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Medical Coder Jobs in Appleton, WI (NOW HIRING)

Neuroscience Group

Prior Authorization Specialist

Appleton, WI · On-site

$17.25 - $23/hr

Upon receiving the anticipated procedure codes and orders from the practitioner; reviews clinical documentation for medical criteria/guidelines as identified by the insurance companies. * Reviews CPT ...

Neuroscience Group

Prior Authorization Specialist

Appleton, WI · On-site

$17.25 - $23/hr

Upon receiving the anticipated procedure codes and orders from the practitioner; reviews clinical documentation for medical criteria/guidelines as identified by the insurance companies. * Reviews CPT ...

Tata Consultancy Service Limited

AKS Engineer

Neenah, WI · On-site

$80K - $110K/yr

... code, and container lifecycle management. * Experience with Docker, container registries, and ... Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans. Family ...

Lund Boats

Senior Embedded Software Engineer

Oshkosh, WI · On-site

$84K - $136K/yr

Follow company coding style, use of best practices and unit testing. * Participate in and ... including medical, dental, vision, paid vacation, 401k (up to 4% match), Health Savings Account ...

Lund Boats

Embedded Software Engineer

Oshkosh, WI · On-site

$62K - $100K/yr

Follow company coding style, use of best practices and unit testing. * Participate in software ... including medical, dental, vision, paid vacation, 401k (up to 4% match), Health Savings Account ...

Brunswick

Embedded Software Engineer

Oshkosh, WI

$62K - $100K/yr

Follow company coding style, use of best practices and unit testing. * Participate in software ... including medical, dental, vision, paid vacation, 401k (up to 4% match), Health Savings Account ...

Bellin

RN | Ortho/Neuro

Green Bay, WI · On-site

... Code of the WI Board of Nursing, and/or appropriate nursing standards governing nursing in the ... Our 30-bed Orthopedic/Neuroscience Unit offers a unique blend of specialty and medical-surgical ...

Bellin

RN | Nursing Services (Float)

Green Bay, WI · On-site

Nursing Services (Float) personnel receive training across all Med-Surg units and are offered the ... Code of the WI Board of Nursing, and/or appropriate nursing standards governing nursing in the ...

Bellin

RN | Ortho/Neuro

Green Bay, WI · On-site

Our medical team specializes in caring for orthopedic and neurologic patients, managing all ... Code of the WI Board of Nursing, and/or appropriate nursing standards governing nursing in the ...

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All JobsMedical Coder JobsMedical Coder Jobs in Appleton, WI

Medical Coder information

See Appleton, WI salary details

$15

$21

$32

How much do medical coder jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for medical coder in Appleton, WI is $21.34, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $22.88 per hour, depending on experience, location, and employer.

Is becoming a Medical Coder worth it?

Medical coding is a stable healthcare job that involves translating medical records into standardized codes using coding systems like ICD and CPT. It typically requires certification, such as the CPC, and offers opportunities for remote work and career advancement. The profession has steady demand due to ongoing healthcare documentation needs.

What Does a Medical Coder Do?

A medical coder works in the billing department of doctor's offices, hospitals, or other medical facilities. Medical coders transfer healthcare claims into universal medical codes for insurance reimbursement. To work as a medical coder, you must have great attention to detail and a solid base knowledge of medical terminology, procedure and visit authorizations, and insurance billing procedures. Having a degree is not required, but many employers prefer candidates who have an associate degree in medical coding or the Certified Professional Coder (CPC) credential. When you first start in this job, your employer may have you shadow other billing staff members and be supervised when you submit your first few claims.

What is the difference between Medical Coder vs Medical Biller?

AspectMedical CoderMedical Biller
CertificationsCertified Professional Coder (CPC), Certified Coding Specialist (CCS)Certified Medical Reimbursement Specialist (CMRS), Certified Professional Biller (CPB)
Work EnvironmentHospitals, clinics, physician offices, insurance companiesMedical offices, billing companies, hospitals
Primary ResponsibilitiesAssigning codes to diagnoses and procedures based on medical recordsSubmitting claims, following up on payments, managing billing processes

Medical coders and medical billers work closely in healthcare revenue cycle management. While medical coders focus on translating medical records into standardized codes, medical billers handle the billing process to ensure healthcare providers are reimbursed. Both roles require understanding of healthcare documentation and often share certifications, but their core functions differ in coding versus billing tasks.

What exactly do you do as a Medical Coder?

A Medical Coder reviews patient medical records and assigns standardized codes for diagnoses, procedures, and services using coding systems like ICD-10 and CPT. This process ensures accurate billing, insurance claims processing, and compliance with healthcare regulations. Medical Coders often work with electronic health record (EHR) systems and require certification to perform their duties effectively.

What are the key skills and qualifications needed to thrive as a Medical Coder, and why are they important?

To thrive as a Medical Coder, you need a solid understanding of medical terminology, anatomy, and coding systems, often supported by a certification such as CPC, CCS, or CCA. Familiarity with electronic health record (EHR) systems and coding software like ICD-10-CM, CPT, and HCPCS is typically required. Attention to detail, analytical thinking, and strong organizational skills help ensure accurate and efficient code assignment. These skills are crucial to maximize reimbursement, maintain compliance, and reduce billing errors in healthcare settings.

What are some common challenges medical coders face when working with complex patient records?

Medical coders often encounter challenges when interpreting complex patient records, such as incomplete physician documentation or ambiguous medical terminology. Accurately assigning the correct codes requires strong attention to detail and frequent communication with healthcare providers to clarify information. Staying updated on coding guidelines and regulations is essential, as errors can impact billing and compliance. Many coders find that developing effective organizational habits and leveraging coding software helps manage these challenges efficiently.

Is a Medical Coder still in demand?

