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Remote Risk Adjustment Coder Jobs in Wisconsin (NOW HIRING)

Acrisure

Senior Stop Loss Underwriter

Stevens Point, WI · On-site +1

$90K - $125K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote (United States) About Acrisure A global fintech leader, Acrisure empowers millions of ... Evaluate specific and aggregate risk exposure and establish appropriate attachment points, lasers ...

Understory

Senior Underwriter

Madison, WI · On-site +1

$99K - $117K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Do you find satisfaction in mitigating risk, identifying opportunities, and shaping the course of a ... Exceptional remote candidates may be considered. Compensation includes: * Competitive base salary ...

CSAA

  • Retirement

Enhance CI/CD pipelines, deployment automation, infrastructure-as-code, and model release processes ... Familiarity with AI governance, responsible AI principles, model risk management, and operational ...

New

CSAA

  • Retirement

Enhance CI/CD pipelines, deployment automation, infrastructure-as-code, and model release processes ... Familiarity with AI governance, responsible AI principles, model risk management, and operational ...

New

CSAA

  • Retirement

Enhance CI/CD pipelines, deployment automation, infrastructure-as-code, and model release processes ... Familiarity with AI governance, responsible AI principles, model risk management, and operational ...

New

CSAA

  • Retirement

Enhance CI/CD pipelines, deployment automation, infrastructure-as-code, and model release processes ... Familiarity with AI governance, responsible AI principles, model risk management, and operational ...

New

Acrisure

Stop Loss Underwriter

Stevens Point, WI · On-site +1

$60K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote (United States) About Acrisure A global fintech leader, Acrisure empowers millions of ... Evaluate specific and aggregate risk exposure and establish appropriate attachment points, lasers ...

Corvel

Indemnity Claims Specialist

Madison, WI · Remote

$51K - $83K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Intertek

Sr. Project Engineer, Building and Construction

Madison, WI · On-site +1

$99K - $130K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Hybrid or remote arrangements may be considered for qualified candidates. Intertek, a leading ... Intertek is continually innovating and evolving to reduce risk for consumers, brands and ...

Corvel

Care Advocate Nurse

Madison, WI · Remote

$61K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Bellin

Denials Coding Specialist

Green Bay, WI · On-site +1

  • Medical

  • Retirement

  • PTO

Certified Inpatient Coder (CIC) * Certified Coding Specialist (CCS) * Registered Health Information Technician (RHIT) * Registered Health Information Administrator (RHIA) * OR Certified Outpatient ...

micro1 AI

Clinical Pharmacy Technicians

Kenosha, WI · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... risk assessment methodology. * Hands-on experience with MedDRA coding, seriousness and causality ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Wisconsin

Remote Risk Adjustment Coder information

See Wisconsin salary details

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

As of Aug 19, 2026, the average hourly pay for remote risk adjustment coder in Wisconsin is $27.75, according to ZipRecruiter salary data. Most workers in this role earn between $19.18 and $34.95 per hour, depending on experience, location, and employer.

What is a remote risk adjustment coder?

A Remote Risk Adjustment Coder is a healthcare professional who reviews patient medical records and assigns diagnostic codes from a remote location, typically from home. Their primary goal is to ensure accurate coding for risk adjustment purposes, which helps health plans predict patient healthcare costs and receive appropriate funding. These coders work with electronic health records and must be knowledgeable about coding standards like ICD-10-CM. They play a key role in supporting compliance and maximizing revenue for healthcare organizations. Attention to detail, confidentiality, and proficiency with coding software are essential skills for this remote position.

What does a remote risk adjustment coder do?

As a remote risk adjustment coder, your duties and responsibilities involve performing medical coding and reviewing medical codes for adherence to risk adjustment models. Employers may also expect you to audit medical record data to ensure accuracy. In this role, you work from home to apply codes and make assessments according to regulations and your employer’s operational policies. You also report the results of an audit to the relevant supervisor or coding service provider. It’s your job to ensure compliance with rules related to patient privacy and electronic medical record keeping.

