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Medical Coding Auditor Jobs in Wisconsin (NOW HIRING)

ThedaCare

Coding Auditor

Appleton, WI · On-site

$26.50 - $30.25/hr

ThedaCare Regional Medical Center - Appleton - Appleton,Wisconsin Overtime Exempt: No Worker Shift Details: Days

FROEDTERT HEALTH

INPATIENT CODING AUDITOR

Milwaukee, WI · On-site

$26.75 - $30.50/hr

The Inpatient Auditor supports the quality and development of the inpatient coding team through ... Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics

Froedtert

CODING EDUCATOR & AUDITOR

Manitowoc, WI · Remote

$24.05 - $38.48/hr

Perform medical coding audits for providers and coding specialists resulting in detailed reports ... A minimum of 3 years of experience of providing education / training and or auditing related to CPT ...

Upland Hills Health

Medical Coding Team Lead

Dodgeville, WI · Remote

$23.25 - $31.75/hr

Medical Coding Team Lead Location: Upland Hills Health - Dodgeville Hospital Campus *Please note that this role requires regular onsite attendance and is not fully remote. Following a satisfactory ...

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Medical Coding Auditor information

See Wisconsin salary details

$34.3K

$69K

$93.4K

How much do medical coding auditor jobs pay per year?

As of Jul 26, 2026, the average yearly pay for medical coding auditor in Wisconsin is $69,050.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,500.00 and $75,700.00 per year, depending on experience, location, and employer.

What Do Medical Coding Auditors Do?

A medical coding auditor is an administrative professional in the healthcare industry. As a medical coding auditor, you check medical coding and billing information for accuracy, suspicious activity, and compliance with healthcare regulations. Your responsibilities require you to review medical data and document any areas where the medical coding could improve in terms of accuracy and efficiency. Your duties also include reviewing records of patients to make sure that there is documentation for each item on a billing inventory. Though you work in the medical coding and billing department, your focus is on regulations, compliance, and efficiency rather than on coding for billing and records purposes.

What is the difference between Medical Coding Auditor vs Medical Billing Specialist?

AspectMedical Coding AuditorMedical Billing Specialist
CertificationsCPMA, CPC, CCSCPB, CPC, CMA
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies
Primary FocusReviewing coding accuracy and complianceProcessing patient bills and payments
Industry UsageHealthcare providers, insuranceHealthcare providers, billing services

Medical Coding Auditors focus on reviewing and ensuring the accuracy of medical codes used for billing and reimbursement, often working in compliance and quality assurance roles. Medical Billing Specialists handle the submission of claims, patient billing, and payment processing. While both roles require coding knowledge and certifications, their primary responsibilities and work environments differ, making them distinct but related careers in healthcare revenue cycle management.

Will AI eventually replace medical coders?

Medical coding auditors oversee the review of coded medical records to ensure accuracy and compliance. While AI tools can assist with coding processes, human oversight remains essential for complex cases, interpretation, and quality assurance, making full replacement unlikely in the near future.

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

To thrive as a Medical Coding Auditor, you need in-depth knowledge of medical coding systems (ICD-10, CPT, HCPCS), healthcare regulations, and a credential such as CPC, CCS, or RHIA. Proficiency with electronic health record (EHR) systems, coding audit software, and compliance databases is typically required. Attention to detail, analytical thinking, and strong communication skills help auditors accurately review records and provide clear feedback. These skills are essential for ensuring coding accuracy, regulatory compliance, and minimizing risk for healthcare organizations.

What does a Medical Coding Auditor do?

A Medical Coding Auditor reviews medical records and coding to ensure accuracy, compliance with regulations, and proper reimbursement. They evaluate the work of medical coders, identify errors or inconsistencies, and provide feedback or training to improve coding practices. Medical Coding Auditors help healthcare organizations minimize risk, avoid overbilling or underbilling, and maintain high standards in documentation and billing processes.

What are some common challenges faced by Medical Coding Auditors and how can they be addressed?

Medical Coding Auditors often encounter challenges such as staying current with frequently changing coding guidelines, managing high volumes of records, and ensuring accuracy under tight deadlines. To address these, many auditors participate in ongoing training, leverage coding software tools, and collaborate closely with coding and billing teams to clarify discrepancies. Establishing consistent communication with healthcare providers and maintaining meticulous documentation also helps minimize errors and improve audit efficiency.

How do I become a medical coding auditor?

To become a medical coding auditor, you typically need a medical coding certification such as the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), along with experience in medical coding. Strong attention to detail, knowledge of coding guidelines, and familiarity with coding and auditing software are essential for the role.

What pays more, CCS or CPC?

Medical Coding Auditors with CCS (Certified Coding Specialist) credentials typically earn higher salaries than those with CPC (Certified Professional Coder) certification, as CCS is often considered more advanced and specialized. However, salaries can vary based on experience, location, and employer, with CCS holders generally commanding higher pay due to their expertise in hospital and inpatient coding. Both certifications are valuable, but CCS often leads to higher-paying roles in medical coding and auditing environments.

What is the highest paying job in medical coding?

