Coding Compliance Specialist jobs in Wisconsin

Coding Compliance Specialist researches and develops the pre-certification insurance policy standards and criteria used by case management and utilization reviewers that will ensure that requested medical services are appropriate and medically necessary. Collaborates with medical professionals to resolve questions about policy development and standards. Being a Coding Compliance Specialist assigns correct ICD, CPT, or other coding assignments for medical procedures that support policy standards in claims systems. Provides expertise and solutions to users regarding the appropriate coding for claims. Additionally, Coding Compliance Specialist has broad knowledge of medical coding systems. May require an associate degree in healthcare administration, a related field, or equivalent. Requires AAPC Certified Professional Coder (CPC). May alternatively require Certified Coding Specialist (CCS) certification. Typically reports to a manager. The Coding Compliance Specialist occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Coding Compliance Specialist typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Coding Specialist
  • OakLeaf Clinics
  • Eau Claire, WI FULL_TIME
  • OakLeaf Clinics - Business Office

    OakLeaf Clinics - Business Office is seeking a full-time coding specialist to join our expanding team. This position is located at 719 W Hamilton Ave, Suite B. Eau Claire, WI 54701

    OakLeaf Clinics is dedicated to providing our patients with compassion, trust, and a lifetime of individualized care. Our healthcare team consists of physicians, nurse practitioners, physician assistants, dietitians, nurses, respiratory therapists, and medical assistants working in concert with laboratory/imaging services to offer individualized care to the Chippewa Valley.

    Position description

    As a coding specialist, you perform high-volume, accurate medical coding functions in a growing multi-specialty practice setting. You must possess the AHIMA or AAPC coding certification and be a CPT and ICD10 coding expert.

    Responsibilities

    • Perform high-volume, accurate medical coding functions
    • Assign ICD-10 diagnosis codes and CPT procedure codes to lab encounters
    • Assign evaluation and management CPT codes to clinic encounters
    • Complete data entry as needed for other clinic services
    • Flexible in completing other assigned work as needed

    Qualifications:

    • Candidate must have AHIMA or AAPC coding certification (RHIA, RHIT, CCS, CCS-P, CPC, COC)
    • 1 year of hands-on medical coding experience in a physician/professional fee coding in a clinic setting is preferred
    • Experience with Epic EHR preferred
    • Expertise in CPT and ICD10 coding
    • Knowledgeable in evaluation and management coding
    • Experience in lab coding
    • Clinical documentation improvement initiatives experience preferred
    • Previous experience in a clinical setting (coding or billing) is preferred
    • Medical coding or billing experience preferred
    • Must have excellent verbal and written communication skills
    • Requires the ability to organize and interpret data
    • Multi-task quickly and effectively in a fast-paced environment
    • Strong analytical and problem-solving skills

    Work environment

    While performing the duties of this job, the employee regularly works in an office setting.

    Physical demands

    The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. Major activities of this job include sitting or standing for long periods and light physical effort performed on a level surface. The office involves carrying, lifting, kneeling, bending, reaching, and squatting. Use a computer and telephone and employ writing and organizational skills. Manual dexterity, mobility, and good vision, including near acuity, depth perception, and accommodation, are necessary for technical work.

    Salary: From $22 per hour
    Education: High School
    Job Type: Full Time
    Experience: 1 years
    Location: 719 W Hamilton Ave, Suite B • Eau Claire, WI 54701

    To apply, please send cover letter and resume to:

    Janelle Joas, Human Resources Manager

    OakLeaf Clinics
    3802 Oakwood Mall Dr, Eau Claire, WI 54701


    We are dedicated to providing our patients with compassion, trust, and a lifetime of individualized care.

    OakLeaf Clinics healthcare team consists of physicians, nurse practitioners, physician assistants, dietitians, nurses, respiratory therapists and medical assistants working in concert with laboratory/imaging services to offer individualized care to the Chippewa Valley.