What are the key skills and qualifications needed to thrive as a remote risk adjustment coder?

To thrive as a Remote Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding, medical terminology, and risk adjustment models, often supported by a coding certification such as CPC, CRC, or CCS. Proficiency with electronic health record (EHR) systems, coding software, and data management tools is essential. Attention to detail, strong analytical skills, and effective communication are crucial soft skills for accurate code assignment and collaboration with healthcare teams. These skills ensure compliance, maximize reimbursement, and support quality healthcare outcomes in a remote environment.

What are the common challenges faced by remote risk adjustment coders and how can they be managed?

Remote Risk Adjustment Coders often encounter challenges such as interpreting complex medical records, ensuring coding accuracy under tight deadlines, and staying updated with evolving coding guidelines. Managing these challenges typically involves strong attention to detail, proactive communication with team members, and participating in ongoing training sessions or webinars. Utilizing supportive resources and adhering to standardized coding protocols can help coders maintain accuracy and efficiency in a remote setting.

What is the difference between Remote Risk Adjustment Coder vs Remote Medical Coder?

AspectRemote Risk Adjustment CoderRemote Medical Coder
CertificationsAHIMA or AAPC Risk Adjustment certificationsAAPC CPC, CCS, or RHIT certifications
Work EnvironmentHealthcare insurance, payer organizations, risk adjustment teamsHospitals, clinics, physician offices, insurance companies
Industry UsagePrimarily in health insurance and risk adjustment programsBroad healthcare settings including hospitals and outpatient clinics

Remote Risk Adjustment Coders focus on analyzing patient data for insurance risk models, requiring specific risk adjustment certifications. Remote Medical Coders handle a wider range of medical records coding across various healthcare settings. While both roles involve medical coding, their industries, certifications, and primary tasks differ significantly.

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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 8% Part Time, and 3% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $57,717 per year, or $27.7 per hour.

Senior Stop Loss Underwriter

Acrisure

Stevens Point, WI • On-site, Remote

$90K - $125K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

Job Description

Location: Remote (United States)

About Acrisure

A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringingcutting-edgetechnology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services - and more.

In the last twelve years, Acrisure has grown in revenue from $38 million to almost$5 billionand employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.

Job Summary:

The Senior Stop Loss Underwriter is responsible for evaluating, pricing, and managing risk for employer-sponsored self-funded health plans. This role includes underwriting both new business and renewals, assessing specific and aggregate exposure, and ensuring profitability while maintaining competitive positioning in the marketplace.

The Senior Stop Loss Underwriter collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting decisions aligned with company guidelines and financial objectives.

Responsibilities:

  • Review employer census data, claims experience, and large claimant reports
  • Evaluate specific and aggregate risk exposure and establish appropriate attachment points, lasers, and aggregate corridors
  • Price stop loss coverage in accordance with underwriting guidelines
  • Analyze emerging large claims and assess recurrence risk
  • Underwrite new employer groups seeking stop loss coverage
  • Analyze renewal performance and determine rate adjustments
  • Balance competitiveness with profitability targets
  • Provide alternative quoting strategies when appropriate
  • Communicate underwriting decisions clearly and professionally with producers
  • Support producers during negotiations
  • Partner with clinical underwriting on high-cost cases
  • Coordinate with policy administration to ensure accurate contract terms
  • Adhere to delegated underwriting authority
  • Ensure compliance with state and federal regulations
  • Provide guidance and mentorship to junior underwriters.
  • Contribute to underwriting best practices, process improvements, and training initiatives.
  • Serve as a subject matter expert on complex or high-risk cases.

Requirements:

  • 5+ years of stop loss underwriting experience (specific & aggregate preferred)
  • Strong knowledge of self-funded health plan structures
  • Experience reviewing large claimant reports and medical diagnoses
  • Proficiency in underwriting models and rating tools

#LI-Remote

#LI-SS1

Pay Details:

The base compensation range for this position is $90,000 - $125,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us:

At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks, including:

  • Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.

  • Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.

  • Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.

  • Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

  • ... and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome, your new opportunity awaits you.

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