LYFE- Certified Peer Specialist
Medical coder job in Milwaukee, WI
Job Responsibilities:
Provides peer support to youth and young adults who are being served by the LYFE program and experiencing suicidality and/or self-harming needs and/or high acuity mental health needs, resulting in potential placement disruptions, hospitalizations, and/or frequent ER visits. The Peer Specialist is a crucial position on the LYFE team and is responsible for providing support, education and mentoring to youth/young adults enrolled in the program, reinforcing the Dialectical Behavioral Therapy (DBT) model to support participants in utilizing skills learned. The role of the Certified Peer Specialist is that of a coach or mentor who through his or her lived recovery experience, can provide guidance and role modeling to promote wellness, purpose in life, develop relationships, and the insight necessary to move forward in life and recovery.
Essential Functions:
Provide one to one peer support to youth and young adult in the community experiencing acute mental health needs.
Role model recovery in all interactions and utilize lived experience to engage youth/young adults in LYFE.
Use lived experience of recovery to support and engage youth and young adults in care and services.
From a recovery perspective provide a strength-based review of the youth/young adult's abilities and strengths.
Collaborate closely with LYFE team to ensure the needs of the youth/young adults being served are met.
Support youth/young adult engage in mental health services by accompanying at appointments and community activities.
Listen to youth/young adults and role model positive communication skills.
Advocate for the youth/young adult to ensure life needs are being met.
Actively participate in the development and implementation of the Plan of Care and Crisis Plan.
Connect youth/young adults to resources in the community based on interests to meet identified needs.
Complete all necessary paperwork in a strength-based manner per Wraparound Milwaukee/Agency requirements.
Attend and actively participate in LYFE staffing and clinical consultation with agency Mental Health Professional/Clinician and Wraparound Milwaukee staff.
Other Duties and Responsibilities:
Attend in-services and participate in staffing, weekly and monthly meetings and consultations.
Assist with coverage for co-workers as needed.
Other job-related duties as may be necessary to carry out the responsibilities of the position.
Job Qualifications:
Knowledge, Skills and Abilities:
Working knowledge of positive youth/young adult development; patience and understanding of challenging life needs; knowledge related to mental health and co-occurring needs, the ability to interact with youth, young adults, and caregivers in a calm and professional manner; ability to follow oral and written instructions and cues; ability to remain calm and respond appropriately in crisis situations; computer skills; accurate documentation; ability to meet deadlines; sensitivity towards cultural, ethic and life needs.
Minimal Qualifications and Salary Schedule:
High school or GED/HSED required; graduate of state Certified Peer Specialist training; possess current Certified Peer Specialist certification; no convictions that would fail a caregiver background check; good written and verbal communication skills. Complete 20-40 hours of CCS (DHS 36) training and mandatory training in Wraparound philosophy and policies. Ability to display cultural competence by responding respectfully and effectively to people of all cultures, languages, classes, races, ethnic backgrounds, religions and other diversity factors in a manner that recognizes, affirms and values the worth of each individual. Knowledge and skills to work with children, young adults and families. Personal experience with mental health, substance use and co-occurring needs and knowledge of recovery principles. Valid driver's license, automobile, and sufficient insurance to meet agency requirements is preferred.
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Other Job Information (if applicable):
Work Relationship and Scope:
Reports directly to LYFE Clinician/Supervisor. Has contact with a wide variety of individuals including youth/young adults and family members, other program staff, including consulting Psychologist/Psychiatrist, and other collateral contacts, neighbors, funders, Milwaukee County Department of Health and Human Services, Children, Youth, and Family Services(CYFS), Children's Court officials, Division of Milwaukee Child Protective Services(DMCPS), MPS staff and administrators, staff of youth serving agencies and the general public.
Personal Attributes:
Follow agency Code of Conduct; adhere to established policies and procedures of the agency and of all funding sources; conduct self in an ethical manner; maintain professional and respectful relationships with program staff, other WCS staff, people being served by WCS, and all external persons and agencies involved with service provision; sensitivity toward cultural, ethnic and disability needs; demonstrate commitment to agency values and mission. Demonstrates a strength based, person centered, trauma informed, and culturally intelligent approach to serving people with mental health and co-occurring needs. Focused on embracing recovery in all interactions and utilize lived experience to engage youth/young adults.
