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Coding Auditor Jobs in Wisconsin (NOW HIRING)

ThedaCare

Coding Auditor

Appleton, WI · On-site

$26.50 - $30.25/hr

The Coding Auditor performs coding quality audits of records to ensure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines. Provides ...

FROEDTERT HEALTH

CODING EDUCATOR & AUDITOR

Manitowoc, WI · On-site

$24.05 - $38.48/hr

A minimum of 3 years of experience of providing education / training and or auditing related to CPT, ICD-10 and HCPCS codes for a multiple specialty physician practice is required. Knowledge of ...

Froedtert

CODING EDUCATOR & AUDITOR

Manitowoc, WI · Remote

$24.05 - $38.48/hr

A minimum of 3 years of experience of providing education / training and or auditing related to CPT, ICD-10 and HCPCS codes for a multiple specialty physician practice is required. Knowledge of ...

Davies North America

Premium Auditor

Ashwaubenon, WI · On-site

$47K - $57K/yr

Join Davies Risk Services as a Premium Auditor - No Experience Required! Are you a self-starter who ... Verifying class codes based on business operations 📹 Watch our Premium Audit Overview: What We ...

Davies Risk Services

Premium Auditor

Ashwaubenon, WI · On-site

$47K - $57K/yr

Join Davies Risk Services as a Premium Auditor -- No Experience Required! Are you a self-starter ... Verifying class codes based on business operations 📹 Watch our Premium Audit Overview: What We ...

UW Health

Coding Quality Analyst - Inpatient

Middleton, WI · On-site

$32.91 - $49.37/hr

Provide feedback to coding team members regarding audit results and respond to coding questions. * Assist with the training and onboarding new Inpatient Coders, including auditing. * Maintain ...

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Coding Auditor information

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$37

How much do coding auditor jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for coding auditor in Wisconsin is $29.38, according to ZipRecruiter salary data. Most workers in this role earn between $26.44 and $30.10 per hour, depending on experience, location, and employer.

What are some common challenges faced by Coding Auditors in ensuring accurate medical coding compliance?

Coding Auditors often encounter challenges such as staying updated with frequently changing coding guidelines, identifying inconsistencies in documentation, and ensuring that codes reflect the full scope of patient care provided. They also need to balance productivity expectations with the thoroughness required for effective audits. Collaboration with coding teams and healthcare providers is essential to clarify ambiguities and promote ongoing education, which helps maintain compliance and reduce the risk of costly errors.

What is a Coding Auditor?

A Coding Auditor is a healthcare professional responsible for reviewing medical records and coding data to ensure accuracy, compliance with regulations, and proper billing practices. They verify that diagnostic and procedural codes used for billing are correct and align with medical documentation. Coding Auditors help healthcare organizations minimize errors, prevent fraud, and maximize reimbursement by conducting regular audits and recommending process improvements. Their work is crucial for maintaining the integrity of medical coding and supporting financial health in the medical industry.

What Is a Coding Auditor?

A coding auditor reviews and evaluates medical coding to ensure the accuracy of patient records and billing. As a coding auditor, your job duties include inspecting medical coding documents for errors, correcting mistakes, reporting repeated errors to management, conducting inquiries into departments that output a significant number of coding mistakes, and providing training and education to medical coding clerks. You need extensive knowledge of ICD-9 and CPT codes to make sure that the medical coding documents you review are accurate and that patients receive accurate bills for their medical services.

What are the key skills and qualifications needed to thrive as a Coding Auditor, and why are they important?

To thrive as a Coding Auditor, you need a strong understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare compliance, and auditing principles, usually supported by a relevant degree and certifications like CCS, CPC, or RHIA. Familiarity with electronic health record (EHR) systems, coding software, and auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are vital soft skills for identifying discrepancies and collaborating with healthcare teams. These skills ensure accurate billing, regulatory compliance, and financial integrity in healthcare organizations.

What is the difference between Coding Auditor vs Medical Coder?

AspectCoding AuditorMedical Coder
CertificationsAHIMA or AAPC certifications, such as CCS or CPC-AAHIMA or AAPC certifications, such as CPC or CCS
Work EnvironmentHealthcare facilities, insurance companies, or consulting firmsHospitals, clinics, physician offices, or outpatient facilities
Primary ResponsibilitiesReview and ensure coding accuracy, compliance, and documentation qualityAssign medical codes based on patient records for billing and documentation
Industry UsageUsed in healthcare compliance and auditing departmentsUsed in medical billing and coding departments

While both Coding Auditors and Medical Coders work with medical codes and require similar certifications, Coding Auditors focus on reviewing and verifying coding accuracy and compliance, whereas Medical Coders are responsible for assigning the correct codes to patient records. Their roles often overlap but serve different functions within healthcare organizations.

