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Hcc Risk Adjustment Coding Jobs in Wisconsin (NOW HIRING)

ThedaCare

Coder (Clinic - III)

Neenah, WI · On-site

$19.25 - $25.75/hr

... coding; Urology primarily to start. KEY ACCOUNTABILITIES: * Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional ...

ThedaCare

Coder (Clinic - III)

Neenah, WI · On-site

$19.25 - $25.75/hr

... coding; Urology primarily to start. KEY ACCOUNTABILITIES: * Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional ...

ThedaCare

Coder (Clinic - II)

Neenah, WI · On-site

$19.25 - $25.75/hr

Clinic coding experience with specialty experience preferred KEY ACCOUNTABILITIES: * Reviews and/or assigns CPT and/or diagnosis codes (ICD-10-CM, including HCC risk adjustment) for primary care and ...

Texas Health Institute

WI · On-site

$150 - $200/hr

... HCC risk adjustment * Advanced degree in Public Health, Epidemiology, Biostatistics, Health ... Clinical coding credential (CRC, CPC) or direct experience supporting coding quality, audit, or ...

HCC Service Company, Inc.

WI · On-site

$56K - $125K/yr

... adjustments, where applicable. The pay range is the range THMCC, in good faith, believes is the ... HCC is designed to protect employers from that risk. Applying our Mind Over Risk philosophy to ...

LexisNexis Risk Solutions

WI · On-site

$54K - $90K/yr

Manage code through Git/GitHub -- version control, pull requests, code reviews, and CI/CD pipelines ... If you have a disability or other need that requires accommodation or adjustment, please let us ...

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Hcc Risk Adjustment Coding information

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$45

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

As of Sep 11, 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?

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 HCC Risk Adjustment Coding?

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.

Is Hcc Risk Adjustment Coding a good career?

Hcc Risk Adjustment Coding is a growing field within healthcare that involves analyzing patient data to improve risk adjustment models, often requiring knowledge of medical terminology and coding systems like ICD-10. It offers opportunities for stable employment, remote work, and career advancement, especially for those with certification and experience in medical coding. The role is in demand as healthcare organizations focus on accurate risk assessment and reimbursement.

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:

Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in Wisconsin as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $58,780 per year, or $28.3 per hour.

Professional Coder and Auditor

Hudson, WI • On-site

J2 Integrity Solutions, LLC
See more jobs at J2 Integrity Solutions, LLCexternal

$28.25 - $32/hr

Full-time

Re-posted 25 days ago

Key responsibilities

  • Perform accurate, timely professional fee coding across assigned specialties and services.

  • Conduct structured audits of coded encounters to validate coding accuracy, documentation integrity, and compliance.

  • Develop educational tools and training materials to promote coding best practices and continuous improvement.

Job description

Position Summary
J2 Integrity Solutions is seeking a Professional Coder/Auditor to support client engagements through a blended role that pivots between coding production and coding audit responsibilities. This position is ideal for a high-performing professional coder who is equally confident performing accurate and timely coding while also evaluating documentation and coding quality through structured audit reviews.
The Professional Coder & Auditor will serve as a subject matter expert in ICD-10-CM, CPT, HCPCS, modifiers, and applicable CMS and payer-specific requirements. This role plays a key part in ensuring accurate billing, supporting revenue integrity, reducing compliance risk, and identifying education opportunities that strengthen documentation and coding performance.
In addition to day-to-day coding and auditing work, this position will contribute to the development of educational tools and training materials to promote coding best practices and continuous improvement. The ideal candidate is detail-oriented, efficient, highly analytical, and able to pivot seamlessly between productivity-driven coding responsibilities and quality-focused audit work.
Key Responsibilities
  • Pivot between production coding and audit responsibilities based on client needs and internal priorities.
  • Perform accurate, timely professional fee coding across assigned specialties and services, meeting defined productivity and quality benchmarks.
  • Assign appropriate ICD-10-CM, E/M, CPT, HCPCS, and modifiers in accordance with official guidelines and client-specific policies.
  • Ensure coding aligns with CMS, AMA, payer-specific policies, and NCCI edits to support clean claims and denials prevention.
  • Meet defined productivity and turnaround time expectations while maintaining high quality standards.
  • Conduct structured audits of coded encounters to validate coding accuracy, documentation integrity, and compliance.
  • Audit and validate E/M leveling using current CMS/AMA guidelines, including time and complexity-based models.
  • Identify under coding, over coding, missed charges, risk-adjustment and HCC opportunities, compliance risk, and revenue opportunities.
  • Document audit findings with clear rationale, applicable guideline references, and recommended actions.
  • Provide respectful, constructive feedback to coders, providers, and stakeholders, including navigating difficult conversations when needed.
  • Identify trends, root causes, and recurring patterns impacting coding quality and documentation, and translate them into practical education and process recommendations.
  • Develop tip sheets, SOPs, job aids, and training tools to promote coding consistency and best practices.
  • Deliver targeted data-driven education and coaching based on audit findings and performance gaps.
  • Collaborate with Coding, CDI, Revenue Integrity, and Compliance teams to support denial prevention, revenue protection, and accurate quality reporting.
  • Serve as a professional representative and brand ambassador of J2 Integrity Solutions, modeling integrity, and client-focused problem solving.
  • Roll up your sleeves to assist with the day-to-day support needed. Create internal policies, procedures, and work efforts at J2.

Other duties as assigned. As a growing company, team members regularly contribute beyond client work. In addition to your primary focus on professional coding and audit work, you may also contribute to internal initiatives such as developing J2-branded content and tools, supporting operational workflows, assisting with marketing and thought leadership, participate in industry events, and cultivate your professional presence on platforms like LinkedIn in alignment with the J2 brand.
We believe in working at the top of our license, stretching ourselves, and stepping into the uncomfortable - together. Flexibility, initiative, and team-oriented mindset are essential. At J2, you won't be left on an island; we'll support one another as we grow and build something meaningful.
Qualifications & Experience
  • Certification: CCS, CCS-P, CPC, RHIT, RHIA, CPMA, or equivalent required.
  • Experience:
    • 3+ years of multi-specialty professional fee coding experience, including E&M.
    • 2+ years of professional coding audit experience strongly preferred.
    • Prior experience in a consulting or multi-client environment is a plus.
  • Technical Proficiency: Experience with EHR and encoders. Epic preferred.
  • Industry Knowledge: Deep understanding of ICD-10-CM, CPT, HCPCS, HCC, modifier application, CMS and AMA documentation standards, NCCI edits and payer-specific requirements, and risk adjustment methodologies.
  • Skills:
    • Strong written and verbal communication skills, including the ability to deliver feedback clearly and confidently.
    • Ability to work independently in a remote environment, manage competing priorities, and pivot between coding production and audit responsibilities based on client needs.
    • High degree of accountability, integrity, and follow-through in meeting deadlines and delivering quality work.
    • Ability to use data (dashboards, spreadsheets, and metrics) to track trends and outcomes of audits and education.

Why Join J2 Integrity Solutions?
At J2 Integrity Solutions, we are committed to excellence, integrity, and innovation in healthcare coding and compliance. As part of our team, you will have the opportunity to drive meaningful changes, support diverse clients, and be part of a dynamic team of professionals.

Apply