Working Conditions:
Work is performed in a busy office environment and in the community serving children, young adults and families. Some of the work is done sitting at desk using a computer; requires significant outreach in the community and families' homes; much of the outreach is done in urban neighborhoods and several hours per day may be spent driving; hours average 40 per week; flexible work schedule include some hours outside the normal work schedule on evenings and weekends.
Physical Demands:
Position is mobile with time spent in the community, including home visits and time spent in the office; driving throughout Milwaukee County; must be able to go up and down stairs. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Wisconsin Community Services is an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other characteristic protected by federal, state or local law.
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CODING Apprenticeship
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
Medical Coding Specialist - 1.0 FTE
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.
Medical Coding Dispute Specialist
Medical coder job in Menasha, WI
The Medical Coding Dispute Specialist is responsible for reviewing provider disputes and appeals for all lines of business at Network Health. This role requires advanced claims knowledge, medical coding experience, knowledge about provider reimbursement and a solid understanding of business operations.
Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required). Travel to the corporate office in Menasha will be required occasionally for the position, including on first day.
Hours: 1.0 FTE, 40 hours per week, 8am-5pm Monday through Friday
Check out our 2024 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.
Job Responsibilities:
Demonstrate commitment and behavior aligned with the philosophy, mission, values and vision of Network Health
Develops detailed summaries and written responses for appeals, ensuring all findings are captured and trend information is included when requested.
Produces clear, regulation-compliant communications for appeals, disputes, and grievances, presenting information accurately and succinctly.
Analyzes claims workflows, contractual terms, reimbursement schedules, and system setups to pinpoint the underlying causes of payment discrepancies.
Maintains current knowledge of payor reimbursement policies.
Identifies coding and documentation issues and brings to the attention of the department manager
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.
Be able to review health care claims of intermediate to high complexity.
Be able to identify overpayments or underpayments on claims.
Ensures that desk level procedure (DLP) documents are kept current.
Research and respond to coding questions from internal and external clients.
Actively participates in shared accountability and commitment for departmental and organization-wide results.
Prioritize workload to ensure deadlines are met weekly.
Help with training associates as needed.
Other duties as assigned.
Job Requirements:
Associates degree or equivalent work experience required
Medical Coding Credential from AAPC or AHIMA
3 or more years of experience working in health care or health insurance required
2 or more years of experience with provider disputes and claims processing required
Network Health is an Equal Opportunity Employer
Medical Record Review Specialist - Tissue Donation- Full-Time
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.
Auto-ApplyMedical Equipment Data Analyst
Medical coder job in Madison, WI
Work Schedule:
100%, day shift. Monday - Friday 8:00AM - 4:30PM This is a hybrid role, with on-site requirements up to 10 days per year. Work location will be University Hospital in Madison, WI when on-site. Hours may vary based on the operational needs of the department.
Be part of something remarkable
Join the #1 hospital in Wisconsin!
We are seeking a Medical Equipment Data Analyst to:
Use strong expertise in computerized maintenance management system (CMMS) systems and database management to serve as the primary CMMS resource, acting as the source of truth for asset and work order data, while managing data on recall and patient safety events.
Gather feedback from health care technology management (HTM) teams on processes and share insights with leadership for continuous improvement.
Create and deliver daily, weekly, monthly and quarterly reports as requested, ensuring proficiency in presenting data clearly and effectively.
Build and maintain training programs and provide skills updates for HTM staff on CMMS processes and best practices with excellent communication skills.
At UW Health, you will have:
An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.
Qualifications
Associate's Degree or equivalent and post-High School education focused in data analysis, Biomedical Engineering, Information Systems or related field, and or equivalent combination of applicable military education and experience. Required
Associate's Degree in the Biomedical Engineering or Information Management System fields Preferred
Work Experience
2 years CMMS database administration or in a data processing and IT maintenance related field. Required
Biomedical Engineering background with experience in Medical Equipment Inventory and Data-Base Management. Preferred
Our Commitment to Social Impact and BelongingUW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
University Hospital in Madison is a Magnet -designated facility that's ranked Wisconsin's #1 hospital and considered one of the nation's leading hospitals, teaching institutions and referral centers.
