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Risk Adjustment Coder Jobs in Wisconsin (NOW HIRING)

ThedaCare

Coding Educator

Neenah, WI · On-site

$28 - $32/hr

Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and ...

Palm Medical Centers

WI · On-site

$200 - $300/hr

Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment. * Participate in multidisciplinary meetings and quality ...

Texas Health Institute

WI · On-site

$151 - $204/hr

... HCC risk adjustment * Advanced degree in Public Health, Epidemiology, Biostatistics, Health ... Clinical coding credential (CRC, CPC) or direct experience supporting coding quality, audit, or ...

GI Associates

Medical Coder

Wausau, WI · On-site

$20 - $26.75/hr

GI Associates is seeking a full-time Medical Coder to join our growing team! In this role, you'll play an important part in supporting accurate and compliant coding for both professional and ...

GI Associates

Medical Coder

Wausau, WI · On-site

$20 - $26.75/hr

GI Associates is seeking a full-time Medical Coder to join our growing team!In this role, you'll play an important part in supporting accurate and compliant coding for both professional and ...

New

ASPIRUS HEALTH

PROFESSIONAL FEE CODER - CODING

Wausau, WI · On-site

$20 - $26.75/hr

The Professional Fee Coder accurately processes professional service charges, including verification of CPT and ICD codes through our EPIC Workques. May process technical component charges in ...

DaMar Staffing

WI · On-site

$55 - $70/hr

The Professional Fee Coder accurately processes professional service charges, including verification of CPT and ICD codes through our EPIC Workques. May process technical component charges in ...

ASPIRUS HEALTH

FACILITY OUTPATIENT CODER - CODING

Wausau, WI · On-site

$20 - $26.75/hr

Day. Aspirus Health in Wausau, WI is seeking a FACILITY OUTPATIENT CODER to join our CODING team! *This Position Can Be Trained and Worked Fully Remote* Assigns ICD10 CM and CPT codes based on a ...

Froedtert

INPATIENT CODER

Milwaukee, WI

$25.82 - $44.16/hr

The Inpatient Coder is responsible for reviewing and accurately coding inpatient medical records within a complex academic medical center environment, where cases often include highacuity ...

FROEDTERT HEALTH

INPATIENT CODER

Milwaukee, WI · On-site +1

$25.82 - $44.16/hr

The Inpatient Coder is responsible for reviewing and accurately coding inpatient medical records within a complex academic medical center environment, where cases often include high-acuity ...

ASPIRUS HEALTH

FACILITY INPATIENT CODER - CODING

Wausau, WI · On-site

$23.25 - $28.25/hr

Aspirus Health in Wausau, WI is seeking a Facility Inpatient Coder to join our team! *This Position Can Be Trained and Worked Fully Remote* Assigns ICD-10 CM, ICD-10 PCS and CPT codes based on a ...

DaMar Staffing

Medical Coder II

Oregon, WI · On-site

$58 - $74/hr

Title - Medical Coder II, Certified Shift - (Remote working after on-site training (2-4 weeks). Must be located in the Portland, OR Metro Area. Flexible hours -- any 8 hours between 6:00 AM and 6:00 ...

APN Software Services Inc

Coder Inpatient II

Milwaukee, WI · On-site

$21.50 - $25.75/hr

Coder Inpatient II Location: Fully Remote Duration: 6 months contract Shift: 40 hours/week Openings: 5 Job Summary: This is a remote, advanced position functioning under general supervision and ...

FROEDTERT HEALTH

CODER OUTPATIENT II

Milwaukee, WI · On-site

$23.20 - $34.34/hr

The Outpatient Coder II is responsible for accurately coding medical records for outpatient services with a moderate level of complexity. This mid-level position involves applying ICD-10, CPT, and ...

Froedtert

CODER OUTPATIENT II

Milwaukee, WI

$23.20 - $34.34/hr

The Outpatient Coder II is responsible for accurately coding medical records for outpatient services with a moderate level of complexity. This mid-level position involves applying ICD-10, CPT, and ...

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Showing results 21-40

All JobsRisk Adjustment Coder JobsRisk Adjustment Coder Jobs in Wisconsin

Risk Adjustment Coder information

See Wisconsin salary details

$16

$27

$43

How much do risk adjustment coder jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for 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 risk adjustment coder?

Risk Adjustment Coders are healthcare professionals who review and analyze patient medical records to ensure accurate coding of diagnoses and procedures for risk adjustment purposes. Their work is crucial for health plans and providers, as it affects reimbursement rates and compliance with government programs like Medicare Advantage and the Affordable Care Act. These coders use specialized knowledge of coding systems, such as ICD-10, to assign appropriate codes that reflect patients’ health status and help organizations receive proper funding for patient care.

What are the key skills and qualifications needed to thrive as a risk adjustment coder, and why are they important?

To thrive as a Risk Adjustment Coder, you need a solid understanding of medical coding (especially ICD-10-CM), healthcare regulations, and risk adjustment methodologies, typically supported by certifications like CRC or CPC. Proficiency with coding software, electronic health records (EHR) systems, and auditing tools is essential. Attention to detail, analytical thinking, and strong organizational skills set top performers apart in this role. These competencies ensure accurate coding, compliance, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by risk adjustment coders, and how can they be overcome?

Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation and ensuring accurate code assignment to reflect patient risk profiles. Keeping up with frequent updates to coding guidelines and payer requirements can also be demanding. To overcome these challenges, coders should engage in continuous education, actively participate in team discussions to clarify ambiguities, and utilize available coding resources or auditing tools. Strong communication with providers and attention to detail are key to maintaining compliance and high-quality coding standards.

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

AspectRisk Adjustment CoderMedical Coder
CertificationsCPR, RHIT, CCS, or CPC often preferredCCS, CPC, or CPC-H
Work EnvironmentHealthcare facilities, insurance companies, remoteHospitals, clinics, physician offices
Industry UsageHealth plans, risk adjustment programsGeneral medical billing and coding

Both Risk Adjustment Coders and Medical Coders require similar certifications and work in healthcare settings. However, Risk Adjustment Coders focus on coding for risk adjustment models used by insurance companies, while Medical Coders handle broader medical billing and coding tasks. Understanding these differences helps professionals choose the right career path and employers.

How much do risk adjustment coders make in the US?

Risk adjustment coders in the US typically earn between $50,000 and $75,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with specialized skills in coding software and compliance.

How to become a risk adjustment coder?

To become a risk adjustment coder, individuals typically need a high school diploma or equivalent, followed by specialized training in medical coding and risk adjustment principles. Certification through organizations like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) is often required or preferred, and proficiency with coding tools and medical record review is essential.

Is risk adjustment coding a good career?

Risk adjustment coding is a growing field within healthcare that involves reviewing medical records and assigning codes to accurately reflect patient health status for insurance purposes. It requires knowledge of medical terminology, coding systems like ICD-10, and often certification such as CPC, making it a stable career with opportunities for advancement and specialization.

What are the most commonly searched types of Risk Adjustment Coder jobs in Wisconsin?

The most popular types of Risk Adjustment Coder jobs in Wisconsin are:

What are popular job titles related to Risk Adjustment Coder jobs in Wisconsin?

For Risk Adjustment Coder jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Risk Adjustment Coder jobs in Wisconsin look for?

The top searched job categories for Risk Adjustment Coder jobs in Wisconsin are:

Risk Adjustment Coder jobs near you
Infographic showing various Risk Adjustment Coder job openings in Wisconsin as of August 2026, with employment types broken down into 80% Full Time, 13% Part Time, and 7% Contract. Highlights an 73% In-person, and 27% Remote job distribution, with an average salary of $57,717 per year, or $27.7 per hour.

Coding Educator

ThedaCare

Neenah, WI • On-site

$28 - $32/hr

Full-time

Posted 11 days ago

ThedaCare rating

6.6

Company rating: 6.6 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

572nd of 898 rated healthcare providers

Job description

Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness -
  • Lifestyle Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!
Summary :
The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits.
Job Description:
SCHEDULE:
  • Full time, benefit eligible
  • 40 hrs/week
  • Remote, ideally regular business hours
  • Provider education experience preferred.
  • Dual certification required

KEY ACCOUNTABILITIES:
  • Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy.
  • Educates providers on documentation improvement opportunities. Conducts and reports internal documentation audits to ensure ThedaCare compliance by providers and team members.
  • Performs internal reviews in response to third party data summaries and/or investigations. Creates mitigation plan to reduce future risk.
  • Manages and maintains coding inventory responsibilities, internal reporting and payer denials, and claim edits to ensure timely reimbursement for services provided. Researches policy and communicates with payers.
  • Mentors and trains team members to skills matrix requirements. Provides orientation training to new team members.
  • Performs world class service to our customers, responding timely and professionally to inquiries.

QUALIFICATIONS:
  • High School diploma or GED preferred
  • Must be 18 years of age
  • Coding certificate or associate's degree in medical business or coding/health information
  • Three years of experience in general medical or specialty coding
  • Dual certifications through AAPC and/or AHIMA

PHYSICAL DEMANDS:
  • Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
  • Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

WORK ENVIRONMENT:
  • Normally works in climate controlled office environment
  • Frequent sitting with movement throughout office space
  • Use of computers throughout the work day
  • Frequent use of keyboard with repetitive motion of hands, wrists, and fingers

Scheduled Weekly Hours:
40Scheduled FTE:
1Location:
CIN 3 Neenah Center - Appleton,WisconsinOvertime Exempt:
NoWorker Shift Details:
Days

What ThedaCare employees say

Pay

Benefits

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About ThedaCare

Sourced by ZipRecruiter

We want to make exceptional care effortless for our patients. At ThedaCare, that means going above and beyond treating a particular condition – it means helping you achieve better health for life. You and your family are at the center of everything we do, from prioritizing your schedule when making appointments to designing our facilities for your comfort and convenience. Remaining proactive in your care allows us to better predict and prevent disease before complications arise, and when it comes to making important health-related decisions, we are here to support you. In every interaction, we want you to have full confidence the care you receive is purposeful, cost-effective and will help you continue enjoying life as you’ve planned it. ThedaCare is the third largest healthcare employer in Wisconsin, and the largest employer in Northeast Wisconsin with over 7,000 team members.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Neenah, WI, US

Year founded

1909

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