... Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have:
... Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have:
The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage Determinations and National Coverage Determinations (LCD and NCD), National Correct Coding Initiative (NCCI ...
The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage Determinations and National Coverage Determinations (LCD and NCD), National Correct Coding Initiative (NCCI ...
Medical Coding Specialist II - Ortho/Rehab with Multi Spec
Middleton, WI · On-site
$28.21 - $42.32/hr
... Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have:
Medical Coding Specialist II - Ortho/Rehab with Multi Spec
Middleton, WI · On-site
$28.21 - $42.32/hr
... Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have:
... Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have:
... Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have:
... Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have:
... Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. At UW Health, you will have:
Clinician Coding Liaison - Vascular
Milwaukee, WI · Remote
$35.50 - $53.25/hr
Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies. * Promote a culture of ...
Clinician Coding Liaison - Vascular
Milwaukee, WI · Remote
$35.50 - $53.25/hr
Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies. * Promote a culture of ...
Clinician Coding Liaison - Pulmonology
Two Rivers, WI · Remote
$35.50 - $53.25/hr
Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies. * Promote a culture of ...
Clinician Coding Liaison - Pulmonology
Two Rivers, WI · Remote
$35.50 - $53.25/hr
Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies. * Promote a culture of ...
Medicare Clinical Appeals Reviewer III Fully Remote • United States Job Type Full-time ... Coding certification. Education and Training * Must be an actively licensed healthcare professional ...
Medicare Clinical Appeals Reviewer III Fully Remote • United States Job Type Full-time ... Coding certification. Education and Training * Must be an actively licensed healthcare professional ...
Milliman's CMH Health Practice is seeking a credentialed Actuarial Manager with strong Medicare ... Experience working with Python, SQL, SAS, VBA, or other coding/data analytics languages
New
Milliman's CMH Health Practice is seeking a credentialed Actuarial Manager with strong Medicare ... Experience working with Python, SQL, SAS, VBA, or other coding/data analytics languages
New
Hierarchical Condition Category (HCC) Coding Specialist
Madison, WI · On-site
$41.85/hr
... such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not ... Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between ...
Hierarchical Condition Category (HCC) Coding Specialist
Madison, WI · On-site
$41.85/hr
... such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not ... Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between ...
Medicare Appeals Reviewer I (Dispute Resolution Reviewer I) Fully Remote-United States Job Type ... Medical Coding certified. Education and Training * Associate's degree or 60 or more credit hours ...
Medicare Appeals Reviewer I (Dispute Resolution Reviewer I) Fully Remote-United States Job Type ... Medical Coding certified. Education and Training * Associate's degree or 60 or more credit hours ...
Inpatient Coder - HIM
Beloit, WI · On-site
$20.75 - $25/hr
Recognizes and resolves coding problems with limited supervision * Maintains knowledge of payer ... Knowledge of Medicare , Medicaid and commercial payer rules and reimbursement guidelines.
Inpatient Coder - HIM
Beloit, WI · On-site
$20.75 - $25/hr
Recognizes and resolves coding problems with limited supervision * Maintains knowledge of payer ... Knowledge of Medicare , Medicaid and commercial payer rules and reimbursement guidelines.
Inpatient Coder - HIM
Beloit, WI · On-site
$21.25 - $25.75/hr
Recognizes and resolves coding problems with limited supervision * Maintains knowledge of payer ... Knowledge of Medicare , Medicaid and commercial payer rules and reimbursement guidelines.
Inpatient Coder - HIM
Beloit, WI · On-site
$21.25 - $25.75/hr
Recognizes and resolves coding problems with limited supervision * Maintains knowledge of payer ... Knowledge of Medicare , Medicaid and commercial payer rules and reimbursement guidelines.
Electronic Record Specialist - Remote
Plymouth, WI · On-site +1
$26.02 - $27.84/hr
This role ensures compliant diagnosis coding, supports Medicare processes, and maintains data integrity across clinical systems. The position is fully remote and requires prior experience in skilled ...