    We offer our healthcare team

    • Competitive Salaries
    • Generous Paid Time Off
    • Paid Holidays
    • Exceptional Retirement Savings Plan
    • CME Allowance & Paid Time Off
    • Flexible Schedule with Work-Life Balance
    • Health/Dental/Vision Insurance
    • Short-Term Disability Insurance
    • Medical Malpractice Coverage
  • 3 Days Ago

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Coding Specialist
  • UnityPoint Health
  • Madison, WI OTHER
  • OverviewAs a Coding Specialist I, you'll review inpatient, outpatient, surgery, and medical records for documentation, abstracting and analyzing. You'll assign all codes to the highest level of specif...
  • 4 Days Ago

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Coding specialist
  • Marshfield Clinic Health System (MCHS)
  • Ladysmith, WI FULL_TIME
  • Description JOB SUMMARY Hospital Inpatient Coding : The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification of Disease...
  • 18 Days Ago

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Coding specialist
  • Marshfield Clinic Health System (MCHS)
  • Minocqua, WI FULL_TIME
  • Description JOB SUMMARY Hospital Inpatient Coding : The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification of Disease...
  • 18 Days Ago

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Coding Specialist
  • North Central Health Care
  • Wausau, WI FULL_TIME
  • Pay starting from $21.37 - $29.61 per hour. Full-time position Day shift and no weekends. Employee Benefits: NCHC Employee Benefits It is never too early to plan for retirement! As an employee of NCHC...
  • 29 Days Ago

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Coding Specialist
  • NCHC
  • Wausau, WI FULL_TIME
  • Pay starting from $21.37 - $29.61 per hour. Full-time position Day shift and no weekends. Employee Benefits: NCHC Employee Benefits It is never too early to plan for retirement! As an employee of NCHC...
  • 1 Month Ago

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Code Compliance Specialist 1 (NY HELPS)
  • StateJobsNY
  • Buffalo, NY
  • Current New York State employee with one year or more of qualifying permanent service as a Senior Safety and Health Insp...
  • 4/19/2024 12:00:00 AM

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Compliance Specialist - Sioux Falls
  • Sanford Health
  • Sioux Falls, SD
  • Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in th...
  • 4/19/2024 12:00:00 AM

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Customs Compliance Specialist
  • Clean Harbors
  • Norwell, MA
  • The Transportation Compliance Specialist reports directly to the Director of Transportation Compliance and is responsibl...
  • 4/18/2024 12:00:00 AM

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EVV Compliance Specialist
  • Addus Homecare
  • Frisco, TX
  • >> We offer our team the best << Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Li...
  • 4/17/2024 12:00:00 AM

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Compliance Specialist
  • Global Channel Management Inc.
  • Los Angeles, CA
  • About the job Compliance Specialist Compliance Specialist needs 3+ years of strong experience workforce contract Complia...
  • 4/17/2024 12:00:00 AM

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Senior Quality & Compliance Specialist
  • Bayer
  • Kihei, HI
  • At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
  • 4/17/2024 12:00:00 AM

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DHA Medical Coding Compliance Specialist-(Hybrid Remote)
  • Serco North America
  • Oklahoma City, OK
  • Position Description : Serco is excited to continue our support to the Defense Heath Agency (DHA) Medical Coding Program...
  • 4/15/2024 12:00:00 AM

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Product Expert - Compliance
  • Haleon
  • Poznań, Greater Poland Voivodeship
  • Hello. We’re Haleon. A new world-leading consumer health company. Shaped by all who join us. Together, we’re improving e...
  • 4/10/2024 12:00:00 AM

Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast. With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$63,348 to $84,152

Coding Compliance Specialist in Altus, OK
With little or no supervision, plans, conducts and coordinates the daily operations of one of the Coding and Documentation Quality Assurance (CDQA) sub-teams.
December 14, 2019
Coding Compliance Specialist in Terre Haute, IN
Leads the initiatives and responsibilities of the Enterprise-Wide Coding implementation work groups applicable to their sub-team.
December 16, 2019
Coding Compliance Specialist in Portland, OR
This position audits medical records to ensure compliance with the organizations coding procedures and standards according to the CMS Coding Guidelines and Official ICD9 / ICD10 Coding Guidelines.
December 23, 2019