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- ...support accurate clinical documentation and timely service authorizations. The role involves coding diverse encounters using ICD-10-CM/ICD-10-PCS/CPT, reviewing documentation for accuracy, and managing prior authorizations for procedures, imaging, and therapies. Responsibilities...Cms
Crossingrivers
Prairie Du Chien, WI2 days ago $110k
Humana seeks a Medicare Sales Field Agent to drive Medicare Advantage and prescription drug plan enrollments across an assigned territory. You will prospect and qualify leads, conduct community-based sales events, educate seniors on plan options, and complete compliant ...CmsLocal areaHumana
Milwaukee, WI1 day ago- ...procedures, supported by DRG assignments and regulatory guidelines, using proprietary audit systems.The role requires knowledge of ICD-10-CM/PCS, DRG/APC frameworks, and ongoing CEU maintenance. Remote within the U.S. with growth opportunities and robust benefits.#J-18808-...CmsRemote work
- Supervisory Auditor This vacancy announcement will be used to fill 2 positions: Medicare Part C Director & Medicaid Director Duties for the Supervisory Auditor, GS-0511-15 for Office of Audit Services (OAS) include but not limited to: Provides leadership and...CmsWork at office
Department of Health and Human Services
Madison, WI1 day ago - Optum is seeking a Case Manager RN to coordinate patient services through an interdisciplinary process, applying clinical and psychosocial strategies from admission to post-discharge planning. The role emphasizes CMS-aligned care, timely care delivery, and collaboration...Cms
Optum
Waukesha, WI2 days ago - Versiti Organ and Tissue is seeking a Hospital Relations Specialist to build strong hospital partnerships, increase organ and tissue donation referrals, and support clinical teams during donation cases. The role requires coordinating education for hospital staff and community...Cms
Versiti Organ and Tissue
Milwaukee, WI3 days ago - ...to support Judge Stadtmueller's chambers. You will manage day-to-day case handling, ensure timely, accurate court documents filed via CM/ECF, and maintain complete data for reporting. You will coordinate schedules with court participants, court reporters, and...CmsFull time
United States District Court Eastern District of WIsconsin
Milwaukee, WI5 days ago - ...million, with emphasis on earthwork, grading, underground utilities, and site development. The ideal candidate has 7+ years of civil PM experience, a bachelor’s degree in CM or CE, and a track record of managing self-perform and subcontracted civil scopes. #J-18808-Ljbffr...Cms
Talent Corps Direct
Wausau, WI1 day ago - North Shore Health (NSH) is seeking a Senior IT Support Technician to deliver advanced end-user support across our network of skilled nursing and assisted living facilities, reporting to the Sr. Director of Information Technology and Security. You will handle Tier 1 and...Cms
North Shore Healthcare
Milwaukee, WI3 days ago $90k - $130k
...attention to detail and is a proactive problem solver Focuses on performing project QA/QC processes Heavily involved with owner and CM conversations and decisions Critical in mentoring staff Highly knowledgeable in all things related to Construction...CmsEppstein Uhen Architects
Madison, WI1 day ago- ...System, is seeking a detail‑oriented Coding Specialist to support accurate outpatient hospital coding and ensure compliance with ICD‑10‑CM, CPT, and HCPCS guidelines. You will review medical records, assign codes, apply modifiers, and use standard query processes to...Cms
Gundersen Health System
Madison, WI1 day ago - The Judge Group is seeking a qualified Case Manager (RN) to oversee continuum of care planning for complex hospital patients in Waukesha, WI. You will ensure safe, timely transitions to next levels of care with strong clinical judgment and patient advocacy. Responsibilities...Cms
- ...Superintendent and Foremen to ensure safe, on-time project completion. The role requires 8+ years of PM experience in commercial construction, a related degree or CM certificate, and experience with design-build, hard bid, and negotiated projects around $50M+. #J-18808-Ljbffr...Cms
Superior
Port Washington, WI1 day ago - ...bar required. Experience with complex litigation preferred. Experience mentoring and supervising others preferred. Experience using CM/ECF, PACER, Westlaw, and Litify. Benefits Medical and dental insurance. 401(k) plan. Paid time off and paid holidays. #J-18808-Ljbffr...CmsWork at office
BCG Attorney Search
Milwaukee, WI1 day ago - Spectrio is looking for a Frontend Engineering Manager to lead, mentor, and grow a team of over 8 engineers. This role involves hands-on development, setting architectural standards, and modernizing their Angular codebase for a CMS platform. The ideal candidate has extensive...CmsRemote work
Spectrio
Wausau, WI2 days ago - Hospice Executive Director Location: Milwaukee, WI Great hospice organizations are built by leaders who understand that when you invest in your team, they can provide exceptional care to patients and families. We're conducting an executive search for an experienced...Cms
HT Executive Search
River Hills, WI2 days ago - Lighthouse is seeking a Digital Marketing Manager to own multi-channel campaigns targeting hotel chains and groups globally. You’ll build landing pages, email workflows, and manage campaigns across website, social, paid media, and events, using HubSpot and CMS tools to...Cms
Lighthouse Group
Cedar Grove, WI5 days ago $60.2k - $107.4k
UnitedHealth Group’s Optum unit is hiring a Case Manager RN in Waukesha, WI. The role focuses on coordinating patient services through an interdisciplinary process, determining appropriate admission levels, discharge planning, and ensuring timely care aligned with CMS guidelines...Cms- Clinical Social Worker Health Care Facility Surveyor Impact Recruiting Solutions is currently seeking a Clinical Social Worker Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment...Cms
GreenLife Healthcare Staffing
Wonewoc, WI1 day ago - Company DescriptionJob DescriptionResponsibilitiesStrategy & PlanningPlanning, design and development of new applications and enhancements to existing applications.Ensure compatibility and interoperability of in-house computing systems.Follow industry standard best practices...CmsFlexible hours
- A leading global technology company in connectivity seeks a CMS Business Development Consultant to drive growth through partnerships with Service Providers. This remote role emphasizes business development, strategic consulting, and collaboration with internal teams to ...CmsRemote job
- Aurora Health Care is seeking a skilled denials and coding analyst to analyze and resolve PB/HB denials using CPT, HCPCS, ICD-10-CM, and modifiers. The role emphasizes collaboration across billing, coding, and payer teams to correct, resubmit, and prevent denied claims...CmsRemote job
- Licensed Medicare Sales Agent ***Work Remotely in the comfort of your own home*** *Must have active health insurance license in the state that you reside* *You will be a captive agent* HealthPlanOne's mission is to help people find the right health insurance at...CmsRemote workFlexible hoursAfternoon shift
HealthPlanOne
Kenosha, WI3 days ago - ...coder to handle primary diagnosis and procedural coding for ambulatory and outpatient hospital settings. You will assign accurate ICD-10-CM and CPT codes, review records, and ensure proper reimbursement. The role requires RHIT/RHIA certification and AHIMA/AAPC credentials,...Cms
- UMC Health System is seeking a Medical Coder to code inpatient and outpatient records using ICD-10-CM/PCS, CPT, and HCPCS. The role requires knowledge of Medicare/Medicaid rules and DRG assignment to ensure proper reimbursement, with collaboration across CDI and PFS teams...Cms
- ...documentation and coding accuracy. This role partners with physicians, APPs, coders, and revenue cycle teams to ensure CPT, HCPCS, ICD-10-CM codes and modifiers are fully supported by documentation. The CDI Specialist emphasizes education, collaboration, and prevention of...Cms
- ...) to perform comprehensive DRG validation and coding accuracy reviews for inpatient records in a remote role. You will ensure ICD-10-CM/PCS codes reflect the patient’s clinical condition, verify POA, SOI, ROM, and CMI, and identify documentation gaps for compliant physician...CmsRemote job
- Certified Occupational Therapy AssistantEvolve Therapy Services is a therapy management organization hiring compassionate therapists for our partner located in Antigo, WI!Job Position: Certified Occupational Therapy Assistant for an In-house Skilled Nursing FacilityJob...CmsFull timeTemporary workPart timeReliefLocal areaRelocation package
Evolve Therapy
Antigo, WI3 days ago - ...goals within time and funding parameters while maintaining strong client relationships. The position requires 14+ years of PM experience, a BS in Construction/CM/Engineering or related field, and certifications such as CCM #J-18808-Ljbffr Cumming Management Group, Inc.Cms
- Evolve Therapy Services Evolve Therapy Services is a therapy management organization hiring compassionate therapists for our partner located in Manitowoc, WI! Certified Occupational Therapy Assistant for an In-house Skilled Nursing Facility Job Type: Part Time...CmsFull timeTemporary workPart timeReliefLocal area
Evolve Therapy
Manitowoc, WI5 days ago
