to accurately and completely code all technical services. Coder III's partner with clinical documentation improvement specialists with the goal of obtaining the most complete and accurate medical record documentation. Other duties as assigned.
EXPERIENCE DESCRIPTION:
A minimum of 3 years of recent experience coding inpatient at an academic medical center or 5 years of recent hospital inpatient coding experience is required. A minimum of 5 years of academic medical center experience inpatient coding is preferred.
EDUCATION DESCRIPTION:
Coding Certificate Program Completion or Associate Degree in HIM or equivalent is required. Bachelor's degree in HIM or equivalent is preferred.
SPECIAL SKILLS DESCRIPTION:
This position requires advanced coding skills and comprehensive knowledge of anatomy, physiology and pharmacology. The ability to adapt to and use tools to support coding functions is necessary to be successful in this position. This includes the encoder with computer assisted coding, EHR, and other software applications. Effective communication is vital. The ability to adapt to change is essential to this role.
LICENSURE DESCRIPTION:
Certified RHIA/RHIT or CCS is required.
Compensation, Benefits & Perks at Froedtert Health
Pay is expected to be between: (expressed as hourly) $24.45 - $41.08. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.
Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:
* Paid time off
* Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
* Academic Partnership with the Medical College of Wisconsin
* Referral bonuses
* Retirement plan - 403b
* Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
* Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available
The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at ************. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at ************. We will attempt to fulfill all reasonable accommodation requests.
$46k-57k yearly est. 25d ago
CODING Apprenticeship
I.C.Stars 3.6
Medical coder job in Milwaukee, WI
Thank you for your interest in i.c.stars! YOUR FUTURE IN TECH, STARTS TODAY!
We are now accepting applications for the upcoming cycle. APPLY TODAY!
Who are we?:
i.c.stars |* is an immersive, technology-based leadership training program for promising young adults.
The basics:
Participants in the program start as *Interns. As an i.c.stars |* Intern, you participate in a 14-week paid training program, which includes:
project-based learning to build leadership skills and emotional intelligence
core technical skills training in coding: JavaScript, HTML, CSS, C#, and SQL
Networking opportunities with Executives and Professionals in the IT field
Career preparation and placement assistance
Upon completing the 14-weeks, *Interns graduate to become *Residents. Residency includes:
20 months of professional and social service support
Access to laptops and software
Business and Leadership Development events
College Enrollment Assistance
Our minimum requirements:
Minimum age 18 or older
Demonstrate financial need
GED recipient or High School graduate (Bachelor degree candidates are not eligible, some college accepted)
Have never attended a coding bootcamp in the past
Available to attend training from 8:30 AM-7:00 PM, Monday-Friday for 14 weeks
6 months previous full-time work experience preferred
Agree to a strict 'On Time, No Absence' policy
$35k-44k yearly est. Auto-Apply 60d+ ago
Coding Specialist
Medical College of Wi 4.8
Medical coder job in Milwaukee, WI
The mission of the Medical College of Wisconsin is to be a national leader in the education and development of the next generation of physicians and scientists; to discover and translate new knowledge in the biomedical sciences; to provide cutting-edge, interdisciplinary and compassionate clinical care of the highest quality; to improve the health of the communities we serve. Founded in 1893 as the Wisconsin College of Physicians and Surgeons. Formerly associated with Marquette University.
Job Description
Coding Specialist
Qualifications
Coding Specialist
Additional Information
All your information will be kept confidential according to EEO guidelines.
$50k-59k yearly est. 1d ago
Medical Coding Specialist II
Mercy Health System 4.4
Medical coder job in Janesville, WI
* Medical Coding Specialist, Janesville, Days, 80 hrs / wks * Hybrid, Remote, and flexible work schedule opportunities available. Mercyhealth does not currently support remote workers with residency in the following states: CA, OH, OR, PA, NJ, NY.
Reviews assigned providers' procedure and diagnosis codes, and makes coding changes as necessary. Provides timely feedback to providers regarding documentation guidelines, coding, and audits. Performs other duties as assigned. May be asked to work weekends and reasonable amounts of overtime when necessary.
Responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES
* Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection.
* Performs audits of provider coding and documentation to make recommendations for improvements and enhancements.
* Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise.
* Researches any coding inquiries the provider or medical staff may have, and presents findings to them.
* Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system. Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider.
* Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers.
* Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient), and demonstrates a high skill level in the practical application of that knowledge.
* Works with billing partners in developing efficient coding processes and researching denials.
* Responds to customer concerns through coding reviews requested by other departments.
* Conducts provider coding orientation and education sessions and documents all information presented.
* Maintains an in-depth knowledge of Epic ambulatory and hospital modules.
* Works as a team to achieve productivity goals.
EDUCATION AND EXPERIENCE
High School graduate or equivalent
Two years of experience coding professional services in multiple specialties
CERTIFICATION AND LICENSURE
Certified Professional Coder (CPC) or other equivalent coding certification required
Benefits
Mercyhealth offers a generous total rewards package to eligible employees including, but not limited to:
* Comprehensive Benefits Package: Mercyhealth offers a retirement plan with competitive matching contribution, comprehensive medical, dental, and vision insurance options, life and disability coverage, access to flexible spending plans, and a variety of other discounted voluntary benefit options.
* Competitive Compensation: Mercyhealth offers market competitive rates of pay and participates in various shift differential and special pay incentive programs.
* Paid Time Off: Mercyhealth offers a generous paid time off plan, which increases with milestone anniversaries, to allow employees the opportunity for a great work-life balance.
* Career Advancement: Mercyhealth offers a number of educational assistance programs and career ladders to support employees in their educational journey and advancement within Mercyhealth.
* Employee Wellbeing: Mercyhealth has a focus on wellbeing for employees across the organization and offers a number of tools and resources, such as an employer-sponsored health risk assessment and a Wellbeing mobile application, to assist employees on their wellbeing journey.
* Additional Benefits: Mercyhealth employees have access to our internal and external employee assistance programs, employee-only discount packages, paid parental and caregiver leaves, on-demand pay, special payment programs for patient services, and financial education to help with retirement planning.
$34k-43k yearly est. Auto-Apply 60d+ 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
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
RCDD Certified Professional
Constellation Software Engineering
Medical coder job in Milwaukee, WI
Future Opportunity CSEngineering is looking to add a RCDD Certified Professional to our growing team! This full-time role will support the Department of Veterans Affairs (VA) at one of its major medical facilities, providing full-time, onsite support for the Milwaukee project construction management and direction and shall work in close concert with the Electrical Engineer.
JOB RESPONSIBILITIES
* The RCDD will provide construction management and technical oversight for the infrastructure upgrade project.
* The RCDD shall provide EHRM project construction management and direction and shall work in close concert with the Electrical Engineer assigned to this effort.
* The primary focus shall be the Telecommunication Rooms, the fiber/network infrastructure, and the relationship those have to the overall project.
* The RCDD shall maintain daily progress reports and inspection reports and shall lead the inspection and quality assurance team assigned to projects to ensure timely and effective project oversight.
REQUIRED QUALIFICATIONS
* Minimum six (6) years of experience in both design and construction of telecommunications and data communications infrastructures.
* Experience in healthcare and information technology (IT) projects/facilities is critical.
* Ability to read and interpret construction documents and communicate effectively with project teams.
* Must possess communication, language, and software skills with the ability to utilize a variety of software programs to monitor, update, and produce work products by applying knowledge of computer literacy.
* Current RCDD Certification/ 10 years of telecom construction and/or design experience is acceptable in lieu of RCDD certification.
* Must be a United States Citizen.
Location: Milwaukee, Wisconsin.
COMPANY OVERVIEW
CSEngineering is a Service Disabled Veteran Owned Small Business (SDVOSB) that was founded in 2002 with the mission of being the best engineering and services firm in our industry while achieving the highest level of client satisfaction. CSEngineering has significant past performance with satellite systems, weapons and missile systems, naval architecture and engineering, aviation systems, and IT and Enterprise Architecture. We have come a long way since we were founded and now also provide services with focuses on logistics, item management, administration, equipment specialization, program management, configuration management, financial management, LAN operations, information technology and maintenance, development and operation of missile system laboratories, the operation of data collection systems, database, and information management support, demilitarization processes and DevSecOps. We could not achieve this without the dedication of our employees to their work and the clients we serve. Additionally, CSE is a Hire Vets Gold Medallion award recipient. The HIRE Vets Medallion Award is the only federal-level veterans' employment award that recognizes a company or organization's commitment to veteran hiring, retention, and professional development. CSEngineering truly values its people, wants them to love their jobs, and to build their careers with us. We are forever dissatisfied with status quo and are always looking for a better way to do things, not so much out of competitiveness, but out of a desire to simply be THE BEST and to lead our industry.
