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Medical Coding 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 ...

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

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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How much do medical coding jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for medical coding 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.

What is medical coding?

Medical coding is the process of translating healthcare diagnoses, procedures, medical services, and equipment into standardized codes. These codes are used for billing, insurance claims, and maintaining patient records. Medical coders review clinical documents to assign the appropriate codes from classification systems like ICD-10, CPT, and HCPCS. Accurate coding is essential to ensure proper reimbursement and compliance with regulations.

What exactly does a medical coder do?

A medical coder reviews patient medical records and assigns standardized codes for diagnoses, procedures, and services using coding systems like ICD-10 and CPT. These codes are used for billing, insurance claims, and maintaining accurate health records, requiring attention to detail and familiarity with medical terminology and coding guidelines.

What is the difference between Medical Coding vs Medical Billing?

AspectMedical CodingMedical Billing
Primary RoleAssigns standardized codes to diagnoses and proceduresProcesses insurance claims and manages billing for healthcare services
CredentialsCertification (e.g., CPC, CCS)Certification (e.g., CPC, Certified Professional Biller)
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Industry UsageUsed for record-keeping, reimbursement, and data analysisHandles claims submission, payment follow-up, and patient billing

Medical Coding and Medical Billing are closely related healthcare roles. Medical Coders focus on translating medical records into standardized codes, while Medical Billers handle the financial aspect by submitting claims and managing payments. Both roles often work together but serve distinct functions within the revenue cycle.

What are some common challenges faced by medical coders and how can they be managed effectively?

Medical coders often encounter challenges such as keeping up with frequent updates to coding standards (like ICD-10, CPT, and HCPCS), interpreting complex patient records accurately, and ensuring compliance with healthcare regulations. To manage these challenges, it's crucial to participate in ongoing training, utilize coding resources and guidelines, and communicate regularly with healthcare providers for clarification. Many organizations also provide support through collaborative coding teams and access to coding software, making it easier to maintain accuracy and stay current with industry changes.

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 thorough understanding of medical terminology, anatomy, and ICD-10/CPT coding systems, usually supported by a relevant certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems and coding software like 3M or EncoderPro is essential. Attention to detail, analytical thinking, and strong organizational skills help ensure accuracy and efficiency in coding. These competencies are crucial for ensuring correct billing, compliance with regulations, and timely reimbursement for healthcare providers.

Is medical coding still a good career?

Medical coding is a stable and in-demand profession, as healthcare providers require accurate coding for billing and record-keeping. The role often requires certification and familiarity with coding systems like ICD-10 and CPT, and remote work options are common. Job growth is expected to continue due to ongoing healthcare industry needs.

Is medical coding very difficult?

Medical coding is a detail-oriented job that requires understanding medical terminology, coding systems like ICD-10 and CPT, and attention to accuracy. While it involves learning complex codes and procedures, many find it manageable with proper training and certification, such as the CPC credential. The difficulty level varies based on prior experience and the complexity of medical cases handled.

How much does a medical coder make?

The average annual salary for a medical coder in North Carolina is approximately $45,000 to $55,000, depending on experience, certifications, and work setting. Certified coders with credentials like CPC or CCS tend to earn higher wages, and salaries can vary based on location and employer size.
What are the most commonly searched types of Medical Coding jobs in Appleton, WI? The most popular types of Medical Coding jobs in Appleton, WI are:
What are popular job titles related to Medical Coding jobs in Appleton, WI? For Medical Coding jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Medical Coding jobs in Appleton, WI look for? The top searched job categories for Medical Coding jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Medical Coding jobs? Cities near Appleton, WI with the most Medical Coding job openings:
Medical Coding jobs near you
Infographic showing various Medical Coding job openings in Appleton, WI as of June 2026, with employment types broken down into 60% Full Time, 30% Part Time, and 10% Contract. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $44,385 per year, or $21.3 per hour.
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 6 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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