Job Description
UW Hospital and Clinics benefits
Auto-ApplyMedical Device QMS Auditor
Medical coder job in Madison, 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.
Auto-ApplyMedical Device QMS Auditor
Medical coder job in Madison, 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.
Auto-ApplyHealth Information Coder (ICD-10CM)
Medical coder job in Madison, WI
Job DescriptionDescription:
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
Health Information Coder (ICD-10CM)
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
Certified Peer Specialist - TCM
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).
OR successful completion of Certified Peer Specialist Training and must be certified within 12 months of hire.
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!
Medical Coder
Medical coder job in La Crosse, WI
Medical Coder - Full\-Time | Near La Crosse, WI A hospital located east of La Crosse, WI is seeking a Medical Coder to join their team!
Medical Coder Pay & Benefits:
Pay: $22\-33\/hour
Setting: Hospital | After orientation, a hybrid option can be considered
Medical Coder Responsibilities:
Code outpatient and inpatient records using E&M, CPT, and ICD\-10\-CM, ensuring accuracy of charges in collaboration with billing
Resolve coding edits (NCCI, LCDs, NCDs) and complete billing\/coding accounts daily, prioritizing oldest accounts first
Perform daily deficiency checks, coordinating with providers to obtain missing documentation for record completion
Stay current on coding\/billing updates and identify operational issues, proposing solutions to improve processes
Medical Coder Specialist Qualifications:
Associate's Degree in Health Information Technology or related field, coding certificate, or equivalent experience
AHIMA certification (RHIA, RHIT, CCS, or CCA) required within one year of employment
The Surrounding Area:
Small\-town living in a safe, close\-knit community
Scenic farmland with access to fresh, local produce
Opportunities for outdoor recreation including kayaking, camping, and hiking
Family\-friendly environment with strong community values
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Medical Records Coordinator
Medical coder job in Waukesha, WI
Job DescriptionSalary: $18.00 - $25.00
Our Mission:
MDpanel is one of the largest providers of expert medical opinions in the United States. We are committed to being the most coveted partner for physicians, carriers, attorneys, and patients by connecting those in need of medical opinions with the most qualified and highly regarded medical professionals in the U.S. MDpanel allows our member healthcare professional partners to maximize their time and produce unparalleled revenue opportunities. In return, our carrier and attorney clients receive timely, complete, thorough, and easy-to-understand opinions to support the medical legal inquiry. MDpanel is revolutionizing the medical opinion space by creating the first true marketplace to connect those in need of medical opinions to those capable of providing them. Unlike traditional, services-based models, we are devoted to our healthcare professionals and are relentless about removing the burden of administration, securing exam volume, preparing for and supporting physical examinations, backend processing, report submissions, and billing. And, at the heart of MDpanel, our team is committed to delivering an unparalleled experience for all stakeholders. We think big, start small, and move fast. Our culture is built on supporting each other with accountability, transparency, and passion for our mission.
Position Summary:
The Medical Record Coordinator plays a critical role in the efficient management of medical records through the organization. This position is responsible for prioritizing and processing files daily to ensure timely handling and preparation for upcoming evaluations. The coordinator works closely with internal teams, physicians, vendors, and attorneys to monitor work-in-progress reports, track deadlines, and ensure records are advanced according to schedule. Strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment are essential for success in this role.