CSE offers a competitive salary and comprehensive benefits package, including medical, dental, life, disability, 401k, and paid time off.
CSE is an equal opportunity employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, or veteran status.
$40k-57k yearly est. 5d 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
Medical Records and Coding Specialist, Union Grove Veterans Home
State of Wisconsin
Medical coder job in Union Grove, WI
Under the general supervision of WVHUG's DON, this position ensures that administration of medical records meets federal and state standards. This position is responsible for developing and managing a medical records system and maintaining member health information. Specific duties include coding diagnoses, abstracting information from the medical record, assembling charts, communicating health care information among WVHUG services and outside facilities, maintaining required registries and preparing records for transportation and storage. In addition, this position assists the DON with administrative duties.
Click the link to view a copy of the full job description.
Salary Information
Starting wage is $24.02 per hour.
Health Information Technician is in pay schedule-pay range 06-13. Pay will be set in accordance with the State of Wisconsin Compensation Plan in effect at the time of hire. Starting pay for current State employees may vary based on applicable provisions in the Compensation Plan.
Job Details
This position works Monday through Friday, 8:00 a.m. - 4:30 p.m.
Due to the nature of the position, WDVA will conduct a criminal background check prior to an offer of employment.
Employment in this position is contingent upon passing a pre-employment tuberculosis (TB) skin test.
A 12-month probationary period may be required.
Qualifications
Required qualifications that will be reviewed in the first step of the process are experience:
* Medical coding using International Classification of Diseases (ICD-9 or ICD-10) systems and guidelines
* Utilizing computer software (e.g., Microsoft Office Suite, Adobe, Scan Snap, electronic health record, etc.) to create or manage spreadsheets, enter data, keep records, scan materials, review and pull data, etc.
Preferred qualifications that will be reviewed in the first step of the process are:
* Experience with medical coding in setting or facility with individuals with geriatric or behavioral health conditions
* Certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or from the American Academy of Professional Coders (AAPC)
In addition to the qualifications reviewed in the first step of the process, qualifications that will be reviewed in next steps are experience:
* Utilizing computer software (e.g., Microsoft Office Suite, Adobe, Scan Snap, electronic health record, etc.) to create or manage spreadsheets, enter data, keep records, scan materials, review and pull data, etc.) *
* Following federal and state laws related to health information retention and confidentiality *
* With the Center for Medicare and Medicaid Services and the Joint Commission medical reporting requirements *
* Providing customer service in an office setting (e.g., maintaining records, assembling materials, responding to medical records requests, etc.) With change management and crisis management *
* Collaborating with internal and external stakeholders from a variety of disciplines
Items marked with an asterisk (*) are required.
How To Apply
You must apply online on WiscJobs. Click the link to view instructions for Applying to State Service. You will be required to attach a resume. Attaching a letter of qualifications is strongly recommended. To make it easier to apply, save your documents on WiscJobs before attaching them with your application.
Your resume and letter must describe your education, training, and experience related to the required and preferred qualification/s listed in the "Qualifications" section of the job announcement. Click the link to view tips for writing and what to include in your resume and letter of qualifications.
NOTE: You cannot update or change the documents once the application is submitted. Make certain that your attached documents are how you want them to be before you click Submit.
Current permanent, classified state employees who are eligible for transfer or demotion into a position assigned to pay schedule-pay range 06-13, should complete the online application process.
What happens next? After the established deadline, applicant resumes and letters will be reviewed by one or more job experts, and the most-qualified applicants will be invited to participate in the next step of the selection process. Failure to complete all steps of the online process, including submitting a resume, will result in an incomplete application, which will not be considered.
The State of Wisconsin offers a special program for qualified veterans with a 30%-or-greater, service-connected disability rating, Veterans Non-competitive Appointment (VNCA). Click the link to view more information on the VNCA process and to apply for eligibility verification. Veterans that have applied and been verified through the VNCA job posting, Job ID 3375, should email the contact below and mention your eligibility and interest in the position. Current state employees in permanent positions are not eligible for non-competitive appointment.
