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Remote Hcc Risk Adjustment Coder Jobs in Wisconsin

CorVel

Customer Service Representative I

Waukesha, WI · Remote

$13.94 - $21.48/hr

This is a remote position. This role requires internet upload and download speeds of at least ... Medical terminology and coding knowledge EDUCATION & EXPERIENCE: * High school diploma or ...

Corvel

Indemnity Claims Specialist

Madison, WI · Remote

$51.81K - $83.55K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Care Advocate Nurse

Madison, WI · Remote

$61.05K - $98.33K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... The level may impact the salary range and these adjustments would be clarified during the offer ...

WPS Health Solutions

Claims Examiner II

Madison, WI · On-site +1

$17.75/hr

Initiate adjustments, reprocesses and serve as resource for other teams. Minimum Qualifications * U ... Coding or Medical Assistant. Remote Work Requirements * High speed cable or fiber internet

WPS

Claims Examiner II

Madison, WI · On-site +1

$17.75/hr

Initiate adjustments, reprocesses and serve as resource for other teams. Minimum Qualifications * U ... Coding or Medical Assistant. Remote Work Requirements * High speed cable or fiber internet

Maximus

Assoc SW Engineer - Java, Spring Boot, AWS

Racine, WI · Remote

$48.50 - $66.50/hr

This is a remote position. Essential Duties and Responsibilities: - Design systems and programs to ... programs are developed and coded. - Ensure that programs meet standards and technical ...

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How much do remote hcc risk adjustment coder jobs pay per hour?

As of May 30, 2026, the average hourly pay for remote hcc risk adjustment coder in Wisconsin is $22.31, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $23.80 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote HCC Risk Adjustment Coder, and why are they important?

To thrive as a Remote HCC Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding guidelines, risk adjustment models, and extensive experience in medical record review, typically supported by a relevant coding certification such as CPC or CRC. Proficiency with electronic health record (EHR) systems, coding software, and risk adjustment platforms is essential. Exceptional attention to detail, analytical thinking, and strong communication skills help coders excel in remote settings and ensure coding accuracy. These skills and qualifications are vital for optimizing risk scores, ensuring compliance, and supporting accurate reimbursement in healthcare organizations.

What are some common challenges faced by remote HCC Risk Adjustment Coders and how can they be managed?

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting incomplete or ambiguous medical documentation, staying updated with evolving coding guidelines, and managing communication across dispersed teams. To address these challenges, it's important to proactively seek clarification from providers, participate in ongoing training, and utilize collaboration tools to stay connected with peers and supervisors. Establishing a structured daily workflow and leveraging available resources can also help maintain coding accuracy and productivity in a remote setting.

What is a Remote HCC Risk Adjustment Coder?

A Remote HCC Risk Adjustment Coder is a medical coding professional who works from home or another remote location, reviewing patient medical records to assign Hierarchical Condition Category (HCC) codes. These codes are used by healthcare organizations to accurately reflect the severity of patient illnesses for risk adjustment and reimbursement purposes, especially in Medicare Advantage programs. The coder analyzes clinical documentation to ensure that diagnoses are coded correctly and in compliance with regulatory guidelines. Their work is essential for ensuring healthcare providers receive appropriate compensation and for maintaining accurate patient risk profiles.
What are popular job titles related to Remote Hcc Risk Adjustment Coder jobs in Wisconsin? For Remote Hcc Risk Adjustment Coder jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Remote Hcc Risk Adjustment Coder jobs in Wisconsin look for? The top searched job categories for Remote Hcc Risk Adjustment Coder jobs in Wisconsin are:
What cities in Wisconsin are hiring for Remote Hcc Risk Adjustment Coder jobs? Cities in Wisconsin with the most Remote Hcc Risk Adjustment Coder job openings:
Remote Hcc Risk Adjustment Coder jobs near you

Customer Service Representative I

CorVel

Waukesha, WI • Remote

$13.94 - $21.48/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 50 frontline employees who took The Breakroom Quiz

81st of 138 rated financial services

Job description

The Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions.
This is a remote position. This role requires internet upload and download speeds of at least 80Mbps.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Answer phone calls, return phone calls
  • Answer emails from clients, providers and internal referring offices
  • Review previous history of the provider in MedCheck, Scheck and SalesCloud
  • Consult with Supervisor or other departments to clarify answers to inquiries
  • Contact provider to discuss findings at the appropriate level
  • Maintain reports and spreadsheets as needed
  • Additional duties as assigned
KNOWLEDGE & SKILLS:
  • Knowledge of Workers Compensation fee schedules and regulations
  • Effective verbal and written communication skills
  • Good organizational skills and ability to multitask
  • Detail oriented
  • Proficiency with Microsoft applications
  • Medical terminology and coding knowledge
EDUCATION & EXPERIENCE:
  • High school diploma or equivalent
  • Customer service experience working in the Managed Care and Benefit Administration industries

PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $13.94 - $21.48 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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