Electronic Record Specialist - Remote
Plymouth, WI · On-site +1
$26.02 - $27.84/hr
This role ensures compliant diagnosis coding, supports Medicare processes, and maintains data integrity across clinical systems. The position is fully remote and requires prior experience in skilled ...
... Medicare, Medicaid, managed care, commercial insurances and workers compensation; including knowledge of hospital and professional claim forms strongly preferred. * Experience with revenue codes, CPT ...
Quick apply
... Medicare, Medicaid, managed care, commercial insurances and workers compensation; including knowledge of hospital and professional claim forms strongly preferred. * Experience with revenue codes, CPT ...
Coordinate annual and ongoing reviews of charge structures, HCPCS, CPT, revenue codes, and pricing. Ensure compliance with Medicare, Medicaid, commercial payer, and regulatory billing requirements.
Coordinate annual and ongoing reviews of charge structures, HCPCS, CPT, revenue codes, and pricing. Ensure compliance with Medicare, Medicaid, commercial payer, and regulatory billing requirements.
Coordinate annual and ongoing reviews of charge structures, HCPCS, CPT, revenue codes, and pricing. Ensure compliance with Medicare, Medicaid, commercial payer, and regulatory billing requirements.
Coordinate annual and ongoing reviews of charge structures, HCPCS, CPT, revenue codes, and pricing. Ensure compliance with Medicare, Medicaid, commercial payer, and regulatory billing requirements.
Coordinate annual and ongoing reviews of charge structures, HCPCS, CPT, revenue codes, and pricing. Ensure compliance with Medicare, Medicaid, commercial payer, and regulatory billing requirements.
Quick apply
Coordinate annual and ongoing reviews of charge structures, HCPCS, CPT, revenue codes, and pricing. Ensure compliance with Medicare, Medicaid, commercial payer, and regulatory billing requirements.
... Medicare, Medicaid, managed care, commercial insurances and workers compensation; including knowledge of hospital and professional claim forms strongly preferred. * Experience with revenue codes, CPT ...
... Medicare, Medicaid, managed care, commercial insurances and workers compensation; including knowledge of hospital and professional claim forms strongly preferred. * Experience with revenue codes, CPT ...
Telehealth Nurse Practitioner
Madison, WI · Remote
$600 - $720/day
... Medicare and Medicaid populations through virtual care. What You'll Do * Conduct Comprehensive Health Assessments via telehealth * Document risk adjustment (HCC coding) during patient visits * Close ...
Telehealth Nurse Practitioner
Madison, WI · Remote
$600 - $720/day
... Medicare and Medicaid populations through virtual care. What You'll Do * Conduct Comprehensive Health Assessments via telehealth * Document risk adjustment (HCC coding) during patient visits * Close ...
Medicare 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 medicare coding jobs pay per hour?
As of Aug 7, 2026, the average hourly pay for medicare coding in Wisconsin is $22.63, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $24.28 per hour, depending on experience, location, and employer.
Is it hard to get hired as a Medicare coding?
Getting hired as a Medicare coder can be competitive, but having relevant certifications such as CPC or CCS and strong knowledge of coding guidelines improves job prospects. Employers often look for accuracy, attention to detail, and familiarity with healthcare billing systems. Entry-level positions may require some experience or training, but opportunities exist for those with the right skills.
What is the difference between Medicare Coding vs Medical Billing?
| Aspect | Medicare Coding | Medical Billing |
|---|---|---|
| Primary Focus | Assigning medical codes for Medicare claims | Processing and submitting insurance claims |
| Certifications | Medical Coding Certification (e.g., CPC) | Billing and coding certifications often preferred |
| Work Environment | Hospitals, clinics, insurance companies | Medical offices, billing companies, hospitals |
| Industry Usage | Used mainly in Medicare and insurance claims | Used across various insurance providers |
Medicare Coding involves assigning specific codes to medical procedures and diagnoses for Medicare claims, focusing on accurate coding for reimbursement. Medical Billing encompasses the broader process of submitting claims, following up on payments, and managing patient billing. While they overlap, Medicare Coding is more specialized in coding accuracy for Medicare, whereas Medical Billing covers the entire billing cycle across multiple insurers.
