Madison Area Chapter
                                  of the 
         American Academy of Professional  Coders



 Job Opportunities

Note to Employers:  If you would like information about a job opening posted on this website, please send the info to Nicole Wilson at

Reaction Search International, a global executive search firm, is conducting a search for a Clinical Compliance Manager for a top medical facility in Milwaukee, WI

Manager Clinical Compliance

Position Purpose

Under the general supervision of the Director of Corporate Compliance, responsible for the leadership, development and maintenance of the Clinical Compliance Program.  This position is responsible for ensuring that the organization complies with all applicable rules and regulations affecting the clinical mission, including but not limited to: the accurate documentation, coding (CPT and ICD-10) and billing of professional services to payers; Medicare and Medicaid rules, regulations and policies; private payer contractual requirements; Electronic Healthcare Records; the Health Insurance Portability and Accountability Act, Privacy Regulation.

Stewardship & Institutional Citizenship

Be an active and thoughtful participant in institutional initiatives, meetings and committee work.  Conserve resources and use in an efficient and cost effective manner across all organizational missions.  Look for ways to improve and promote quality within area of influence.

Primary Functions

1.     Responsible for daily operations of the Clinical Compliance Office including personnel management, budget/fiscal responsibility, obtaining all required data and information, and allocating resources to various projects and initiatives.  Coordinate communication with senior management, department chairs, department administration, physicians, advanced practice providers, and Clinical Practice Services (CPS) management on all aspects related to the clinical compliance components of the Corporate Compliance Plan.

2.     Develop, implement and/or recommend modifications to the clinical compliance sections of the Corporate Compliance Plan.  This Plan, in part, governs the scope of the Clinical Compliance Office and provides guidance on audits, reviews and educational activites.

3.     Oversee the continual assessment of risks related to the organization’s clinical mission.  This risk assessment is used to prioritize audits, determine where additional policies, processes or education are required, and implement appropriate controls to mitigate the identified risks.

4.     Oversee internal clinical compliance audits and investigations including scheduling, issue identification, methods and results.  Review and approve all audit reports.  Work with audited departments and/or CPS to implement recommendations and corrective action plans.  Report applicable audit findings and issues to senior management.

5.     Develop, review and approve clinical compliance educational materials and programs.  These are designed to provide physicians, advanced practice providers, and coding/billing/reimbursement staff with guidance on appropriate clinical practice rules, regulations, policies and procedures.

6.     Review, research and respond to any inquiries concerning clinical rules, regulations, policies, procedures or practices.  Recommend changes to clinical practice policies, procedures or practices.

7.     Review, investigate and respond to any reports of potential clincial practice non-compliance, including documentation, coding and billing issues, and HIPAA privacy issues.  Recommend discipline and/or remedial actions for non-compliance.

8.     Partner with the Corporate Compliance, Health Informatics, and Health Information Management Offices of affiliate hospitals on joint compliance, billing, and medical record processes and/or projects.


Appropriate education and/or experience may be substituted on equivalent basis

Minimum Education:

Bachelor's Degree in business or healthcare field

Prior Experience:

8 years of experience in a healthcare, governmental or insurance setting with compliance, management, billing or insurance responsibilities.  Liaison and/or coordination with multiple levels of senior management.

Preferred Field of Study:

Business, Healthcare, or related


CPC or HCCA-CHC, dependent upon position and expertise needed. 

Knowledge, Skills, and Abilities

Ability to consult and address top-level management including the President and CEO, Dean and Executive Vice President, General Counsel, Senior Associate Deans, Department Chairs, Department Administrators, Physicians and Advanced Practice Providers, and Clinical Practice Services leadership.  The Manager Clinical Compliance should have in-depth knowledge of health care operations, payer and insurance processes, and governmental rules and regulations. 

Staff management skills and excellent verbal and written communication skills required.Ability to consult and address top-level management including the President and CEO, Dean and Executive Vice President, General Counsel, Senior Associate Deans, Department Chairs, Department Administrators, Physicians and Advanced Practice Providers, and Clinical Practice Services leadership.  The Manager Clinical Compliance should have in-depth knowledge of health care operations, payer and insurance processes, and governmental rules and regulations. 

In depth knowledge of health care operations or administration; group practice administration; insurance and payer administration; knowledge of auditing practices. 

Strong analytical background necessary.

Ability to communicate clearly and effectively, both orally and in writing. 

Ability to collect, analyze, and evaluate information pertaining to compliance and the preparation of written reports of work performed. 

Excellent computer skills required.

Physical Requirements

Work requires occasionally lifting moderate weight materials, standing, or walking continuously.

Sensory Acuity

Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.

Work Environment

Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.

Diversity, Affirmative Action, Equal Employment Opportunity, and Confidentiality Statement

Employment in this position may be contingent upon successfully completing a background and criminal history check, caregiver background check in accordance with the Wisconsin Caregiver Background Check Law, physical examination, and / or driving record check. This organization is an affirmative action / equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, veteran status, disability, or sexual orientation.

If you are interested in learning more, please contact:

Ali Deway

Executive Search Consultant

Reaction Search International

(617) 426-4600 ext. 222


UW Health Coding Positions as of

March 29, 2018 

Join our Coding or Compliance Teams!

Join our team and be part of the talent that makes UW Health the best work and academic environments!  We currently have a variety of opportunities available in different areas of our organization.  Check out our full list of available career opportunities now on our website at

We currently have the following openings:

UW Hospitals and Clinics

Inpatient Coding Technician - Senior (170023B9)

Clinical Research Billing Specialist – Compliance (180020EX)

Compliance Analyst (180020EZ)

Compliance Coordinator (180020EW)


UW Health’s training plan is robust, comprehensive and flexible, and is provided by AHIMA-approved trainers.

We strive to assist our staff to excel as professionals, while growing as individuals. Our competitive human resource programs are designed to facilitate a work/life balance, offering fulfilling careers that support both individual aspirations and families at home.

For more information and to apply online, visit our website at We are an Equal Employment Opportunity, Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Please feel free to contact a Recruiter today! 

Carrie - 608-821-4918


Image result for dean health plan logo

Risk Adjustment Documentation and Coding Educator

Position Summary:

Under the direction of the Risk Adjustment Manager, the Risk Adjustment Documentation and Coding Educator will review medical records and other clinical documentation to identify appropriate risk adjustment diagnosis codes and quality gaps. This position will be responsible for the assessment, design, development and delivery of education materials for areas identified as needing risk adjustment educational focus. This position will need to be able to work effectively with other team members in order to close clinical care reporting and diagnosis coding gaps to ensure complete and accurate capture of revenue, based on the risk adjustment models.

The Risk Adjustment Documentation and Coding Educator works as a coding policy subject matter expert and reviews, resolves, and responds to routine internal and external inquiries. Supports strategic direction to facilitate optimal medical record documentation through educating best practice processes and to ensure correct diagnostic coding practices are delivered. Primary focus of the position is to collect and review documentation and provide education to support risk adjustment initiatives, which results in improving data used for government reporting.

The Risk Adjustment Documentation and Coding Educator promotes and supports a culture of continuous learning, root cause analysis, and continuous process improvement. 

For more information including job duties and qualifications and to apply online please follow the link: Requisition #: 17016893: 

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