Yes, medical coders are in demand due to the ongoing need for accurate medical billing and coding in healthcare. The role requires knowledge of coding systems like ICD-10 and CPT, and employment opportunities are expected to grow with the expansion of healthcare services and electronic health records.

What are medical coders?

Medical coders are healthcare professionals who review clinical documents and translate medical diagnoses, procedures, and services into standardized codes. These codes are used for billing, insurance claims, and maintaining accurate patient records. Medical coders play a crucial role in ensuring healthcare providers are reimbursed correctly and that records comply with regulatory requirements. They must have a strong understanding of medical terminology, anatomy, and the coding systems used in healthcare, such as ICD-10, CPT, and HCPCS.

Which Medical Coder position pays the most?

Senior medical coder roles, such as Certified Professional Coder (CPC) with specialized expertise or those working in high-demand settings like hospitals or insurance companies, tend to offer the highest salaries. Advanced certifications, experience, and knowledge of coding systems like ICD-10 and CPT can also increase earning potential.
More about Medical Coder jobs
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Medical Coder jobs near you
Prior Authorization Specialist

Prior Authorization Specialist

Neuroscience Group

Appleton, WI • On-site

$17.25 - $23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Neuroscience Group is growing! We are adding to our Prior Authorization team. Neuroscience Group has an immediate opening for a full time Prior Authorization Specialist. This position will work Monday - Friday 8 hours per day. As an integral member of the Clinical Services Team, the Prior Authorization Specialist is responsible for pre-authorizing ancillary testing and treatment conducted in the Neuroscience Group office and outside the office setting. This position includes verification of insurance benefits as it applies to the precertification process and obtaining precertification/preauthorization from payors.
For over thirty years, Neuroscience Group has provided excellent neurologic care for the Fox Valley and Northeast Wisconsin. Ours is the only medical facility in the area that combines neurosurgery, neurology, orthopedic spine surgery, interventional and non-interventional pain management and physical therapy. Our practice has grown to over 50 providers and serves patients in nine outlying clinics scattered throughout the region. Our mission is to improve lives by providing the very best in brain, spine and pain care and we do that by living our company core values: compassionate care, teamwork, fiscal responsibility, continuous learning, leadership and community involvement.
RESPONSIBILITIES:
  • Collects and verifies all patient insurance information; makes changes/updates to information as needed.
  • Upon receiving the anticipated procedure codes and orders from the practitioner; reviews clinical documentation for medical criteria/guidelines as identified by the insurance companies.
  • Reviews CPT and Diagnosis codes for each order for accuracy before submitting to insurance.
  • Reviews patient chart documentation, Epic, Care Everywhere and outside locations to gather required information before submitting for authorization.
  • Determines necessity for pre-authorization for each CPT code via phone call or portal review.
  • Initiates prior authorization via portal, fax form or via telephone call; uploading or faxing clinicals per insurance requirements for ancillary tests (CT, MRI, EEG, EMG, Sleep studies, etc), treatment and/or procedure(s) conducted in the Neuroscience Group office and/or outside locations.
  • Regularly follows up on pending authorization requests so they are addressed in a timely manner via portal or phone call.
  • Notifies patients and practitioners of any services requested and/or referred that are not authorized by insurance.
  • Reviews denied cases for additional information required/reason for denial; communicates reason for denial to practitioner for guidance on next steps. Ie. Peer to Peer or Appeal
  • Schedules Peer to Peer based off of criteria, reason for denial and provider schedule.
  • Collaborates with provider on completion of appeal letter for submission to insurance.
  • Maintains good communication with the patient, physician, clinical services team, reimbursement services team, and outlying facility staff.
  • Daily use of Faxfinder cloud faxing system for managing incoming and outgoing faxes.
  • Maintains timely, complete documentation and recordkeeping to ensure accurate continuity of patient care.
  • Regularly attends all team and staff meetings
  • All other temporary and/or permanent duties as assigned by the Team Leader of Prior Authorization Specialist

Requirements
  • Previous experience in medical preauthorization/precertification
  • Knowledge of health care insurance and third-party payers. (VA, Work Comp)
  • Previous experience with CPT and ICD-10 coding
  • Prior EPIC experience
  • Team Player who can also work independently

KNOWLEDGE/SKILLS REQUIRED TO BE SUCCESSFUL IN THIS POSITION:
  • Proficient computer knowledge and keyboarding skills (Microsoft Office programs)
  • Medical terminology
  • Excellent verbal and written communication skills
  • Customer service experience
  • Strong organizational skills
  • Detail-oriented
  • Ability to multi-task and remain focused while managing a high-volume, time-sensitive workload
  • Critical thinking skills and decisive judgment

TYPICAL PHYSICAL DEMANDS AND WORKING CONDITIONS:
  • Primarily seated work but will require some position change including bending, stooping, and stretching.
  • May involve lifting supplies up to 20 to 30 pounds.
  • May occasionally need to assist with wheelchair transfers.
  • Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment.
  • Requires normal range of hearing and eyesight in order to communicate and function within this setting.

BENEFITS:
At Neuroscience Group we offer a very competitive salary. In addition to great pay we also offer the following benefits:
  • No nights, no weekends, and no holidays!
  • Health Insurance
  • Health Savings Accounts with a generous employer contribution
  • Dental Insurance
  • Vision Insurance
  • Company paid Long Term Disability and Life Insurance
  • Voluntary Life and Short Term Disability Insurance
  • Voluntary Accident and Critical Illness Insurance
  • Generous PTO and Sick Banks
  • 401(k) with guaranteed employer contribution, Profit Sharing, and a Cash Balance Pension Plan
  • Employee Assistance Program
  • Timber Rattler tickets
  • Holiday party, summer picnic, and annual recognition for years of service
  • Annual Employee Appreciation Day

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