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Coding Reviewer Jobs in Stoughton, WI (NOW HIRING)

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 ...

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 ...

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 ...

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 ...

Medical Coder II

Oregon, WI · On-site

$18.50 - $24.50/hr

This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and ...

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk ...

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational ... Produce written summaries including main insights, and recommend next steps for leadership review.

Perform code reviews; Develop internal tools for administration of the platform Responsibilities * Execute deployments and configurations * Triage and respond to support tickets * Monitor logs and ...

Salesforce Tech Lead

Oregon, WI · On-site

$54.50 - $72.25/hr

You'llstay hands-on and close to implementation -- reviewing code deeply, unblocking complex work, and keeping architecture grounded in real platform constraints -- while also shaping strong ...

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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.

Coding Quality Analyst - Inpatient

Middleton, WI • Remote

UWHealth
Health Care and Social Assistance • 10K+ employees

Full-time

Medical, Dental, Retirement, PTO

Re-posted 7 days ago


UW Health rating

7.8

Company rating: 7.8 out of 10

Based on 228 frontline employees who took The Breakroom Quiz

111th of 898 rated healthcare providers


Job description


This is a Monday - Friday, 40 hours per weekday shift position.  Start time is flexible between the hours of 6am - 9am CST, eight hours per day is required. This is a remote position.   To be eligible to work remotely, you must be in an approved remote work state for UW Health.  We've included a link below to view the full list of approved remote work states.  


Approved Remote Work States Listing

Be part of something remarkable

Join the #1 hospital in Wisconsin!

We are seeking a Coding Quality Analyst to:
Assess the accuracy and completeness of the coding of inpatient cases by performing retrospective and concurrent audits and to ensure compliance with coding guidelines and regulatory requirements.
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 internal coding guidelines; research, prepare and disseminate information related to official coding guidance updates.
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 have:
An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. 
Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.


Qualifications
Graduate of a medical coding program required. Two (2) years of Coding experience may be considered in lieu of the medical coding program in addition to the experience below. 
Graduate of a Health Information Technology Program preferred.


Work Experience
3 years of progressive acute care hospital inpatient coding experience to include experience coding MS-DRGs and APR-DRGs required.
5 years or more of inpatient coding experience in an academic medical center preferred.
Experience with coding quality audits and improvement projects preferred.
Training experience preferred.

Licenses & Certifications
Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) required.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) preferred.

Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

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About UW Health

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UW Health Clinics - our physicians and staff are dedicated to providing an exceptional patient and family experience by delivering the highest quality of care in a compassionate environment. With more than 80 primary and specialty care clinics located throughout Dane County and the surrounding areas, we are proud to have the opportunity to impact the communities we serve.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Madison, WI, US