The highest paying roles in medical coding are often senior-level positions such as Coding Manager, Coding Director, or Compliance Officer, which require extensive experience, certifications like CPC or CCS, and strong leadership skills. These roles typically offer higher salaries due to increased responsibilities and expertise in auditing, compliance, and coding accuracy.
More about Medical Coding Auditor jobs
What are the most commonly searched types of Medical Coding Auditor jobs in Wisconsin? The most popular types of Medical Coding Auditor jobs in Wisconsin are:
What are popular job titles related to Medical Coding Auditor jobs in Wisconsin? For Medical Coding Auditor jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Medical Coding Auditor jobs in Wisconsin look for? The top searched job categories for Medical Coding Auditor jobs in Wisconsin are:
What cities in Wisconsin are hiring for Medical Coding Auditor jobs? Cities in Wisconsin with the most Medical Coding Auditor job openings:
What are popular job titles related to Medical Coding Auditor jobs in WI? For Medical Coding Auditor jobs in WI, the most frequently searched job titles are:
Medical Coding Auditor jobs near you
Infographic showing various Medical Coding Auditor job openings in Wisconsin as of July 2026, with employment types broken down into 80% Full Time, 13% Part Time, and 7% Contract. Highlights an 53% In-person, and 47% Remote job distribution, with an average salary of $69,050 per year, or $33.2 per hour.
Coding Auditor

Coding Auditor

ThedaCare

Appleton, WI • On-site

$26.50 - $30.25/hr

Part-time

Posted 8 days ago

ThedaCare rating

6.6

Company rating: 6.6 out of 10

Based on 126 frontline employees who took The Breakroom Quiz

572nd of 890 rated healthcare providers

Job description

Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness -
  • Lifestyle Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!
Summary :
The Coding Auditor performs coding quality audits of records to ensure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education needs for providers and coding team members. Monitors for compliance with regulatory requirements and works closely with corporate compliance. Provides feedback and education to coders when discrepancies and areas of opportunity are identified through auditing and payer denial review
Job Description:
KEY ACCOUNTABILITIES:
  • Performs compliance monitoring and auditing of billing, coding, and documentation related to inpatient, outpatient surgery, observation, emergency department, urgent care, and professional services for all payers to ensure compliance with regulatory requirements.
  • Reviews and prepares compliance audit reports to ensure ThedaCare meets coding accuracy standards that are set in place.
  • Assists in the preparation and response to external oversight agency and commercial payer audits and inquiries including CMS, Medicaid, RAC, HRSA, and PERM to ensure appropriate reimbursement. Reviews internal processes to ensure compliance with regulatory requirements.
  • Responds to identified areas of risk through investigation and internal audit to ensure compliance with regulatory requirements.
  • Assists in the preparation and execution of the annual audit plan as part of the corporate compliance plan.
  • Assists in monitoring and responding to corporate compliance hotline reports related to hospital coding.
  • Stays current with changing regulatory requirements through review of periodicals, compliance association newsletters, and review of state and federal regulatory agency work plans to ensure compliance.
  • Assists in the development and management of learning management systems and compliance training materials to ensure compliance with regulatory requirements.
  • Serves as subject matter expert to educate coders, providers, and others regarding documentation requirements for accurate coding.
  • Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations. Obtains clarification of conflicting, ambiguous, or non-specific documentation to ensure compliance with regulatory requirements.
  • Trains, instructs, and/or provides technical support to medical providers as appropriate regarding coding compliance documentation, regulatory provisions, and third party payer requirements to ensure compliance with regulatory requirements.
  • Maintains working knowledge of changes and requirements related to compliance/regulations and coding.

QUALIFICATIONS:
  • High School diploma or GED preferred
  • Minimum three years of experience in hospital coding
  • Minimum two years of experience in clinical medical audit review
  • Current or obtained within one year of hire - Certified Coding Credential obtained through AHIMA or AAPC, or RHIT (Registered Health Information Technologist/AHIMA), or RHIA (Registered Health Information Administrator/AHIMA). Minimum certification requirement is one of the following: CCS (Certified Coding Specialist/AHIMA), CPC (Certified Professional Coder/AAPC), CIC (Certified Inpatient Coder/AAPC), or COC (Certified Outpatient Coder/AAPC).
  • Current or obtained within one year of hire - Certified Clinical Documentation Specialist obtained through Association of Clinical Documentation Integrity Specialists (ACDIS)

PHYSICAL DEMANDS:
  • Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
  • Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

WORK ENVIRONMENT:
  • Normally works in climate controlled office environment
  • Frequent sitting with movement throughout office space
  • Use of computers throughout the work day
  • Frequent use of keyboard with repetitive motion of hands, wrists, and fingers

Position requires compliance with department specific competencies.
Scheduled Weekly Hours:
16Scheduled FTE:
0.4Location:
ThedaCare Regional Medical Center - Appleton - Appleton,WisconsinOvertime Exempt:
NoWorker Shift Details:
Days

What ThedaCare employees say

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About ThedaCare

Sourced by ZipRecruiter

We want to make exceptional care effortless for our patients. At ThedaCare, that means going above and beyond treating a particular condition – it means helping you achieve better health for life. You and your family are at the center of everything we do, from prioritizing your schedule when making appointments to designing our facilities for your comfort and convenience. Remaining proactive in your care allows us to better predict and prevent disease before complications arise, and when it comes to making important health-related decisions, we are here to support you. In every interaction, we want you to have full confidence the care you receive is purposeful, cost-effective and will help you continue enjoying life as you’ve planned it. ThedaCare is the third largest healthcare employer in Wisconsin, and the largest employer in Northeast Wisconsin with over 7,000 team members.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Neenah, WI, US

Year founded

1909

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