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Medical Biller Insurance Coder Jobs in Wisconsin

Medical College of Wisconsin

Coding Specialist II

Milwaukee, WI · On-site +1

$18.50 - $23.75/hr

Note and address trends in provider documentation that may impact coding and billing. Knowledge - Skills - Abilities: Working knowledge of CPT and ICD-10 CM coding. Understanding of medical insurance ...

ThedaCare

Coder (Clinic - II)

Neenah, WI · On-site

$19.25 - $25.75/hr

Audits medical record documentation for completeness and accuracy. Educates and/or collaborates ... Manages and maintains operational coding functions to ensure charge capture of all billable ...

Allergy and Asthma Associates, S.C.

Be Seen First

Medical Front Desk Receptionist

Appleton, WI · On-site

$18 - $20/hr

Medical billing, insurance verification, or clinical administration a plus Key Responsibilities · Continuous phone work to follow up on patient referrals · Verify insurance eligibility and patient ...

FROEDTERT HEALTH

CODER OUTPATIENT II

Milwaukee, WI · On-site

$23.20 - $34.34/hr

... billing and reimbursement. The Outpatient Coder II works with clinical staff to ensure proper ... Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics

Froedtert

CODER OUTPATIENT II

Milwaukee, WI

$23.20 - $34.34/hr

... billing and reimbursement. The Outpatient Coder II works with clinical staff to ensure proper ... Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics

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Medical Biller Insurance Coder information

What is a medical biller insurance coder?

Medical Biller Insurance Coders are healthcare professionals responsible for translating medical services and diagnoses into standardized codes for billing and insurance purposes. They ensure that healthcare providers are reimbursed correctly by insurance companies by accurately processing medical claims. These coders review patient records, assign appropriate codes, and communicate with insurance companies to resolve billing issues. Their work is crucial in maintaining efficient revenue cycles for healthcare facilities and ensuring compliance with healthcare regulations.

How does a medical biller insurance coder typically collaborate with healthcare providers and insurance companies?

Medical Biller Insurance Coders work closely with healthcare providers to ensure accurate documentation and coding of patient diagnoses and procedures. They frequently communicate with medical staff to clarify information and verify records, ensuring claims are submitted correctly to insurance companies. Additionally, they interact with insurance representatives to address claim denials, resolve discrepancies, and ensure timely reimbursement. This collaboration requires strong attention to detail, good communication skills, and a thorough understanding of healthcare regulations.

What are the key skills and qualifications needed to thrive as a medical biller insurance coder, and why are they important?

To thrive as a Medical Biller Insurance Coder, you need a solid understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and knowledge of healthcare reimbursement processes, often supported by a certification like CPC or CCS. Familiarity with medical billing software, electronic health records (EHR), and insurance claim management systems is typically required. Attention to detail, organizational skills, and effective communication are crucial soft skills for resolving billing discrepancies and collaborating with providers and insurers. These skills and qualifications ensure accurate claim processing, timely reimbursement, and compliance with regulatory requirements, which are vital for the financial health of healthcare organizations.

What is the difference between Medical Biller Insurance Coder vs Medical Coder?

AspectMedical Biller Insurance CoderMedical Coder
CertificationsCertified Professional Biller (CPB), Certified Coding Associate (CCA)Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentMedical offices, billing companies, hospitalsHospitals, clinics, outpatient facilities
Primary ResponsibilitiesSubmitting insurance claims, billing patients, follow-up on paymentsReviewing medical records, assigning codes for diagnoses and procedures

While both roles involve coding and billing, Medical Biller Insurance Coders focus more on insurance claims and billing processes, whereas Medical Coders primarily assign medical codes based on patient records. Both roles require similar certifications and often work in healthcare settings, but their daily tasks differ significantly.

What cities in Wisconsin are hiring for Medical Biller Insurance Coder jobs?

