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Remote Risk Adjustment Coding Jobs in Wisconsin (NOW HIRING)

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 risk adjustment coding jobs pay per hour?

As of May 30, 2026, the average hourly pay for remote risk adjustment coding in Wisconsin is $21.70, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $23.03 per hour, depending on experience, location, and employer.

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

To thrive as a Remote Risk Adjustment Coder, you need a solid understanding of medical coding, anatomy, and healthcare regulations, typically backed by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and risk adjustment models like HCC is essential. Attention to detail, critical thinking, and strong written communication are crucial soft skills for interpreting clinical documentation and ensuring coding accuracy. These skills and qualifications are vital to accurately capture patient risk, ensure compliance, and optimize reimbursement for healthcare organizations.

How does working remotely as a Risk Adjustment Coder impact collaboration with healthcare teams and ongoing professional development?

As a remote Risk Adjustment Coder, you'll often collaborate with clinical staff, auditors, and other coders through secure digital platforms and regular virtual meetings. While remote work offers flexibility, it also means that proactive communication is essential to ensure accurate coding and compliance with regulations. Many organizations provide virtual training sessions, access to coding forums, and ongoing education to help you stay updated on industry changes and coding standards. Building relationships with your team and participating in online professional communities can further support your growth and help overcome the isolation that sometimes comes with remote work.

What is remote risk adjustment coding?

Remote risk adjustment coding is the process of reviewing and assigning medical codes to patient diagnoses and procedures from a remote location, usually at home. The purpose is to ensure that healthcare organizations accurately report the health status of their patients, which affects reimbursement from health plans. Coders use specialized knowledge of ICD-10-CM coding and risk adjustment models, such as HCC (Hierarchical Condition Category) coding, to capture all relevant chronic conditions. This position requires attention to detail, compliance with regulations, and strong analytical skills.

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

AspectRemote Risk Adjustment CodingRemote Medical Coding
CertificationsRHIA, RHIT, CPC, CCSCPC, CCS, CCS-P
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, insurance companies
Industry UsageHealth insurance, risk adjustment programsMedical billing, claims processing

Remote Risk Adjustment Coding focuses on analyzing patient data for insurance risk assessments, requiring specific risk adjustment certifications. Remote Medical Coding involves coding diagnoses and procedures for billing purposes. While both roles require coding certifications, Risk Adjustment Coding emphasizes risk analysis within insurance, whereas Medical Coding centers on billing accuracy.

What are popular job titles related to Remote Risk Adjustment Coding jobs in Wisconsin? For Remote Risk Adjustment Coding jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Wisconsin look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Wisconsin are:
What cities in Wisconsin are hiring for Remote Risk Adjustment Coding jobs? Cities in Wisconsin with the most Remote Risk Adjustment Coding job openings:
Remote Risk Adjustment Coding jobs near you
Infographic showing various Remote Risk Adjustment Coding job openings in Wisconsin as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $45,142 per year, or $21.7 per hour.

Customer Service Representative I

CorVel

Waukesha, WI • Remote

$13.94 - $21.48/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 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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