Essential Roles and Responsibilities:
Assign files to be sorted by the MRR (Medical Record Review) team; ensure timely return of completed files and maintain quality in accordance with physician experts preferences
Prepare and organize physical records for shipping, following physician-specific formatting and requirements
Upload completed files into our internal case management system, make appropriate case notations, and provide an organized electronic map of records
Obtain medical records from clients, ensuring completeness, accuracy, and timely delivery to support case workflows
Chaperone medical evaluations as needed, ensuring professionalism and adherence to protocol
Qualifications and Preferred Skills:
Demonstrates strong verbal and written communication skills, including professional etiquette and clear, concise documentation
Strong analytical skills
Demonstrated problem solving skills
Organized, accurate and detail-oriented
Clear understanding of time management
Self-motivated with the ability to work in a dynamic fluctuating environment
Computer literacy, including email, internet, Microsoft Office, and data entry
Additional Information:
The salary range for this position is provided as an estimate based on current market conditions and company benchmarks. Actual compensation may vary depending on factors such as experience, qualifications, skills, location, and internal equity.Please note that we are unable to provide sponsorship assistance currently. All applicants must have a valid work authorization for the country in which they are applying.
Please note that this compensation range is subject to change at any time and may not be applicable to all candidates. We are committed to ensuring fair and equitable pay practices and encourage applicants to discuss any questions or concerns regarding compensation during the interview process.
MDpanel is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace where all associates feel valued, respected, and supported. We do not discriminate based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other legally protected characteristic.
We are dedicated to fostering a culture of inclusion and belonging and encourage applicants of all backgrounds to apply. If you require accommodations during the application or interview process, please contact **************
Billing and Coding Specialist - Part-time
Medical coder job in Milwaukee, WI
At Children's Wisconsin, we believe kids deserve the best.
Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.
We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.
Please follow this link for a closer look at what it's like to work at Children's Wisconsin:
***********************************
The person in this role will be responsible for charge capture (revenue integrity) efforts that ensure designated Outpatient area is charging accurately and in a timely manner. Additional responsibilities include assigning and manipulating CPT codes and E&M levels. Also, the person in this role will develop relevant charging education and maintain standard coding practices for designated area.
Location: Onsite at our Milwaukee main campus
Part time: 24 hours/week
Schedule: MWF (8:00 am - 4:30 pm)
Will consider other days of the week
No weekends or holidays
Benefit eligible!
Minimum Job Requirements
Education
High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED).
Associates or Bachelors degree preferred.
Experience
Requires 2 years of healthcare experience working in Chargemaster (CDM), charge capture, billing or coding.
Knowledge / Skills / Abilities
Exhibits guiding behaviors that reflect Children's values and support our mission and vision.
Ability to analyze data, including medical records and Epic reports, to determine if charge changes or department education is needed.
Willing to be flexible and able to work in a fast-paced work environment that requires excellent time management and organizational skills.
Requires excellent verbal and written skills to facilitate communications with medical staff, peers, management and other hospital personnel.
Physical Requirements and Working Conditions
Normal office environment where there is no reasonable potential for exposure to blood or other high risk body fluids.
We are ideally seeking someone who can work in-person 24 hours/week at our Milwaukee Main Campus MWF from 8-4:30pm, but will consider other days of the week. This position doesn't require weekends or holidays.
This is a benefits eligible position.
Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
Certifications/Licenses:
Auto-ApplyPGA Certified STUDIO Performance Specialist
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.
Auto-ApplyMedical Record, Part-time
Medical coder job in River Falls, WI
Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures. Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures.
Assist the Medical Records/Health Information Consultant as required.
Maintain minutes of meetings.
File as necessary.
Develop and maintain a good working rapport with inter department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained.
Assist in recording all incidents/accidents.
File in accordance with established policies and procedures.
Retrieve resident records (manually/electronically).
Deliver as necessary.
Files information such as nurses' notes, resident assessments, progress notes, laboratory reports, x ray results, correspondence, etc.
, into resident charts.
Collect, assemble, check and file resident charts as required.
Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines.
Ensure incomplete records/charts are returned to appropriate departments or personnel for correction.
Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc.
, before filing.
Establish a procedure to ensure resident charts/records do not leave the medical records room except as authorized in our policies and procedures.
Maintain a record of authorized information released from charts/records, i.
e.
, type information, name of recipient, date, department, etc.
Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.
in accordance with current Privacy Rules.
Index medical records as directed by the medical records/health information consultant.
Maintain various registries as directed including register for admission and discharge of residents.