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Coding Auditor jobs near you
Coding Auditor

Coding Auditor

ThedaCare

Appleton, WI • On-site

$26.50 - $30.25/hr

Part-time

Posted 27 days ago

ThedaCare rating

6.8

Company rating: 6.8 out of 10

Based on 122 frontline employees who took The Breakroom Quiz

485th of 872 rated healthcare providers

Job description

Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness -
  • Lifestyle Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!
Summary :
The Coding Auditor performs coding quality audits of records to ensure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education needs for providers and coding team members. Monitors for compliance with regulatory requirements and works closely with corporate compliance. Provides feedback and education to coders when discrepancies and areas of opportunity are identified through auditing and payer denial review
Job Description:
KEY ACCOUNTABILITIES:
  • Performs compliance monitoring and auditing of billing, coding, and documentation related to inpatient, outpatient surgery, observation, emergency department, urgent care, and professional services for all payers to ensure compliance with regulatory requirements.
  • Reviews and prepares compliance audit reports to ensure ThedaCare meets coding accuracy standards that are set in place.
  • Assists in the preparation and response to external oversight agency and commercial payer audits and inquiries including CMS, Medicaid, RAC, HRSA, and PERM to ensure appropriate reimbursement. Reviews internal processes to ensure compliance with regulatory requirements.
  • Responds to identified areas of risk through investigation and internal audit to ensure compliance with regulatory requirements.
  • Assists in the preparation and execution of the annual audit plan as part of the corporate compliance plan.
  • Assists in monitoring and responding to corporate compliance hotline reports related to hospital coding.
  • Stays current with changing regulatory requirements through review of periodicals, compliance association newsletters, and review of state and federal regulatory agency work plans to ensure compliance.
  • Assists in the development and management of learning management systems and compliance training materials to ensure compliance with regulatory requirements.
  • Serves as subject matter expert to educate coders, providers, and others regarding documentation requirements for accurate coding.
  • Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations. Obtains clarification of conflicting, ambiguous, or non-specific documentation to ensure compliance with regulatory requirements.
  • Trains, instructs, and/or provides technical support to medical providers as appropriate regarding coding compliance documentation, regulatory provisions, and third party payer requirements to ensure compliance with regulatory requirements.
  • Maintains working knowledge of changes and requirements related to compliance/regulations and coding.

QUALIFICATIONS:
  • High School diploma or GED preferred
  • Minimum three years of experience in hospital coding
  • Minimum two years of experience in clinical medical audit review
  • Current or obtained within one year of hire - Certified Coding Credential obtained through AHIMA or AAPC, or RHIT (Registered Health Information Technologist/AHIMA), or RHIA (Registered Health Information Administrator/AHIMA). Minimum certification requirement is one of the following: CCS (Certified Coding Specialist/AHIMA), CPC (Certified Professional Coder/AAPC), CIC (Certified Inpatient Coder/AAPC), or COC (Certified Outpatient Coder/AAPC).
  • Current or obtained within one year of hire - Certified Clinical Documentation Specialist obtained through Association of Clinical Documentation Integrity Specialists (ACDIS)

PHYSICAL DEMANDS:
  • Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
  • Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

WORK ENVIRONMENT:
  • Normally works in climate controlled office environment
  • Frequent sitting with movement throughout office space
  • Use of computers throughout the work day
  • Frequent use of keyboard with repetitive motion of hands, wrists, and fingers

Position requires compliance with department specific competencies.
Scheduled Weekly Hours:
16Scheduled FTE:
0.4Location:
ThedaCare Regional Medical Center - Appleton - Appleton,WisconsinOvertime Exempt:
NoWorker Shift Details:
Days

What ThedaCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About ThedaCare

Sourced by ZipRecruiter

We want to make exceptional care effortless for our patients. At ThedaCare, that means going above and beyond treating a particular condition – it means helping you achieve better health for life. You and your family are at the center of everything we do, from prioritizing your schedule when making appointments to designing our facilities for your comfort and convenience. Remaining proactive in your care allows us to better predict and prevent disease before complications arise, and when it comes to making important health-related decisions, we are here to support you. In every interaction, we want you to have full confidence the care you receive is purposeful, cost-effective and will help you continue enjoying life as you’ve planned it. ThedaCare is the third largest healthcare employer in Wisconsin, and the largest employer in Northeast Wisconsin with over 7,000 team members.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Neenah, WI, US

Year founded

1909

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