Hybrid Coding & Billing Compliance Analyst (WI)

Family Health Center; Marshfield (WI); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Family Health Center in Wisconsin seeks a Coding and Billing Compliance Analyst to safeguard coding accuracy, regulatory compliance, and revenue integrity across all service lines. The role involves audits, policy updates, and collaboration with providers and billing teams to optimize reimbursement.

Responsibilities include reviewing documentation for ICD-10, CPT, HCPCS coding, monitoring denials, and preparing audit reports for leadership.

Qualifications

• 3–5 years of medical billing, coding, or compliance experience in healthcare.
• Proficiency with EHR and practice management systems (Epic, NextGen, eCW).
• Associate degree in HIM, Healthcare Admin, or related field preferred.

Responsibilities

• Review provider documentation and charges for correct ICD-10, CPT, HCPCS codes.
• Audit coding, billing, and claims for CPT/HCPCS/ICD-10 compliance.
• Monitor claims, denials, and payor feedback; identify trends and actions.
• Develop and update coding and billing policies and training materials.
• Collaborate with providers and billing staff to ensure compliant coding and Medicaid/FQHC requirements.
• Prepare audit reports and present findings to leadership.

Skills

Medical billing

Coding accuracy

Regulatory compliance

Audit & analysis

Education

Health Information Management degree

AA/AS in Healthcare Administration

Tools

Epic Systems

NextGen Healthcare

eClinicalWorks

Job description

Family Health Center in Wisconsin seeks a Coding and Billing Compliance Analyst to safeguard coding accuracy, regulatory compliance, and revenue integrity across all service lines. The role involves audits, policy updates, and collaboration with providers and billing teams to optimize reimbursement.

Responsibilities include reviewing documentation for ICD-10, CPT, HCPCS coding, monitoring denials, and preparing audit reports for leadership.