Transcribe and type reports for physicians as necessary.
Collect charts, assemble them in proper order, and inspect them for completion.
Pick up and deliver resident medical records from wards, nurses' stations, and other designated areas as necessary.
Batch resident information into the computer and retrieve resident demographic information as appropriate or as instructed.
Answer telephone inquiries concerning medical records functions.
Prepare written correspondence as necessary.
Retrieve medical records when requested by authorized personnel (i.
e.
, physicians, nurses, government agencies and personnel, etc.
) Assure that medical records taken from the department are signed out and signed in upon return to the department.
File active and inactive records in accordance with established policies.
Index medical records as directed.
Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.
• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
Report any known or suspected unauthorized attempt to access facility's information system.
Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position.
Committee Functions Perform secretarial duties for committees of the facility as directed.
Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed.
Personnel Functions Report known or suspected incidents of fraud to the Administrator.
Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver activates within established facility policy guidelines.
Staff Development Attend and participate in mandatory facility in service training programs as scheduled (e.
g.
, OSHA, TB, HIPAA, Abuse Prevention, etc.
).
Attend and participate in workshops, seminars, etc.
, as approved.
Safety and Sanitation Report all unsafe/hazardous conditions, defective equipment, etc.
, to your supervisor immediately.
Equipment and Supply Functions Report equipment malfunctions or breakdowns to your supervisor as soon as possible.
Ensure supplies have been replenished in work areas as necessary.
Assure that work/assignment areas are clean and records, files, etc.
, are properly stored before leaving such areas on breaks, end of workday, etc.
Budget and Planning Functions Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.
Other duties as assigned Supervisory Requirements ou are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.
Qualification Education and/or Experience Must possess, as a minimum, a high school diploma or GED.
Must be able to type a minimum of 45 words per minute and use dictation equipment.
A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc.
, preferred but not required.
On the job training provided in medical record and health information system procedures.
Must be knowledgeable of medical terminology.
Be knowledgeable in computers, data retrieval, input and output functions, etc.
Language Skills Must be able to read, write, speak, and understand the English language.
Ability to read technical procedures.
Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
Reasoning Ability Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, visitors and the general public.
Must possess the ability to work harmoniously with other personnel.
Must possess the ability to minimize waste of supplies, misuse of equipment, etc.
Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices.
Be able to follow written and oral instructions.
Must not pose a direct threat to the health or safety of other individuals in the workplace.
Physical Demands Must be able to move intermittently throughout the workday.
Must be able to speak and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.
Must function independently, have personal integrity, have flexibility, and the ability to work effectively with other personnel.
Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
May be necessary to assist in the evacuation of residents during emergency situations.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Works in office areas as well as throughout the facility.
Moves intermittently during working hours.
Is subject to frequent interruptions.
Works beyond normal working hours, weekends and holidays and on other shifts/positions as necessary.
Is subject to call back during emergency conditions (e.
g.
, severe weather, evacuation, post disaster, etc.
).
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc.
, throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to exposure to infectious waste, diseases, conditions, etc.
, including TB and the AIDS and Hepatitis B viruses.
Communicates with nursing personnel, and other department personnel.
Is subject to hostile and emotionally upset residents, family members, personnel, visitors, etc.
Is involved with residents, family members, personnel, visitors, government agencies and personnel, etc.
, under all conditions and circumstances.
May be subject to the handling of and exposure to hazardous chemicals.
Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Critical features of this job are described under various headings above.
They may be subject to change at any time due to reasonable accommodation or other reasons.
The above statements are strictly intended to describe the general nature and level of the work being performed.
They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
Auto-ApplyMedical Record Specialist I (Onsite)
Medical coder job in Menasha, 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.
You will:
Schedule: Mon-Fri 8am-4:30pm
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
Must be at least 18 years old.
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.
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.
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 .
Auto-ApplyMedical Records Specialist
Medical coder job in Neenah, WI
Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness -
* Lifestyle Engagement
* e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
* Access & Affordability
* e.g. minimal or zero copays, team member cost sharing premiums, daycare
About ThedaCare!
