Medical Coding & Prior Authorization Specialist Full Time / Days / On-Site 40 hours per week Come ... Come Home to River Country is an initiative designed to attract and retain talent by offering a ...
Medical Coding & Prior Authorization Specialist Full Time / Days / On-Site 40 hours per week Come ... Come Home to River Country is an initiative designed to attract and retain talent by offering a ...
Description Medical Coding & Prior Authorization Specialist Full Time / Days / On-Site 40 hours per ... Come Home to River Country is an initiative designed to attract and retain talent by offering a ...
Description Medical Coding & Prior Authorization Specialist Full Time / Days / On-Site 40 hours per ... Come Home to River Country is an initiative designed to attract and retain talent by offering a ...
WI · On-site
$70K - $80K/yr
Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology. What you should expect in this role * Remote (work from home) environment ...
WI · On-site
$70K - $80K/yr
Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology. What you should expect in this role * Remote (work from home) environment ...
Also, prepares and leads medical staff and associate staff education on CPT and ICD-10 related ... home * Be a member of a passionate workforce, that feels like family and is driven to provide ...
Also, prepares and leads medical staff and associate staff education on CPT and ICD-10 related ... home * Be a member of a passionate workforce, that feels like family and is driven to provide ...
WI · On-site
Team Member must be able to work from home and be independent in their coding skills. Provide various components of coding services to support our clients. Code surgical procedures typical of an ER ...
WI · On-site
Team Member must be able to work from home and be independent in their coding skills. Provide various components of coding services to support our clients. Code surgical procedures typical of an ER ...
WI · On-site
Team Member must be able to work from home and be independent in their coding skills.Provide various components of coding services to support our clients.Observation facility coding, skilled in ...
WI · On-site
Team Member must be able to work from home and be independent in their coding skills.Provide various components of coding services to support our clients.Observation facility coding, skilled in ...
Certified Medical Coder
Hudson, WI · On-site
$23.25 - $31.75/hr
Provide coding education and engage with assigned providers. * Research and communicate ... Standard Office Environment- with the option to work from home. Physical Demands * Abide by the ...
Certified Medical Coder
Hudson, WI · On-site
$23.25 - $31.75/hr
Provide coding education and engage with assigned providers. * Research and communicate ... Standard Office Environment- with the option to work from home. Physical Demands * Abide by the ...
Minimum five years of experience in day-to-day operations in a Home Medical setting with expertise in ICD-10, HCPCS coding, and billing practices, and demonstrating knowledge of disease process ...
Minimum five years of experience in day-to-day operations in a Home Medical setting with expertise in ICD-10, HCPCS coding, and billing practices, and demonstrating knowledge of disease process ...
Minimum five years of experience in day-to-day operations in a Home Medical setting with expertise in ICD-10, HCPCS coding, and billing practices, and demonstrating knowledge of disease process ...
Minimum five years of experience in day-to-day operations in a Home Medical setting with expertise in ICD-10, HCPCS coding, and billing practices, and demonstrating knowledge of disease process ...
Medical Terminology Tutor
Milwaukee, WI · Remote
$40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... coding careers. * Conceptual Teaching & Problem-Solving: Skilled at teaching systematic word ...
Medical Terminology Tutor
Milwaukee, WI · Remote
$40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... coding careers. * Conceptual Teaching & Problem-Solving: Skilled at teaching systematic word ...
Medical Terminology Tutor
Madison, WI · Remote
$40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... coding careers. * Conceptual Teaching & Problem-Solving: Skilled at teaching systematic word ...
Medical Terminology Tutor
Madison, WI · Remote
$40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... coding careers. * Conceptual Teaching & Problem-Solving: Skilled at teaching systematic word ...
LPNs/RNs
$27.50 - $37.25/hr
... Medical Coding Jobs Locum Tenens Jobs Nursing Jobs Permanent Physician Jobs Phys./Speech/Occ ... Overview: RN or LPN will handle one pediatric patient in a home care setting (non-live in) with ...
LPNs/RNs
$27.50 - $37.25/hr
... Medical Coding Jobs Locum Tenens Jobs Nursing Jobs Permanent Physician Jobs Phys./Speech/Occ ... Overview: RN or LPN will handle one pediatric patient in a home care setting (non-live in) with ...
Coding Specialist III
Green Bay, WI · On-site +1
Associate degree in medical records technology, health information technology, or related degree ... Encourages self-care and provides you with opportunities to be your best self at work and at home ...
Coding Specialist III
Green Bay, WI · On-site +1
Associate degree in medical records technology, health information technology, or related degree ... Encourages self-care and provides you with opportunities to be your best self at work and at home ...
Denials Coding Specialist
Green Bay, WI · On-site +1
This role reviews inpatient medical records to assess coding accuracy, supports appeal processes ... home * Be a member of a passionate workforce, that feels like family and is driven to provide ...
