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Remote Medical Coding Auditor Jobs in Wisconsin (NOW HIRING)

Bcbsa

$150K - $200K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Coordinate with external auditors and participants to ensure alignment and minimize redundancy ... Strong knowledge of medical and pharmacy rebates, value-based contracts, and invoicing processes.

HUDSON PHYSICIANS SC

Medical Billing Specialist

Hudson, WI · Remote

$18.75 - $24.25/hr

Position will be staffed during clinic hours and is fully remote. Training will be completed ... review from coding, when appropriate. \tMonitor assigned health plan news and communicate ...

Advocate Aurora Health

HTM Contract Manager

Burlington, WI · Remote

$47.50 - $71.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role is primarily remote with possibility of travel as needed for meetings, training, or ... Presents HTM savings found through auditing of contract language and invoice discrepancies.

New

State of Wisconsin

Associate Medical Director

Sturtevant, WI · On-site +1

$99.74 - $141.45/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Code. In addition to meaningful and rewarding work, we offer a competitive benefits package ... This position has the flexibility of a hybrid in-office and remote work schedule of up to 3 days ...

Bcbsa

$124K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This role is responsible for monitoring, analyzing, and auditing financial transactions of high ... Experience with BCBS Inter-Plan Programs and proficiency with Microsoft Office Suite. #LI-Remote ...

Bcbsa

$113K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This role is responsible for monitoring, analyzing, and auditing financial transactions of high ... Experience with BCBS Inter-Plan Programs and proficiency with Microsoft Office Suite. #LI-Remote ...

Manulife

$98K - $115K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote role open to any location in continental US Manulife is a leading international ... Audit medical record summaries to ensure documentation is in accordance with our established ...

Manulife

$105K - $124K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote role open to any location in continental US Manulife is a leading international ... Audit medical record summaries to ensure documentation is in accordance with our established ...

Manulife

$95K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote role open to any location in continental US Manulife is a leading international ... Audit medical record summaries to ensure documentation is in accordance with our established ...

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All JobsMedical Coding Auditor JobsRemote Medical Coding Auditor JobsRemote Medical Coding Auditor Jobs in Wisconsin

Remote Medical Coding Auditor information

See Wisconsin salary details

$34.3K

$69K

$93.4K

How much do remote medical coding auditor jobs pay per year?

As of Aug 15, 2026, the average yearly pay for remote 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 is a remote medical coding auditor?

A Remote Medical Coding Auditor is a healthcare professional who reviews and evaluates medical records, billing data, and coding practices from a remote location. They ensure that medical codes used for diagnoses, procedures, and treatments are accurate and comply with regulations and organizational guidelines. Their work helps healthcare organizations maintain compliance, maximize reimbursement, and minimize the risk of audits or penalties. Remote auditors often use secure technology to access records and collaborate with healthcare providers or coding staff. This role typically requires strong attention to detail, knowledge of coding systems like ICD-10 and CPT, and certification such as CPC or CCS.

How does a remote medical coding auditor typically collaborate with healthcare providers and internal teams while working offsite?

Remote Medical Coding Auditors regularly interact with healthcare providers, billing teams, and compliance departments via secure digital platforms such as email, video conferencing, and project management tools. They review medical records, provide feedback, and clarify documentation issues through scheduled meetings or messaging systems. Despite working remotely, auditors are often integrated into virtual team structures, participate in ongoing training, and attend regular update sessions to ensure alignment with regulatory standards and organizational protocols. Effective communication and strong organizational skills are essential for success in this collaborative, remote environment.

What are the key skills and qualifications needed to thrive as a remote medical coding auditor?

To thrive as a Remote Medical Coding Auditor, you need a solid knowledge of medical coding guidelines, auditing protocols, and healthcare regulations, typically supported by certification such as CPC, CCS, or RHIA. Familiarity with coding software, electronic health record (EHR) systems, and auditing tools is essential for efficiency and accuracy. Strong attention to detail, analytical thinking, and effective written communication help auditors identify discrepancies and clearly report findings. These skills and qualities ensure compliance, minimize billing errors, and support healthcare organizations in maintaining accurate and ethical coding practices.

