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Coding Reviewer Jobs in Wisconsin (NOW HIRING)

ThedaCare

Coding Educator

Neenah, WI · On-site

$28 - $32/hr

Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other ...

ThedaCare

Coding Educator

Neenah, WI · On-site

$28 - $32/hr

Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other ...

ThedaCare

Coding Auditor

Appleton, WI · On-site

$26 - $29.50/hr

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 ...

ThedaCare

Coding Auditor

Appleton, WI · Remote

$26 - $29.50/hr

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 ...

ThedaCare

Coding Auditor

Appleton, WI · On-site

$26.50 - $30.25/hr

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 ...

Gainwell Technologies

WI · On-site

$70K - $80K/yr

Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs * Assists management with training new Coding Auditors to include daily ...

ThedaCare

Coding Auditor

Appleton, WI · Remote

$26 - $29.50/hr

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 ...

Gainwell Technologies

WI · On-site

$54K - $77K/yr

Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce that meets client needs. * Assists management with training new Coding Auditors, including daily ...

UW Health

Coding Quality Analyst - Inpatient

Middleton, WI · On-site

$32.91 - $49.37/hr

Work collaboratively with the Coding and CDI Quality Analyst teams for DRG issues and other operational activities, including internal and external secondary coding reviews. At UW Health, you will ...

Parkland Community Health Plan

WI · On-site

This role is also responsible for charge review on clinic and hospital visits to ensure accurate professional charging and billing. This position requires the coder to be highly proficient in the ...

ThedaCare

Supervisor, Coding & Auditing

Neenah, WI · On-site

Performs data quality reviews on outpatient encounters to validate the International Classification of Diseases (ICD-9-CM), the Current Procedural Terminology (CPT), and the Healthcare Common ...

ThedaCare

Supervisor, Coding & Auditing

Neenah, WI · On-site

Performs data quality reviews on outpatient encounters to validate the International Classification of Diseases (ICD-9-CM), the Current Procedural Terminology (CPT), and the Healthcare Common ...

Fort HealthCare

Coding Coordinator

Fort Atkinson, WI · On-site

The Coordinator of Coding oversees daily department coding operations for Fort Memorial Hospital ... Attends interdepartmental meetings reviewing potential process changes that may impact on the ...

Highmark Health

Coding Coordinator

Madison, WI · On-site

$37.14/hr

Reviews dashboards and reports, to identify and report needs to coding leadership. (30%) * Continually assesses and monitors work queues to identify fluctuating needs. Escalates items based on what ...

Varsity Tutors

Vibe Coding Tutor

Milwaukee, WI · Remote

$40/hr

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Varsity Tutors

Vibe Coding Tutor

Madison, WI · Remote

$40/hr

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

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Coding Reviewer information

What is a coding reviewer?

Coding Reviewers are professionals responsible for evaluating, analyzing, and verifying code written by other developers to ensure it meets established standards and best practices. They check for errors, maintainability, security vulnerabilities, and adherence to coding guidelines. Their feedback helps improve code quality, reduce bugs, and facilitate team collaboration. Coding Reviewers often participate in code walkthroughs, pull request reviews, and may also mentor junior developers.

How does a coding reviewer typically collaborate with software development teams during the review process?

Coding Reviewers work closely with developers by examining code for quality, consistency, and adherence to best practices before it is merged into the main codebase. They often provide constructive feedback through code review tools or meetings, helping developers understand and resolve issues. Effective collaboration also involves clear communication to ensure that suggested changes are well-understood and implemented, fostering continuous improvement and knowledge sharing within the team.

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

To thrive as a Coding Reviewer, you need in-depth knowledge of medical coding standards (such as ICD-10, CPT, and HCPCS), healthcare regulations, and relevant clinical terminology, typically supported by a certification like CPC or CCS. Familiarity with electronic health records (EHR) systems, coding audit tools, and healthcare compliance software is essential. Strong attention to detail, analytical thinking, and effective communication skills help Coding Reviewers identify errors and provide clear feedback. These skills ensure accurate billing, regulatory compliance, and optimized revenue cycles in healthcare organizations.

What is the difference between Coding Reviewer vs Medical Coder?

AspectCoding ReviewerMedical Coder
CredentialsCertification in coding (e.g., CPC, CCS)Certification in coding (e.g., CPC, CCS)
Work EnvironmentReviewing medical codes, often in healthcare settingsAssigning medical codes from patient records
Industry UsageUsed in hospitals, clinics, insurance companiesUsed in hospitals, clinics, billing companies
Primary RoleReview and validate coding accuracyAssign and input medical codes

Both Coding Reviewers and Medical Coders require similar certifications and work in healthcare environments. Coding Reviewers focus on verifying the accuracy of codes assigned by others, ensuring compliance and correctness. Medical Coders are responsible for assigning the initial codes based on medical records. While their roles are interconnected, Coding Reviewers primarily audit and validate, whereas Medical Coders handle the coding process itself.

What cities in Wisconsin are hiring for Coding Reviewer jobs?

Cities in Wisconsin with the most Coding Reviewer job openings:

Coding Reviewer jobs near you
Infographic showing various Coding Reviewer job openings in Wisconsin as of September 2026, with employment types broken down into 62% Full Time, 19% Part Time, 6% Temporary, and 13% Contract. Highlights an 87% In-person, and 13% Remote job distribution.

Coding Educator

Neenah, WI • On-site

ThedaCare
Health Care and Social Assistance • 5 - 10K employees
Learn more about ThedaCareexternal

$28 - $32/hr

Full-time

Posted 16 days ago

ThedaCare rating

6.7

Company rating: 6.7 out of 10

Based on 130 frontline employees who took The Breakroom Quiz

535th of 898 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 Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits.
Job Description:
SCHEDULE:
  • Full time, benefit eligible
  • 40 hrs/week
  • Remote, ideally regular business hours
  • Provider education experience preferred.
  • Dual certification required

KEY ACCOUNTABILITIES:
  • Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy.
  • Educates providers on documentation improvement opportunities. Conducts and reports internal documentation audits to ensure ThedaCare compliance by providers and team members.
  • Performs internal reviews in response to third party data summaries and/or investigations. Creates mitigation plan to reduce future risk.
  • Manages and maintains coding inventory responsibilities, internal reporting and payer denials, and claim edits to ensure timely reimbursement for services provided. Researches policy and communicates with payers.
  • Mentors and trains team members to skills matrix requirements. Provides orientation training to new team members.
  • Performs world class service to our customers, responding timely and professionally to inquiries.

QUALIFICATIONS:
  • High School diploma or GED preferred
  • Must be 18 years of age
  • Coding certificate or associate's degree in medical business or coding/health information
  • Three years of experience in general medical or specialty coding
  • Dual certifications through AAPC and/or AHIMA

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

Scheduled Weekly Hours:
40Scheduled FTE:
1Location:
CIN 3 Neenah Center - 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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