• Sr. Provider Reimbursement Professional…

    Humana (Madison, WI)
    …and help us put health first** The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, documentation, and ... coding certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and… more
    Humana (11/21/25)
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  • Certified Medical Coder

    Ascension Health (Glendale, WI)
    …prior to hire date or job transfer date. All specialties accepted. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional ... Registration: + One or more of the following: + Certified Coding Specialist (CCS) credentialed from the American Health...date or job transfer date. All specialties accepted. + Coder specializing in Cardiac credentialed from the American Academy… more
    Ascension Health (11/21/25)
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  • Code Edit Disputes Medical Coder

    Humana (Madison, WI)
    …required: AAPC CPC (no Apprentice) + Minimum of 3 years' experience as a Certified Medical Coder + Demonstrate ability to problem-solve complex coding ... Qualifications** + Bachelor'sDegree + 5 or more years of experience as a Certified Medical Coder + CPMA certification + MS-DRG auditing or APR auditing… more
    Humana (11/14/25)
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  • Certified Professional Coder

    CVS Health (Madison, WI)
    …with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with ... to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years...Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of… more
    CVS Health (11/12/25)
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  • Payment Integrity Clinician

    Highmark Health (Madison, WI)
    …in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ... and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of… more
    Highmark Health (11/14/25)
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  • Coder II - OP Physician Coding (Ortho…

    Baylor Scott & White Health (Madison, WI)
    … Coding Specialist (CCS) + Certified Coding Specialist Physician-based (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... (COC) + Certified Inpatient Coder (CIC) + Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package… more
    Baylor Scott & White Health (11/16/25)
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  • Facility Inpatient Complex Senior Coder

    Banner Health (WI)
    …care. Looking for a motivated, experienced **Inpatient Facility, Acute Care, Remote Medical Complex Coder ** to join our talented Inpatient Facility-coding team. ... care coding Inpatient team members. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes...field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified more
    Banner Health (10/17/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Madison, WI)
    …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using ... while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes. + Ability… more
    Datavant (11/14/25)
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  • Inpatient Medical Coder - FT - Up…

    Datavant (Madison, WI)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... codes using ICD-10-CM and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation +… more
    Datavant (11/21/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Kenosha, WI)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/21/25)
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