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Remote Kaiser Permanente Medical Coder Jobs in Wisconsin

Bellin

Coding Specialist III

Green Bay, WI · On-site +1

Associate degree in medical records technology, health information technology, or related degree ... Coder experience or three to five years applicable coding experience with a current certification ...

Harris

Write clean, scalable, and efficient code in C# using .NET Core. * Develop and maintain front-end ... Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment

Harris

Write clean, scalable, and efficient code in C# using .NET Core. * Develop and maintain front-end ... Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment

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Remote Kaiser Permanente Medical Coder information

What is a remote Kaiser Permanente medical coder?

Remote Kaiser Permanente Medical Coders are professionals who review and analyze medical records and documentation to assign standardized codes for diagnoses, procedures, and services provided to patients. They work from home and use specialized coding systems such as ICD-10, CPT, and HCPCS to ensure accurate billing and compliance with healthcare regulations. These coders play a critical role in supporting healthcare providers by ensuring that claims are processed correctly and efficiently, helping to maintain the financial health of the organization. Working remotely allows flexibility while still adhering to Kaiser Permanente's standards for quality and confidentiality.

What are the key skills and qualifications needed to thrive as a remote Kaiser Permanente medical coder?

To thrive as a Remote Kaiser Permanente Medical Coder, you need a strong understanding of medical terminology, anatomy, coding guidelines (ICD-10, CPT, HCPCS), and typically a certification such as CPC, CCS, or CCA. Familiarity with electronic health record (EHR) systems, encoder software, and secure remote work technology is essential for accuracy and efficiency. Exceptional attention to detail, time management, and effective written communication distinguish high performers in this role. These skills and qualities are crucial for ensuring precise coding, timely billing, regulatory compliance, and effective collaboration in a remote healthcare environment.

What are some common challenges faced by remote Kaiser Permanente medical coders, and how can these be effectively managed?

Remote Kaiser Permanente Medical Coders often encounter challenges such as staying updated with frequent coding guideline changes, maintaining productivity without in-person supervision, and ensuring secure handling of sensitive patient data. Effective management involves proactive communication with the coding team, regular participation in virtual training sessions, and strict adherence to HIPAA and organizational privacy protocols. Utilizing company-provided resources and collaborating through secure digital platforms can help coders stay connected and supported while working remotely.

What is the difference between Remote Kaiser Permanente Medical Coder vs Remote Medical Billing Specialist?

AspectRemote Kaiser Permanente Medical CoderRemote Medical Billing Specialist
CertificationsCertified Professional Coder (CPC), CCS, or equivalentCertified Billing and Coding Specialist (CBCS) or similar
Work EnvironmentHealthcare provider setting, hospital or clinicMedical billing companies, healthcare practices
Employer & IndustryKaiser Permanente, healthcare industryVarious healthcare organizations, insurance companies
Job FocusAssigning codes to medical diagnoses and proceduresProcessing insurance claims, billing patients

The Remote Kaiser Permanente Medical Coder primarily focuses on assigning accurate medical codes for patient records within Kaiser Permanente, requiring specific coding certifications. In contrast, a Remote Medical Billing Specialist handles insurance claims and billing processes across various healthcare providers. While both roles require healthcare industry knowledge and certifications, their core responsibilities and work environments differ significantly.

What are popular job titles related to Remote Kaiser Permanente Medical Coder jobs in Wisconsin?

For Remote Kaiser Permanente Medical Coder jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Remote Kaiser Permanente Medical Coder jobs in Wisconsin look for?

The top searched job categories for Remote Kaiser Permanente Medical Coder jobs in Wisconsin are:

What cities in Wisconsin are hiring for Remote Kaiser Permanente Medical Coder jobs?

Cities in Wisconsin with the most Remote Kaiser Permanente Medical Coder job openings:

Remote Kaiser Permanente Medical Coder jobs near you

Medical Billing Specialist

Mile Bluff Medical Center

Mauston, WI • Remote

$20.25 - $26/hr

Full-time

Re-posted 8 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

638th of 1,066 rated hospitals

Job description

General Information:

Job title: Medical Billing Specialist

Schedule: 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 Weekends

Holiday rotation: No Holidays

Position 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 software
  • Exceptional 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.

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