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

AspectRemote Medical Coding AuditorRemote Medical Coding Specialist
CertificationsCertified Professional Coder (CPC), Certified Coding Specialist (CCS)Same as auditor, often holds CPC or CCS
Work EnvironmentRemote, healthcare facilities, insurance companiesRemote, healthcare providers, billing companies
Primary RoleReview and ensure coding accuracy, compliance, and reimbursementAssign and input medical codes based on documentation
Industry UsageUsed by insurance companies, healthcare organizations, auditing firmsUsed by hospitals, clinics, billing services

The main difference between a Remote Medical Coding Auditor and a Remote Medical Coding Specialist lies in their focus. Auditors review and verify coding accuracy and compliance, while specialists are responsible for assigning codes. Both roles require similar certifications and often work remotely within healthcare and insurance industries.

What are popular job titles related to Remote Medical Coding Auditor jobs in Wisconsin?

For Remote Medical Coding Auditor jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Remote Medical Coding Auditor jobs in Wisconsin look for?

The top searched job categories for Remote Medical Coding Auditor jobs in Wisconsin are:

What cities in Wisconsin are hiring for Remote Medical Coding Auditor jobs?

Cities in Wisconsin with the most Remote Medical Coding Auditor job openings:

Remote Medical Coding Auditor jobs near you
Infographic showing various Remote Medical Coding Auditor job openings in Wisconsin as of August 2026, with employment types broken down into 2% As Needed, 92% Full Time, and 6% Part Time. Highlights an 100% Remote job distribution, with an average salary of $69,050 per year, or $33.2 per hour.

Director of Audit - Synergie (Remote)

Bcbsa

Remote

$150K - $200K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 17 days ago

Job description

The Director of Audit is responsible for overseeing the organization's client and pharmaceutical rebate audit function and ensuring the effectiveness of financial, operational, and contractual compliance controls across the enterprise. This role also supports organizational SOC audits. This role leads the planning and execution of audit programs, identifies risk exposures, and provides actionable recommendations to enhance operational execution, governance, efficiency, and compliance. The Director works closely with executive leadership to promote a strong internal control culture and continuous improvement mindset. In addition, this role supports participants in Synergie pharma audits.

Audit Execution. 35%

  • Lead and oversee pharma and client audits for Synergie.
  • Support SOC audit evidence gathering for annual audit.
  • Ensure audit work adheres to contractual standards and organizational policies.
  • Evaluate the efficiency and effectiveness of internal controls, processes, and risk management frameworks.
  • Coordinate with external auditors and participants to ensure alignment and minimize redundancy.
  • Communicate with participants during pharma rebate audits and obtain evidence requested.

Risk Management and Compliance. 35%

  • Collaborate with Finance, Legal, and IT to strengthen controls around invoicing.
  • Monitor corrective action plans, ensuring timely resolution of audit findings. Advise on new business processes, system implementations, and policy changes from a risk perspective.
  • Assist in development and manage invoicing and audit policies and procedure.

Leadership and Strategy. 30%

  • Develop and execute the annual risk-based audit plan aligned with organizational strategy and regulatory requirements.
  • Provide strategic direction and thought leadership for audit, risk management, and internal control programs.
  • Partner with internal leaders to identify and mitigate emerging risks within invoicing and data governance of invoicing information.
  • Present findings, insights, and progress updates to Invoicing & Audit management.

Requirements:

  • Bachelor's degree in business, healthcare, or other related field; Master's degree preferred.
  • 8+ years of work experience in a health care auditing role, with expertise in health plans, health systems, pharmacy, and managed care or specialty pharmacy. Must include at least 3 years of experience in medical and/or pharmacy drug management at a health plan or PBM.
  • Strong experience managing external audit vendors during audits
  • Strong understanding of audit practices
  • Experience designing and executing audit programs.
  • Strong data management and analytics skills with the ability to manage large data effectively.
  • Strong knowledge of medical and pharmacy rebates, value-based contracts, and invoicing processes.
  • Demonstrated ability to lead cross-functional teams, drive results in a fast-paced environment, and manage client support while ensuring alignment with Synergie's objectives.
  • Ability to develop relationships and influence with internal and external stakeholders
  • Excellent leadership, communication and critical thinking skills and ability to anticipate issues and develop solutions.
  • Must be eligible to work in the United States without need for work visa or residency sponsorship.

The compensation for this role is budgeted between $150,000 and $200,000.

#LI-Remote

This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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