Denials Coding Specialist
Green Bay, WI · On-site +1
This role reviews inpatient medical records to assess coding accuracy, supports appeal processes ... home * Be a member of a passionate workforce, that feels like family and is driven to provide ...
Coding Specialist III
Green Bay, WI · On-site
Associate degree in medical records technology, health information technology, or related degree ... Encourages self-care and provides you with opportunities to be your best self at work and at home ...
Coding Specialist III
Green Bay, WI · On-site
Associate degree in medical records technology, health information technology, or related degree ... Encourages self-care and provides you with opportunities to be your best self at work and at home ...
Certified Medical Assistant Exam Tutor
Madison, WI · Remote
$40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Ability to explain patient intake procedures, phlebotomy techniques, medical coding basics, and ...
Certified Medical Assistant Exam Tutor
Madison, WI · Remote
$40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Ability to explain patient intake procedures, phlebotomy techniques, medical coding basics, and ...
Certified Medical Assistant Exam Tutor
Milwaukee, WI · Remote
$40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Ability to explain patient intake procedures, phlebotomy techniques, medical coding basics, and ...
Certified Medical Assistant Exam Tutor
Milwaukee, WI · Remote
$40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Ability to explain patient intake procedures, phlebotomy techniques, medical coding basics, and ...
Registered Nurse (RN) - Hospice and Home Health
Waukesha, WI · On-site
$40.43 - $47.04/hr
Join our growing Home Health and Hospice team and experience a career that's as rewarding as it is ... Certified in Gerontology, Medical Coding, Wound Care (WCC), Hospice and Palliative Nurse preferred.
Registered Nurse (RN) - Hospice and Home Health
Waukesha, WI · On-site
$40.43 - $47.04/hr
Join our growing Home Health and Hospice team and experience a career that's as rewarding as it is ... Certified in Gerontology, Medical Coding, Wound Care (WCC), Hospice and Palliative Nurse preferred.
Registered Nurse (RN) - Hospice and Home Health
Waukesha, WI · On-site
$40.43 - $47.04/hr
Join Our Home Health And Hospice Team Make a real impact--right where it matters most. Join our ... Certified in Gerontology, Medical Coding, Wound Care (WCC), Hospice and Palliative Nurse preferred.
Registered Nurse (RN) - Hospice and Home Health
Waukesha, WI · On-site
$40.43 - $47.04/hr
Join Our Home Health And Hospice Team Make a real impact--right where it matters most. Join our ... Certified in Gerontology, Medical Coding, Wound Care (WCC), Hospice and Palliative Nurse preferred.
WI · On-site
$79K - $105K/yr
Responsibilities include performing Outpatient Coding and DRG Validation reviews of medical records ... Active, unrestricted RN licensure from the United States and in the state of primary home residency ...
New
WI · On-site
$79K - $105K/yr
Responsibilities include performing Outpatient Coding and DRG Validation reviews of medical records ... Active, unrestricted RN licensure from the United States and in the state of primary home residency ...
New
Home Medical Coding information
See Wisconsin salary details
$16.01 - $17.71
6% of jobs
$18.92 is the 25th percentile. Wages below this are outliers.
$17.71 - $19.41
26% of jobs
The median wage is $20.38 / hr.
$19.41 - $21.11
31% of jobs
$21.11 - $22.81
7% of jobs
$23.53 is the 75th percentile. Wages above this are outliers.
$22.81 - $24.51
11% of jobs
$24.51 - $26.20
6% of jobs
$26.20 - $27.90
5% of jobs
$27.90 - $29.60
3% of jobs
$29.60 - $31.30
2% of jobs
$31.30 - $33
1% of jobs
$33 - $34.70
1% of jobs
$16
$22
$34
How much do home medical coding jobs pay per hour?
What is home medical coding?
What are the key skills and qualifications needed to thrive as a home medical coder, and why are they important?
What are some common challenges faced by home medical coders and how can they be addressed?
What is the difference between Home Medical Coding vs Medical Billing Specialist?
| Aspect | Home Medical Coding | Medical Billing Specialist |
|---|---|---|
| Certifications | Certified Professional Coder (CPC), CCS | Certified Medical Reimbursement Specialist (CMRS), CPC |
| Work Environment | Remote, home-based | Office or remote |
| Industry Usage | Healthcare providers, insurance companies | Hospitals, clinics, healthcare providers |
| Primary Focus | Assigning codes to medical procedures and diagnoses | Processing and submitting claims for reimbursement |
Home Medical Coding involves assigning accurate medical codes to patient records, primarily focusing on diagnoses and procedures. Medical Billing Specialists handle the billing process, submitting claims and following up on reimbursements. While both roles require similar certifications and often work in healthcare settings, Home Medical Coding emphasizes coding accuracy, whereas Medical Billing Specialists focus on claims management and reimbursement processes.
