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Fulltime Optum Medical Coding Jobs in Wisconsin (NOW HIRING)

Bellin

Coding Specialist III

Green Bay, WI · On-site +1

... hire FTE Status: Full-Time 1.00 FTE (40 hours/week) Work Schedule: Days. Monday - Friday. No ... Associate degree in medical records technology, health information technology, or related degree ...

Bellin

Denials Coding Specialist

Green Bay, WI · On-site +1

This role reviews inpatient medical records to assess coding accuracy, supports appeal processes ... Job Specifics Location: 2020 S Webster Ave, Green Bay, WI 54301 FTE Status: Full-Time 1.00 FTE (40 ...

ThedaCare

Supervisor, Coding & Auditing

Neenah, WI · On-site

The Supervisor, Coding & Auditing oversees the day-to-day operations of the workflow and ... medical staff, team members, and patients. SCHEDULE : * Full time, benefit eligible * Salaried ...

ASPIRUS HEALTH

FACILITY INPATIENT CODER - CODING

Wausau, WI · On-site

$23.25 - $28.25/hr

HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications * Knowledge of medical record and coding practices normally acquired through completion of an Bachelor or Associate Degree in ...

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Fulltime Optum Medical Coding information

What is the difference between Fulltime Optum Medical Coding vs Medical Billing Specialist?

AspectFulltime Optum Medical CodingMedical Billing Specialist
CertificationsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Generally no coding certifications required, focus on billing and claims processing
Work EnvironmentHealthcare facilities, remote or onsite coding departmentsMedical offices, billing companies, remote or onsite billing departments
Job FocusAssigning accurate medical codes for diagnoses and proceduresPreparing and submitting insurance claims, managing billing processes
Industry UsageWidely used in healthcare organizations, insurance companiesCommon in healthcare practices, billing companies, insurance providers

Fulltime Optum Medical Coding involves assigning precise medical codes based on patient records, requiring coding certifications. Medical Billing Specialists focus on submitting claims and managing payments, often with less emphasis on coding certifications. Both roles are essential in healthcare revenue cycle management but differ in daily tasks and certification requirements.

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Fulltime Optum Medical Coding jobs near you

Claims Specialist (Full Time)

OAKLEAF CLINICS INC

Eau Claire, WI • On-site

$20/hr

Full-time

Re-posted 16 days ago

Job description

OakLeaf Clinics – Business Office has an exciting opportunity to join our growing team as a Claims Specialist!

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 Claims Specialist, you are responsible for working the life cycle of a claim to the highest level and ensuring that all patient information is accurate and up to date within our EHR system. This includes but is not limited to preparing, researching, following up on unpaid claims, processing denials, and researching payer trends.

Responsibilities

  • Follow up on unpaid claims, process denials, researching payer trends
  • Review under and overpayments using clearinghouse to find variances, work claim source rejections, and send payment appeals to insurances
  • Provide billing expertise to clients about insurance filing requirements and payer trends.
  • Maintain an approachable and positive attitude when interacting with all levels of personnel in a rapidly changing environment
  • Receives notices of claim rejections & denials then properly track and resolve issues to ensure claim payments are processed accurately and timely including, sorting, scanning, faxing, and loading records on portals
  • Perform troubleshooting for billing, coding, payment posting, credentialing and prior authorization errors
  • Work with Customer Service, Coding, Payment Posting, Credentialing and Prior Authorization departments and clinical staff to identify and resolve issues
  • Maintain accurate billing analysis reports and communicate implications promptly to the appropriate party
  • Notify the leadership of late/overdue claims and insurance issues or changes
  • Answer inquiries about claim denials from patients/insurance and go into detail
  • Work denials, follow up on outstanding claims, initiate appeals
  • Work myChart questions
  • Work on divisional items in work queues specific to claims with no response, denials, missing attachments, etc.
  • Other duties as assigned
  • Work a flexible schedule within the clinic or department hours based on clinical demand or need

Qualifications

  • Associate’s degree in health information management technology - Preferred
  • Previous experience in a clinic setting - Preferred
  • 2 years medical coding and/or billing experience - Preferred
  • RHIT, CCS, CCS-P, CPC, COC credentials – Preferred
  • Possess a thorough understanding of claims management, payer denials and remittance codes
  • Experience in and extensive knowledge of insurance payer rules
  • Excellent interpersonal skills and comfortable working in a flexible team environment
  • Experience with CPT and ICD-10 coding preferred
  • Experience working in Epic – Preferred
  • Multi-task quickly effectively in a fast-paced environment
  • Must have excellent verbal and written communication skills
  • Effective customer relation skills, ability to organize and interpret data

Salary: From $20 per hour, commensurate with experience
Job Type: Full Time, Monday-Friday
Experience: Claims, Billing