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Billing And Coding Jobs in Wisconsin (NOW HIRING)

Quartz

Medical Coding Systems Analyst

Madison, WI · Remote

$72K - $90K/yr

Collaborates across multi-disciplinary teams to assure coding and billing compliance. * Bachelor's degree with 2+ years of relevant coding experience * OR associate degree with 5+ years of relevant ...

Quartz

Medical Coding Systems Analyst

Madison, WI · On-site

$72K - $90K/yr

Collaborates across multi-disciplinary teams to assure coding and billing compliance. Qualifications: * Bachelor's degree with 2+ years of relevant coding experience OR associate degree with 5+ years ...

Quartz

Medical Coding Systems Analyst

Madison, WI · On-site

$72K - $90K/yr

Collaborates across multi-disciplinary teams to assure coding and billing compliance. Qualifications * Bachelor's degree with 2+ years of relevant coding experience * OR associate degree with 5+ ...

Unavailable

Medical Coding Systems Analyst

Madison, WI · On-site

$72K - $90K/yr

Collaborates across multi-disciplinary teams to assure coding and billing compliance. Qualifications * Bachelor's degree with 2+ years of relevant coding experience * OR associate degree with 5+ ...

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All JobsBilling And Coding JobsBilling And Coding Jobs in Wisconsin

Billing And Coding information

See Wisconsin salary details

$13

$22

$29

How much do billing and coding jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for billing and coding in Wisconsin is $22.16, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $23.27 per hour, depending on experience, location, and employer.

What is a billing and coding specialist?

Billing and coding specialists are healthcare professionals responsible for translating medical diagnoses, procedures, and services into standardized codes used for billing and insurance purposes. They ensure that healthcare providers are properly reimbursed by insurance companies and that medical records are accurately maintained. These roles require knowledge of medical terminology, coding systems like ICD-10 and CPT, and regulations such as HIPAA. Billing and coding specialists play a vital role in the healthcare revenue cycle and help prevent billing errors and fraud.

What is the difference between Billing And Coding vs Medical Billing?

AspectBilling And CodingMedical Billing
CertificationsCertified Professional Coder (CPC), Certified Coding Specialist (CCS)Often requires similar certifications, may include billing-specific credentials
Work EnvironmentHospitals, clinics, physician offices, insurance companiesPrimarily healthcare providers' offices and billing companies
Job FocusAssigning medical codes and processing claimsSubmitting and following up on insurance claims, patient billing

Billing and Coding professionals focus on assigning accurate medical codes and ensuring claims are correctly processed, while Medical Billing specialists primarily handle submitting claims and managing payments. Both roles often overlap and require similar certifications, working in healthcare settings to ensure proper reimbursement and compliance.

What are some common challenges faced by billing and coding professionals in healthcare settings?

Billing and Coding professionals often encounter challenges such as keeping up with frequent changes in coding standards (like ICD-10 and CPT), ensuring the accuracy of patient data, and staying compliant with healthcare regulations. They must also navigate insurance denials and resolve discrepancies between clinical documentation and billing codes. Success in this role requires strong attention to detail, adaptability, and effective communication with healthcare providers and insurance companies.

What are the key skills and qualifications needed to thrive as a billing and coding specialist?

To thrive as a Billing and Coding Specialist, you need a strong understanding of medical terminology, coding systems (like ICD-10, CPT, HCPCS), and healthcare reimbursement processes, often supported by a certification such as CPC or CCS. Familiarity with medical billing software, electronic health record (EHR) systems, and claims processing tools is essential. Attention to detail, organizational skills, and effective communication are crucial soft skills for minimizing errors and coordinating with healthcare professionals. These competencies ensure accurate billing, timely reimbursement, and compliance with regulatory standards, all of which are vital for the financial health of healthcare organizations.
What are the most commonly searched types of Billing And Coding jobs in Wisconsin? The most popular types of Billing And Coding jobs in Wisconsin are:
What are popular job titles related to Billing And Coding jobs in Wisconsin? For Billing And Coding jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Billing And Coding jobs in Wisconsin look for? The top searched job categories for Billing And Coding jobs in Wisconsin are:
What cities in Wisconsin are hiring for Billing And Coding jobs? Cities in Wisconsin with the most Billing And Coding job openings:
Billing And Coding jobs near you
Infographic showing various Billing And Coding job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 12% Part Time, and 3% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $46,099 per year, or $22.2 per hour.