How much does a home medical coder make?
Is home medical coding a good career?
Is remote home medical coding worth it?
What are popular job titles related to Home Medical Coding jobs in Wisconsin?
For Home Medical Coding jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Home Medical Coding jobs in Wisconsin look for?
The top searched job categories for Home Medical Coding jobs in Wisconsin are:

Medical Coding & Prior Authorization Specialist
Prairie Du Chien, WI • On-site
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 16 days ago
Job description
Come join our team! Crossing Rivers Health provides competitive pay along with an excellent benefits package including medical, dental, vision; life insurance, short term disability, paid time off, a retirement plan w/company match, and more!
Crawford County Relocation Opportunity - Talent Recruitment Grant
Crossing Rivers Health is excited to partner with Driftless Development, Inc. to secure the newly awarded Talent Recruitment Grant by Wisconsin Economic Development Corporation (WEDC). Come Home to River Country is an initiative designed to attract and retain talent by offering a relocation incentive for out-of-state households moving to Crawford County, Wisconsin. Click here for more information. Driftless Development
Our core values are practiced and exhibited throughout the organization in our actions and in services provided. Joy : Unity : Integrity : Compassion : Excellence
The Medical Coding and Prior Authorization Specialist plays a dual role in supporting accurate clinical documentation and ensuring timely authorization of services for patients at Crossing Rivers Health. This position is responsible for coding all/assigned encounter types; reviewing and correcting coding related denials and managing prior authorization processes for specialty services, surgical procedures, therapies and imaging. The goal of this role is to support compliance, maximize reimbursement and ensure patients have timely access to medically necessary care.
Essential Job Functions
- Reviews clinical documentation to ensure coding accuracy, completeness, and compliance with regulations.
- Assigns diagnoses, procedural/treatment, professional billing codes for all patient type encounters (Clinic, Center for Specialty Care, Emergency, Urgent Care, Outpatient Services, Lab, Imaging, Physical/Occupational/Speech Therapy, Surgery, Observation/Inpatient, Obstetrics) utilizing ICD-10-CM, ICD-10-PCS or CPT guidelines
- Working knowledge of modifier usage, CCI edits, HCPCS, LCD/NCI regulations
- Data entry/verification/appropriate sequencing into electronic health record
- Submit provider queries as appropriate following approved guidelines.
- Identify and resolve clinical documentation and charge capture data discrepancies
- Initiates and manages prior authorization requests for surgical procedures, specialty services, imaging, and rehabilitation therapies.
- Verifies medical necessity and payer-specific criteria prior to submission of authorization requests.
- Assists with denial follow-up and appeals related to coding or prior authorization
- Collaborates with providers, nursing staff, and scheduling teams to obtain required clinical documentation for approvals.
- Monitors pending authorizations, ensuring timely follow-up and communication with payers, providers, and patients.
- Tracks and reports trends in authorization denials and coding discrepancies; participates in denial prevention initiatives.
- Maintains current knowledge of payer guidelines, coding updates, and regulatory requirements.
- Supports staff and providers through education on documentation and authorization best practices.
- Contributes to a culture of accountability, continuous improvement, and patient-centered service.
- Assist in provider education in use of coding guidelines and practices and proper documentation techniques
- Assist with coding quality review activities for accuracy and compliance monitoring
- Commitment to continuous learning as required to stay up-to-date on coding and prior authorization guidelines.
- Other job duties and responsibilities as assigned to effectively meet the needs of the patients, the department, and the organization as a whole.
Competencies
- Accountability - Ability to accept responsibility and account for his/her actions.
- Accuracy - Ability to perform work accurately and thoroughly.
- Business Acumen - Ability to grasp and understand business concepts and issues.
- Communication - The ability to get one's ideas across to others through oral or written means and to understand the ideas of others through effective listening skills.
- Detail Oriented - Ability to pay attention to the minute details of a project or task.
- Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.
- Honesty/ Integrity - Ability to be truthful and be seen as credible in the workplace.
- Organized - Possessing the trait of being organized or following a systematic method of performing a task.
- Reliability - The trait of being dependable and trustworthy.
- Responsible - Ability to be held accountable or answerable for one's conduct.
Reasonable Accommodations Statement
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.
Requirements
Education
- High School Graduate or General Education Degree (GED) : Required
- Associate's Degree in Health Information Management, Medical Coding, OR related/Medical Coding diploma/educational program: Required
- Registered Health Information Technician or related Medical Coding certification within 6 months of hire.
Experience
- 2+ years of medical coding experience in a Critical Access Hospital or similar setting preferred.
- Prior authorization and insurance verification experience preferred.
Computer Skills
- Proficient in Microsoft Office
- Epic experience preferred
About Crossing Rivers Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Prairie du Chien, WI, US
Year founded
1957