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Hcc Risk Adjustment Coding Jobs in Wisconsin (NOW HIRING)

Clinical Documentation Auditor

De Pere, WI · Remote

$96.21K - $134.11K/yr

Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles. * Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC ...

Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles. * Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC ...

Medical terminology and coding knowledge EDUCATION & EXPERIENCE: * High school diploma or ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Medical terminology and coding knowledge EDUCATION & EXPERIENCE: * High school diploma or ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Medical terminology and coding knowledge EDUCATION & EXPERIENCE: * High school diploma or ... The level may impact the salary range and these adjustments would be clarified during the offer ...

... adjustments as needed to maintain financial targets. * Risk Assessment and Mitigation: Monitor ... Stay current with local, state, and national codes, regulations, and standards related to our ...

Manage risk management, permitting, and client communications throughout the project lifecycle ... Adjustments will be provided in all parts of our hiring process. Applicants need to make their ...

Manage risk management, permitting, and client communications throughout the project lifecycle ... Adjustments will be provided in all parts of our hiring process. Applicants need to make their ...

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Hcc Risk Adjustment Coding information

See Wisconsin salary details

$13

$28

$45

How much do hcc risk adjustment coding jobs pay per hour?

As of May 30, 2026, the average hourly pay for hcc risk adjustment coding in Wisconsin is $28.26, according to ZipRecruiter salary data. Most workers in this role earn between $21.30 and $34.66 per hour, depending on experience, location, and employer.

What is an HCC Risk Adjustment Coding job?

An HCC Risk Adjustment Coding job involves reviewing medical records to assign Hierarchical Condition Category (HCC) codes based on documented diagnoses. Coders ensure accurate risk adjustment by following ICD-10-CM coding guidelines, which impact reimbursement for healthcare providers and insurance plans. This role requires knowledge of medical terminology, compliance regulations, and risk adjustment models used in Medicare Advantage and other programs.

What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coding position, and why are they important?

To thrive as an HCC Risk Adjustment Coder, you need a strong understanding of medical coding guidelines, ICD-10-CM codes, and risk adjustment principles, typically supported by a certification such as CPC, CRC, or CCS-P. Familiarity with electronic health record systems and risk adjustment software is essential for accurate coding and data analysis. Attention to detail, critical thinking, and effective communication skills are important soft skills for ensuring documentation integrity and collaborating with healthcare providers. These competencies are crucial to accurately capture patient complexity, optimize reimbursement, and support compliance in healthcare organizations.

What are the typical challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?

HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying up-to-date with evolving coding guidelines, and ensuring thorough documentation to support accurate risk scoring. To overcome these challenges, coders should engage in continuous education, collaborate closely with healthcare providers for clarification, and utilize available coding resources and team support. Staying organized and maintaining a detail-oriented approach will also help ensure that codes are assigned correctly and all relevant conditions are captured. Working as part of a supportive team can further ease the process, providing opportunities for knowledge sharing and professional development.
What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Wisconsin? The most popular types of Hcc Risk Adjustment Coding jobs in Wisconsin are:
What are popular job titles related to Hcc Risk Adjustment Coding jobs in Wisconsin? For Hcc Risk Adjustment Coding jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coding jobs in Wisconsin look for? The top searched job categories for Hcc Risk Adjustment Coding jobs in Wisconsin are:
Infographic showing various Hcc Risk Adjustment Coding job openings in Wisconsin as of May 2026, with employment types broken down into 2% Internship, 37% Full Time, 35% Part Time, 13% Temporary, 11% Contract, and 2% Nights. Highlights an 46% Physical, 24% Hybrid, and 30% Remote job distribution, with an average salary of $58,780 per year, or $28.3 per hour.
Clinical Documentation Auditor

Clinical Documentation Auditor

Ascension

De Pere, WI • Remote

$96.21K - $134.11K/yr

Full-time

Medical, PTO

Posted 10 days ago


Ascension Healthcare rating

6.9

Company rating: 6.9 out of 10

Based on 993 frontline employees who took The Breakroom Quiz

447th of 864 rated healthcare providers


Job description

Your future role at a glance

Location: Partially Remote

Department/Specialty: Clinical Documentation Integrity

Schedule: Full Time | Days | Monday-Friday

Salary: $96,208.99-$134,109.89

Candidates must live in Texas within driving distance of both Waco and Austin 

#LI-Remote

How you'll make an impact in this role
  • Assess the accuracy, consistency, and compliance of clinical documentation reviews performed by front-line CDS. Supports the professional development of the CDI team and provides provider-facing education to improve clinical documentation practices.
  • Perform routine and ad hoc audits of CDI queries, documentation reviews, and EHR entries for compliance with internal standards, industry guidelines, and regulatory requirements.
  • Evaluate query appropriateness, clinical evidence, and alignment with coding rules (ICD-10-CM/PCS, UHDDS, CMS).
  • Identify trends, variances, and opportunities for improvement in CDI team performance. Maintain internal audit tools, track performance metrics, and present findings to leadership on a regular basis
  • Provide one-on-one coaching for new or developing team members, based on audit findings or performance trends. Create and maintain educational materials, tip sheets, and query templates in accordance with evolving CDI best practices.
What minimum qualifications you'll need

Licensure / Certification / Registration:

Required Credential(s):

  • Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.

Education:

  • High School diploma equivalency with 2 years of cumulative experience OR Associate'sdegree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
What additional requirements you'll need
  • Must have a Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialists (ACDIS)
  • Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles.
  • Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC, mortality), and CMS compliance.
  • Proficiency with audit tools, EHR systems (e.g., Epic), and CDI software platforms (e.g., Iodine, 3M, Nuance).
Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Benefits

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Employment Type: FULL_TIME

What Ascension Healthcare employees say

Pay

Benefits

Hours and flexibility

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About Ascension

Sourced by ZipRecruiter

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US