Summary :
The Medical Records Specialist obtains, completes, and maintains the computer system for medical records. Manages the flow of required documentation and initiates follow up when necessary.
Job Description:
SCHDULE:
* Shift: Days
* No weekends
* Potential to float between Appleton and Neenah
KEY ACCOUNTABILITIES:
* Completes, releases, retains, and purges medical records based on facility, state, and federal regulatory requirements.
* Ensures uniform quality of the medical record.
* Collaborates with multiple disciplines to effectively and efficiently assist in the completion of the medical record.
* Knows and understands the expertise of disciplines outside of health information.
* Files and retrieves medical records and chart documents.
* Processes all inbound and outbound calls.
* Provides support services within the defined service area.
QUALIFICATIONS:
* High School diploma or GED preferred
* Must be 18 years of age
* One year of experience in medical office or records
PHYSICAL DEMANDS:
* Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
* Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
WORK ENVIRONMENT:
* Normally works in climate controlled office environment
* Frequent sitting with movement throughout office space
* Occasional contact with aggressive and or combative patients
* Use of computers throughout the work day
* Frequent use of keyboard with repetitive motion of hands, wrists, and fingers
Scheduled Weekly Hours:
40
Scheduled FTE:
1
Location:
ThedaCare Regional Medical Center - Neenah - Neenah,Wisconsin
Overtime Exempt:
No
Bilingual Certified Peer Specialist - OCA
Medical coder job in Milwaukee, WI
Job Responsibilities:
Join a Mission-Driven Team Making a Daily Impact in the Lives of Others
Social Services Professional | Wisconsin Community Services (WCS)
Are you a change-maker at heart? Ready to use your passion for social justice, mental health, and community empowerment to impact lives every single day?
At Wisconsin Community Services (WCS), we don't just offer services-we build hope. We provide a continuum of care and support to individuals navigating adversity, including substance use challenges, mental health needs, criminal justice involvement, and employment barriers. Through compassion, advocacy, and connection, we empower people to break cycles and create change-for themselves, their families, and their communities.
Position Summary:
Join our team at Access Clinic South as a Certified Peer Specialist. If you are bilingual (English/Spanish) with personal experience in mental health or substance use recovery, and have completed or are in the process of completing the State of Wisconsin Peer Specialist certification, we encourage you to apply. Your lived recovery experience will guide and inspire adults facing similar challenges.
Key Responsibilities:
Provide recovery-focused, strength-based support and develop individual recovery goals.
Encourage the development of personal symptom management and self-advocacy.
Assist individuals in navigating care systems to enhance self-determination and dignity.
Conduct research to connect individuals with appropriate resources.
Maintain accurate case files and documentation, including crisis plans in the Behavioral Health Division's Electronic Health Record system.
Participate in 1:1 clinical supervision, if required.
Collaborate with individuals' teams to ensure continuity and support in the recovery process.
Facilitate group and individual support and educational sessions.
Utilize motivational interviewing and positive communication skills.
Attend staff meetings, training, and conferences.
Additional Responsibilities:
Execute other duties as needed to fulfill position responsibilities.
Duties may evolve as determined by supervision needs.
Job Qualifications:
Requirements:
High school diploma or GED/HSED required.
Bilingual fluency in English and Spanish.
Graduate of state Certified Peer Specialist training or attain certification within one year of hire.
Knowledge of mental health and substance use recovery principles.
Valid driver's license, automobile, and adequate auto insurance.
Ability to meet physical demands, including mobility in community settings.
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Other Job Information (if applicable):
Why WCS
Be part of an organization rooted in equity and impact.
Access ongoing professional development, mentorship, and clinical supervision.
Join a collaborative team of individuals who genuinely care about the people we serve.
Contribute to real change in a role that blends advocacy, healing, and hope.
Wisconsin Community Services is an Equal Opportunity Employer; all qualified applicants will receive consideration for employment without regard to race, sexual orientation, gender identity, national origin, veteran, disability, status or any other characteristic protected by federal, state, or local law.
PI9765809b6d84-26***********8
Easy ApplyHealth Information Coder (ICD-10CM)
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