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Fulltime Optum Medical Coding Jobs in Wisconsin (NOW HIRING)

INPATIENT CODER

Milwaukee, WI · On-site

$25.82 - $44.16/hr

... and accurately coding inpatient medical records within a complex academic medical center ... Employment Type: FULL_TIME

Showing results 41-60

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.

What are popular job titles related to Fulltime Optum Medical Coding jobs in Wisconsin?

For Fulltime Optum Medical Coding jobs in Wisconsin, the most frequently searched job titles are:

What cities in Wisconsin are hiring for Fulltime Optum Medical Coding jobs?

Cities in Wisconsin with the most Fulltime Optum Medical Coding job openings:

Medical Billing Specialist

Mile Bluff Medical Center

Mauston, WI • On-site

$20.25 - $26/hr

Full-time

Re-posted 13 days ago


Mile Bluff Medical Center rating

6.7

Company rating: 6.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

637th of 1,059 rated hospitals


Job description

General Information:Job title: Medical Billing SpecialistSchedule: Full-time, 80 hours per pay period; Monday - Friday, 8:00am - 4:30pm**Position is not eligible for remote work. Must report on-site daily.**Weekend rotation: No WeekendsHoliday rotation: No HolidaysPosition Summary:The Medical Billing Specialist is responsible for accurately preparing, submitting, and following up on medical claims to insurance companies and patients. This role ensures timely reimbursement, compliance with healthcare regulations, and effective communication with providers, payers, and patients.Position Responsibilities:Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers (electronic and paper) Review and resolve accounts and pre claim edits. Verify patient insurance coverage and benefits. Review documentation and charges for accuracy and compliance. Monitor accounts receivable and follow up on outstanding balances. Follow up on unpaid, denied, or rejected claims and resolve billing issues. Review and reconcile account credit balances. Identify and correct billing errors to prevent claim rejections. Communicate and collaborate with coding, denial management specialists, insurance companies, patients, clinical staff and healthcare providers regarding billing inquiries or issues to ensure accurate charges, billing, and reimbursement. Maintain compliance with HIPAA, Medicare, Medicaid, and payer guidelines. Assist with patient billing questions and patient payments. Interpret EOBs and remittance advice. Maintain accurate billing records and documentation. Support audits and compliance initiatives when documentation. Perform other duties as requested. Position Requirements:High school diploma or equivalent required.1+ years of related work experience required.Experience working in the medical industry is preferred.Familiarity with insurance guidelines, EOBs, and claim adjudication processes.Proficiency with electronic health records (EHR) and billing softwareExceptional accuracy and attention to detail required.Knowledge, Skills, & Abilities:Intermediate proficiency with computers is required.Experience in insurance claims required.Knowledge of CPT, ICD-10, and HCPCS coding systems.Strong quantitative and analytical competency.Self-starter with excellent interpersonal communication and problem-solving skills.
Job Posted by ApplicantPro

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