Medical Coding & Prior Authorization Specialist

Crossing Rivers Health

Prairie Du Chien, WI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Job description

Medical Coding & Prior Authorization Specialist Full Time / Days / On-Site 40 hours per week
Come join our team! Crossing Rivers Health provides competitive pay along with an excellent benefits package including medical, dental, vision; life insurance, short term disability, paid time off, a retirement plan w/company match, and more!
Crawford County Relocation Opportunity - Talent Recruitment Grant
Crossing Rivers Health is excited to partner with Driftless Development, Inc. to secure the newly awarded Talent Recruitment Grant by Wisconsin Economic Development Corporation (WEDC). Come Home to River Country is an initiative designed to attract and retain talent by offering a relocation incentive for out-of-state households moving to Crawford County, Wisconsin. Click here for more information. Driftless Development
Our core values are practiced and exhibited throughout the organization in our actions and in services provided. Joy : Unity : Integrity : Compassion : Excellence
The Medical Coding and Prior Authorization Specialist plays a dual role in supporting accurate clinical documentation and ensuring timely authorization of services for patients at Crossing Rivers Health. This position is responsible for coding all/assigned encounter types; reviewing and correcting coding related denials and managing prior authorization processes for specialty services, surgical procedures, therapies and imaging. The goal of this role is to support compliance, maximize reimbursement and ensure patients have timely access to medically necessary care.
Essential Job Functions
  • Reviews clinical documentation to ensure coding accuracy, completeness, and compliance with regulations.
  • Assigns diagnoses, procedural/treatment, professional billing codes for all patient type encounters (Clinic, Center for Specialty Care, Emergency, Urgent Care, Outpatient Services, Lab, Imaging, Physical/Occupational/Speech Therapy, Surgery, Observation/Inpatient, Obstetrics) utilizing ICD-10-CM, ICD-10-PCS or CPT guidelines
  • Working knowledge of modifier usage, CCI edits, HCPCS, LCD/NCI regulations
  • Data entry/verification/appropriate sequencing into electronic health record
  • Submit provider queries as appropriate following approved guidelines.
  • Identify and resolve clinical documentation and charge capture data discrepancies
  • Initiates and manages prior authorization requests for surgical procedures, specialty services, imaging, and rehabilitation therapies.
  • Verifies medical necessity and payer-specific criteria prior to submission of authorization requests.
  • Assists with denial follow-up and appeals related to coding or prior authorization
  • Collaborates with providers, nursing staff, and scheduling teams to obtain required clinical documentation for approvals.
  • Monitors pending authorizations, ensuring timely follow-up and communication with payers, providers, and patients.
  • Tracks and reports trends in authorization denials and coding discrepancies; participates in denial prevention initiatives.
  • Maintains current knowledge of payer guidelines, coding updates, and regulatory requirements.
  • Supports staff and providers through education on documentation and authorization best practices.
  • Contributes to a culture of accountability, continuous improvement, and patient-centered service.
  • Assist in provider education in use of coding guidelines and practices and proper documentation techniques
  • Assist with coding quality review activities for accuracy and compliance monitoring
  • Commitment to continuous learning as required to stay up-to-date on coding and prior authorization guidelines.
  • Other job duties and responsibilities as assigned to effectively meet the needs of the patients, the department, and the organization as a whole.

Competencies
  • Accountability - Ability to accept responsibility and account for his/her actions.
  • Accuracy - Ability to perform work accurately and thoroughly.
  • Business Acumen - Ability to grasp and understand business concepts and issues.
  • Communication - The ability to get one's ideas across to others through oral or written means and to understand the ideas of others through effective listening skills.
  • Detail Oriented - Ability to pay attention to the minute details of a project or task.
  • Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.
  • Honesty/ Integrity - Ability to be truthful and be seen as credible in the workplace.
  • Organized - Possessing the trait of being organized or following a systematic method of performing a task.
  • Reliability - The trait of being dependable and trustworthy.
  • Responsible - Ability to be held accountable or answerable for one's conduct.

Reasonable Accommodations Statement
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.
Requirements
Education
  • High School Graduate or General Education Degree (GED) : Required
  • Associate's Degree in Health Information Management, Medical Coding, OR related/Medical Coding diploma/educational program: Required
  • Registered Health Information Technician or related Medical Coding certification within 6 months of hire.

Experience
  • 2+ years of medical coding experience in a Critical Access Hospital or similar setting preferred.
  • Prior authorization and insurance verification experience preferred.

Computer Skills
  • Proficient in Microsoft Office
  • Epic experience preferred

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