Cities in Wisconsin with the most Medical Biller Insurance Coder job openings:

Infographic showing various Medical Biller Insurance Coder job openings in Wisconsin as of June 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, and 5% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Coding Specialist II

Milwaukee, WI • On-site, Remote

Medical College of Wisconsin
Health Care and Social Assistance • 5 - 10K employees
Learn more about Medical College of Wisconsinexternal

$18.50 - $23.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 25 days ago

Medical College Of Wisconsin rating

7.7

Company rating: 7.7 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

262nd of 633 rated colleges and universities

Job description

Summary:
Perform coding and related duties using established billing office policies in an accurate and timely manner. Primary contact with physicians, department administrators, hospital and/or clinical department administrators and their support staff and billing staff. Coordinates professional service billings for selected clinical departments.
Primary Responsibilities:
CHARGE PROCESSING:
  • Assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation. (Inpatient/Emergency Department abstraction, ambulatory coding and/or surgical/procedural coding).
  • Resolve edits for electronic charges, following established policies and procedures to ensure that all data elements (claim requirements - CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied.
  • Charge Entry as needed.

RECONCILIATION OF CHARGES:
  • Monitor charge flow and act as a liaison with managers, department administrators and other billing personnel to assure consistent and accurate change flow. Work with clinic staff and physicians regarding missing or unclear information that is required for billing.

CLAIM DENIALS / BILLING ISSUES:
  • Identify, report, and resolve coding and reimbursement issues. Working with physicians, department administrators and other billing office staff, including reimbursement staff. Identify opportunities to reduce denials and enhance revenue.

PROTOCOLS:
  • Develop and maintain all protocols related to their assigned areas.

PROVIDER EDUCATION:
  • Maintain understanding all Teaching Physician and provider documentation policies.
  • Actively participate in new provider orientations.
  • Note and address trends in provider documentation that may impact coding and billing.

Knowledge - Skills - Abilities:
Working knowledge of CPT and ICD-10 CM coding. Understanding of medical insurance guidelines and governmental policies. Progressive computer skills. Detail oriented. Ability to establish and maintain effective working relationships with the team and department staff (including administrative staff and faculty). Meet or exceed established production rate and performance standards.
Qualifications:
Appropriate experience may be substituted for education on an equivalent basis.
Minimum Required Education: High school graduate or equivalent
Minimum Required Experience: 2 years of related coding and/or health care experience
Required Certification/Licensure(s): Coding certification (CPC, CPC-A, CCS-P, or CCA) and/or Health Information Management credential (RHIT or RHIA).
Preferred Experience: Office experience
Physical Requirements
Work requires occasionally lifting moderate weight materials, standing, or walking continuously.
Work Environment
Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.
Sensory Acuity
Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.
#LI-RT1
Why MCW?
  • Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
  • 403B Retirement Package
  • Competitive Vacation and Paid Holidays offered
  • Tuition Reimbursement
  • Paid Parental Leave
  • Employee & Family Assistance Program (EFAP)
  • Pet Insurance
  • On campus Fitness Facility, offering onsite classes
  • Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a brief overview of our benefits see: Benefits Overview
For a full list of positions see: MCW Careers
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring - Collaborative - Curiosity - Inclusive - Integrity - Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:
The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.

What Medical College Of Wisconsin employees say

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About Medical College of Wisconsin

Sourced by ZipRecruiter

The Medical College of Wisconsin (MCW) is an industry-leading educational institution located in Milwaukee, WI, US. Being part of the medical and health services sector, MCW's primary mission is to educate and train the next generation of healthcare professionals. MCW offers a wide array of degrees and programs within medical and health sciences, covering everything from medical, graduate, pharmacy and health sciences studies, to continuing professional developments and community engagement initiatives. Founded in 1893, MCW boasts a rich, well-entrenched history in shaping the medical education landscape locally and globally. The institution's core values of knowledge-changing life underline its dedication to incorporating innovative approaches in education and research, commitment to diversity and inclusion, service to the community, integrity, stewardship, and collaboration.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Milwaukee, WI, US

Year founded

1893

Social media

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