Remote Fraud Analytics Jobs in Wisconsin (NOW HIRING)

Your future role at a glance

Location: Remote

Facility: Remote

Department: Revenue Cycle Management

Schedule: Full-time | Day Shift

Salary Range: $28.72 - $40.03

How you'll make an impact in this role

• Conduct regular billing audits, coordinate Medicare and regulatory reviews, and provide data-driven recommendations to management based on the results.

•  Maintain up-to-date knowledge of billing regulations, research compliance questions, and assist Medicare billers in resolving claims that fail Correct Coding Initiative (CCI) edits.

• Track key compliance metrics, analyze data to identify trends, and develop targeted corrective action plans to prevent the recurrence of billing errors.

• Design and refine analytical reporting to provide the clinical and financial teams with actionable insights for operational process improvements.

What minimum qualifications you'll need

Licensure/Certification/Registration:

• Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred.

Education:

• High School diploma equivalency with 2 years of cumulative experience OR Associate'sdegree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

What additional requirements you'll need

• 40 hours a week | M-F | Between 6 AM - 8:30 PM Central Time Zone | No weekends or major holidays
• -Experience with professional medical coding denials, with specific expertise in CPT codes, modifiers, HCPCS, and ICD-10.
• Proficiency in Microsoft Excel and/or Google Sheets and Epic EHR experience, particularly in report writing

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

Benefits

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Employment Type: FULL_TIME