Applicants must be legally authorized to work in the United States (i.e., a citizen or national of the U.S., a lawful permanent resident, or an alien authorized to work in the U.S. without WDVA sponsorship) at the time of application.
Questions can be directed to J Lea Roberts at ************************** or ************.
Deadline to Apply
All application materials must be submitted by 11:59 p.m. on the REANNOUNCMENT deadline, January 26, 2026.
$24 hourly 5d ago
PGA Certified STUDIO Performance Specialist
PGA Tour Superstore 4.3
Medical coder job in Milwaukee, WI
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
$35k-46k yearly est. Auto-Apply 23d 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
*****************************
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
Health Information Specialist (Oconomowoc)
The Rogers Company 4.8
Medical coder job in Oconomowoc, WI
The Health Information Specialist (HI Specialist) performs a variety of tasks supporting the quality of the electronic health record (EHR). Quality set by Rogers Medical Staff Bylaws, Joint Commission, Federal and State regulations. The HI Specialist is responsible for scan/index of loose documentation received from Rogers Behavioral Health (RBH) facilities and external sources, manage concurrent and post discharge analysis of documentation, pull charts for peer reviews, compile and email providers their deficient and delinquent documentation lists, perform medical record number merges and Quest combines..
This position requires organization of multiple tasks and attention to detail. High critical thinking skills are necessary with the ability to understand the flow of documentation, following a patient from preadmission to post discharge. Strong interdepartmental teamwork, extensive communication skills and problem solving are vital.
Job Duties & Responsibilities:
Scan/Index:
Organization of transported documentation received from Rogers Facilities.
Organization of incoming records from outside sources including fax and mail.
Verification of loose documents by appropriate patient identification processes.
Review of received documentation ensuring high quality of scanned images.
Scan and Index of received Protected Health Information (PHI).
Identification and forwarding of unapproved forms designated to HIM Leadership.
Adherence to set minimum volumes, strive to meet departmental goals ensuring timely turnaround time for scanned images.
Provide audit checks of scanned images from the Units when using Advance Capture.
Perform and complete duties or other projects as assigned.
Analysis:
Concurrent and post discharge chart analysis based on automated EHR task queue maintaining departmental turnaround time.
Analysis of chart documentation for timeliness and compliance with State and Federal regulations.
Notify HIM Leadership of patterns found by provider/staff for streamlined communication, education, and resolution of incorrect documentation.
Perform quality checks EHR-monitoring for correct patient name, account number, document titles as well as correct folder/documentation. Correction of errors.
Email providers of their deficient and delinquent documentation on a weekly basis.
Pull charts for Peer Review and monitor the Peer Review dashboard on a monthly basis.
Process Samanage tickets on a daily basis.
Process Quest combines on a daily basis.
Perform Medical Record Number (MRN merges when necessary.
Perform and complete other duties or other projects as assigned.
Promote department and organizational goals as well as the mission of Rogers.
Communicate goals to fellow staff members.
Demonstrate measurable goal achievement.
Maintain department policies and procedures.
Ensure strategic anchors and fiscal goals such as clinical effectiveness, patient experience, financial sustainability and compassionate culture are being met.
Demonstrate understanding of Joint Commission and other regulatory agency compliance regulations.
Involve self in the learning and application of standards relevant to the Rogers Improvement System department.
Participate in in-services, seminars and other meetings to increase involvement and awareness of regulations.
Involve self in the education of other disciplines regarding the department's regulations.
Promote department and organizational goals as well as mission of Rogers.
Communicate goals to fellow staff members.
Demonstrate measurable goal achievement.
Logging and reporting of time on tasks for Health Information Statistics reported organization wide.
Maintain department policies and procedures.
Ensure strategic anchors and fiscal goals such as clinical effectiveness, patient experience, financial sustainability and compassionate culture are being met.
Demonstrate understanding of goals of Health Information Management:
Involve self in the learning and application of standards relevant to the Rogers Improvement System department.
Participate in in-services, seminars and other meetings to increase involvement and awareness of regulations.
Involve self in the education of other disciplines regarding the department's regulations.
Participate in Rogers committees, performance team projects, improvement team meetings, and as directed:
Demonstrate punctuality and preparedness.