What are the key skills and qualifications needed to thrive as a Medicare coder, and why are they important?
To thrive as a Medicare Coder, you need a solid understanding of medical terminology, ICD-10-CM and CPT coding systems, and compliance with Medicare regulations, often supported by certification such as CPC or CCS. Proficiency with coding software, electronic health records (EHRs), and claims submission systems is typically required. Attention to detail, analytical thinking, and strong organizational skills help coders accurately interpret clinical documentation and manage complex billing requirements. These skills are essential to ensure accurate reimbursement, reduce claim denials, and maintain compliance with federal healthcare regulations.
What is Medicare coding?
Medicare coding refers to the process of assigning standardized codes to medical diagnoses, procedures, and services for patients covered under Medicare. These codes, such as ICD-10, CPT, and HCPCS, are used to ensure accurate billing and reimbursement from the Centers for Medicare & Medicaid Services (CMS). Proper Medicare coding is crucial for healthcare providers to receive correct payment and to comply with federal regulations. Coders must stay up to date with frequent changes in coding guidelines and Medicare policies.
What are some common challenges faced by professionals in Medicare coding, and how can these be managed effectively?
Medicare coding professionals often encounter challenges such as keeping up with frequent regulatory updates, accurately interpreting complex medical documentation, and ensuring compliance with strict billing guidelines. To manage these effectively, it’s important to participate in ongoing training, regularly review CMS updates, and utilize coding tools and resources. Collaborating closely with healthcare providers and billing teams can also help ensure accurate and timely claim submissions, reducing the risk of denials or audits.
What are popular job titles related to Medicare Coding jobs in Wisconsin? For Medicare Coding jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Medicare Coding jobs in Wisconsin look for? The top searched job categories for Medicare Coding jobs in Wisconsin are:
Other
Medical, Dental, Retirement, PTO
Re-posted 14 days ago
UW Health rating
7.9
Based on 223 frontline employees who took The Breakroom Quiz
109th of 887 rated healthcare providers
Job description
Work Schedule:
This is a full-time, 1.0 FTE position that is 100% remote. This will have flexible shifts scheduled Monday - Friday and will be discussed in the interview. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process.
To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.
Approved Remote Work States Listing
Be part of something remarkable
Join the #1 hospital in Wisconsin!
We are seeking a Medical Coding Specialist II to:
- Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
- Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.
- An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
- Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
- Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
- Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
- High School Diploma or equivalent and medical coding education Required or
- In lieu of a medical coding education, an active coding certification Required
- Associate's Degree in a healthcare related field Preferred
- 1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Required
- 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred
- Certified Professional Coder (CPC) Upon Hire Required or
- Certified Outpatient Coder (COC) Upon Hire Required or
- Certified Inpatient Coder (CIC) Upon Hire Required or
- Certified Coding Specialist (CCS) Upon Hire Required or
- Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or
- Certified Coding Associate (CCA) Upon Hire Required or
- Certified Risk Adjustment Coder (CRC) Upon Hire Required or
- Registered Health Information Technician (RHIT) Upon Hire Required or
- Registered Health Information Administrator (RHIA) Upon Hire Required
- Registered Health Information Technician (RHIT) Preferred or
- Registered Health Information Administrator (RHIA) Preferred
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
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UW Health Clinics - our physicians and staff are dedicated to providing an exceptional patient and family experience by delivering the highest quality of care in a compassionate environment. With more than 80 primary and specialty care clinics located throughout Dane County and the surrounding areas, we are proud to have the opportunity to impact the communities we serve.
Industry
Health care and social assistance and hospitals
Company size
10,000+ Employees
Headquarters location
Madison, WI, US