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  • Health Information Management Coder Inpatient POSITION PURPOSE Employees in this position code inpatient records. MINIMUM EDUCATION REQUIRED High School or Equivalent (GED) Associates Degree in HIT preferred MINIMUM EXPERIENCE REQUIRED 1-3 years Coding experience... 
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    Froedtert South, Inc.

    Kenosha, WI
    23 hours ago
  •  ...communication, analytical and problem-solving skills. Proficient in Microsoft Office. Excel skills preferred. SQL or previous coding experience preferred. Benefits of a Uline Internship Gain professional work experience by executing meaningful business... 
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    Full time
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    Uline

    Pleasant Prairie, WI
    1 day ago
  •  ...Excel, PowerPoint, Outlook). \tKnowledge federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for services. \tExcellent verbal and written communication skills. Physical Requirements: \tProlonged periods... 
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    Billing Management Inc

    Racine, WI
    10 days ago
  • $77.97k - $155.51k

     ...and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to walk stakeholders (internal and external) through basic financial... 
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    Molina Healthcare

    Racine, WI
    17 days ago
  • $77.97k - $141.37k

     ...be active and unrestricted in state of practice. - Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). - Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (... 
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    Monday to Friday

    Molina Healthcare

    Racine, WI
    1 day ago
  • $24 - $51.06 per hour

     ...JOB DESCRIPTION Job Summary The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and medical records to document relevant... 
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    Molina Healthcare

    Racine, WI
    24 days ago
  • $26.41 - $61.79 per hour

     ...operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying... 
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    Molina Healthcare

    Racine, WI
    14 days ago
  • $21.16 - $38.37 per hour

     ...compliance standards. Familiarity with systems used to manage claims inquiries and adjustment requests Understanding of billing and coding procedures Experience with Medicaid, Medicare, and Marketplace claims To all current Molina employees: If you are interested... 
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    Molina Healthcare

    Racine, WI
    28 days ago
  •  ...and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.... 
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    Fresenius Medical Care

    Zion, IL
    23 hours ago
  •  ...communication, analytical and problem-solving skills. Proficient in Microsoft Office. Excel skills preferred. SQL or previous coding experience preferred. Benefits of a Uline Internship Gain professional work experience by executing meaningful business... 
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    Full time
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    Uline

    Pleasant Prairie, WI
    4 days ago
  • $165k - $215k

     ...Contribute to annual brand planning, forecasting, and budgeting process for market access customer segment · Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid (CMS) Healthcare Common Procedure... 
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    Grifols Shared Services North America, Inc

    Kenosha, WI
    25 days ago
  • $77.97k - $141.37k

    **JOB DESCRIPTION** **Job Summary** Serves as a subject matter expert on system capabilities, conducting research and root cause analysis to resolve complex business and technical issues. Ensures system configuration aligns with business rules, regulatory requirements, ...
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    Molina Healthcare

    Racine, WI
    3 days ago
  • $77.97k - $155.51k

    JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application ...
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    Molina Healthcare

    Racine, WI
    14 days ago
  • $186.2k - $363.09k

     ...measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key... 
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    Molina Healthcare

    Racine, WI
    10 days ago
  • $77.97k - $128.52k

     ...regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To all current Molina employees: If you are interested in applying for this... 
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    Molina Healthcare

    Racine, WI
    7 days ago
  • $77.97k - $128.52k

     ...regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal... 
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    Molina Healthcare

    Racine, WI
    1 day ago
  • $77.97k - $129.59k

     ...Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis) Strong written and verbal communication skills required to present analytical results and... 
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    Molina Healthcare

    Racine, WI
    24 days ago
  • $140.8k - $274.55k

     ...License, Certification, Association** - Certified Professional in Health Quality (CPHQ) - Nursing License - Certified Risk Adjustment Coding (CRC) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job... 
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    Molina Healthcare

    Racine, WI
    24 days ago
  • $63k - $68k

     ...*Terminal (Fixed Term)## **Job Profile:**Web Developer## **Job Duties:**Leads and participates in the design, development, layout, coding, maintenance, and support of websites and applications to meet the needs of functional users. Designs, develops, and deploys custom... 
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    University of Wisconsin Colleges

    Kenosha, WI
    23 hours ago
  • $107.03k - $250.45k

     ..., RADV, or Risk Adjustment-like projects, and other state specific audit projects and deliverables related to accurate billing and coding. This role also works with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition... 
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    Immediate start

    Molina Healthcare

    Racine, WI
    24 days ago
  •  ...with beneficiaries and advisers, etc. Coordinate preparation of trust tax returns and Agency letters with an accountant, address coding and other issues impacting preparation of returns, assist in the development of new policies and procedures to address improvements... 

    GPAC

    Kenosha, WI
    4 days ago
  •  ...scope medicine. Practice thorough, patient-focused, effective primary care rather than rushing patients through and spending hours coding and charting. No RVUs or other volume-based measures. We are not fee-for-service. Improving patient health, satisfaction, and engagement... 
    Full time

    Proactive MD

    Franklin, WI
    1 day ago
  • Associate Account Manager The primary role of the Associate Account Manager (AAM) is to complete specific tasks on an assigned book of business at the direction of the Client Service team on the book. They must be process focused with an organized approach to a significant...
    Local area

    Risk Strategies

    Racine, WI
    4 days ago
  •  ...and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.... 
    Full time

    Fresenius Medical Care

    Zion, IL
    4 days ago
  • $18 - $20 per hour

    Position Overview: Now Hiring! Administrative Support Specialist Full-Time Position Compensation: $18 to $20 Per Hour DOE Job Summary: Become a team member at Wisconsin’s award-winning Tabak Law! We are seeking a detail-oriented and organized Administrative...
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    Full time
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    Immediate start
    Flexible hours

    Tabak Law, LLC

    Racine, WI
    1 day ago
  • $3,000 per month

    Join Our Part-Time Research Studies Today! Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product...
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    Maxion Research

    Racine, WI
    4 days ago
  •  ...industrial vehicles Bilingual (English/Spanish) a plus . Good math, language, and reading skills; basic computer skills and bar-coding experience are a plus. Ability to handle physical workload Strong work ethic Clean driving record and a valid state motor... 
    Full time
    Local area

    A & J Environmental Pallet Recycling, Inc.

    South Milwaukee, WI
    12 days ago
  • $80k - $119k

     ...Responsibilities Craft, test, and deploy robust Java applications aligned with business needs using industry-leading technologies and coding standards. Conduct code reviews, optimize performance, and ensure application responsiveness while maintaining top-notch quality.... 
    Permanent employment
    Contract work
    Remote work
    Visa sponsorship

    Genesis10

    Pleasant Prairie, WI
    2 days ago
  •  ...and maintain standards for CI/CD pipelines and GitOps workflows. Lead architectural reviews and ensure adherence to security and coding standards. Improve observability and monitoring using Dynatrace and Elastic Stack. Mentor software engineers in architectural patterns... 

    Jobs via Dice

    Pleasant Prairie, WI
    4 days ago
  • $88.45k - $206.98k

     ...HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key... 
    Work experience placement

    Molina Healthcare

    Racine, WI
    24 days ago