Demonstrate effective communication skills.
Demonstrate good organizational skills.
Contribute in a positive, solution-focused manner.
Attend department meetings and daily department huddles by actively participating in discussions, recognize and contribute to activities leading to improvement.
Participate in the performance improvement program.
Gain understanding of the performance improvement process.
Apply the performance improvement model to your department's activities.
Participate and/or create performance improvement teams that lead to improvement in other hospital areas.
Educate and involve self in the hospital and department's performance improvement plans.
Conduct self in a professional manner.
Demonstrate organizational skills that promote timely response to all inquiries and to task completion.
Communicate with all individuals in a positive and professional manner.
Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solution.
Communicate concerns and provide solutions.
Attend outside seminars and/or educational classes to promote professional growth.
Demonstrate a positive and professional attitude toward parties outside Rogers (provider relations representatives, managed care contractors, visitors, vendors, etc.).
Comply with the Rogers' policies and procedures, including Human Resources, Infection Control, and Employee Health policies and programs.
Project a professional image by wearing appropriate, professional attire.
Additional Job Description:
Education/Training Requirements:
High school diploma or equivalent.
Certification as a Health Information Technician (preferred).
Two (2) to three (3) years of health information experience (preferred) or experience in a healthcare setting.
Experience navigating health records in a healthcare setting or related records administration, preferably in a psychiatric setting.
Working knowledge of Federal and State Regulations and Joint Commission.
Preferred past work experience using Cernerâ„¢ or other Electronic Medical Record software.
Knowledge in Medical Terminology.
With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:
Health, dental, and vision insurance coverage for you and your family
401(k) retirement plan
Employee share program
Life/disability insurance
Flex spending accounts
Tuition reimbursement
Health and wellness program
Employee assistance program (EAP)
Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health.
To link to the Machine-Readable Files, please visit
Transparency in Coverage (uhc.com)
$26k-33k yearly est. Auto-Apply 3d ago
Health Information Specialist I
Datavant
Medical coder job in Racine, WI
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
Position Highlights:
Full-Time: Monday-Friday 8:00AM-4:30 PM EST
Location: This role will be performed at one location in Racine, WI
Comfortable working in a high-volume production environment.
Documenting information in multiple platforms using two computer monitors.
Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
You will:
Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
Maintain confidentiality and security with all privileged information.
Maintain working knowledge of Company and facility software.
Adhere to the Company's and Customer facilities Code of Conduct and policies.
Inform manager of work, site difficulties, and/or fluctuating volumes.
Assist with additional work duties or responsibilities as evident or required.
Consistent application of medical privacy regulations to guard against unauthorized disclosure.
Responsible for managing patient health records.
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
Ensures medical records are assembled in standard order and are accurate and complete.
Creates digital images of paperwork to be stored in the electronic medical record.
Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
Answering of inbound/outbound calls.
May assist with patient walk-ins.
May assist with administrative duties such as handling faxes, opening mail, and data entry.
Must meet productivity expectations as outlined at specific site.
May schedules pick-ups.
Other duties as assigned.
What you will bring to the table:
High School Diploma or GED.
Ability to commute between locations as needed.
Able to work overtime during peak seasons when required.
Basic computer proficiency.
Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
Professional verbal and written communication skills in the English language.
Detail and quality oriented as it relates to accurate and compliant information for medical records.
Strong data entry skills.
Must be able to work with minimum supervision responding to changing priorities and role needs.
Ability to organize and manage multiple tasks.
Able to respond to requests in a fast-paced environment.
Bonus points if:
Experience in a healthcare environment.
Previous production/metric-based work experience.
In-person customer service experience.
Ability to build relationships with on-site clients and customers.
Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices.
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our .
$28k-37k yearly est. Auto-Apply 1d ago
CODER INPATIENT - BENJAMIN DAVIS
Froedtert 4.6
Medical coder job in Menomonee Falls, WI
Additional Information
All your information will be kept confidential according to EEO guidelines.
$46k-57k yearly est. 1d 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
How much does a medical coder earn in Pewaukee, WI?
The average medical coder in Pewaukee, WI earns between $33,000 and $63,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Pewaukee, WI
$46,000
What are the biggest employers of Medical Coders in Pewaukee, WI?
The biggest employers of Medical Coders in Pewaukee, WI are: