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Risk Adjustment Coder Jobs in Wisconsin (NOW HIRING)

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

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 ...

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 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 ...

Ascension

Certified Medical Coder

Milwaukee, WI · On-site +1

$24.87 - $33.64/hr

Strictly adhere to official coding guidelines, reimbursement requirements, and the AHIMA Standards of Ethical Coding. * Conduct regular chart audits and proactively query physicians to clarify ...

Ascension

Certified Medical Coder

Milwaukee, WI · Remote

$24.87/hr

Strictly adhere to official coding guidelines, reimbursement requirements, and the AHIMA Standards of Ethical Coding. * Conduct regular chart audits and proactively query physicians to clarify ...

Ascension

Certified Medical Coder

Milwaukee, WI · On-site +1

$24.87 - $33.64/hr

Strictly adhere to official coding guidelines, reimbursement requirements, and the AHIMA Standards of Ethical Coding. * Conduct regular chart audits and proactively query physicians to clarify ...

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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 Aug 21, 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 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.

Inpatient Coder - HIM Coding - Full Time

NYP - Westchester Division

Cornell, WI • On-site

$54.35 - $62.35/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

LocationNew York, New YorkShift:Day (United States of America)Description:World-Class Clinical Coding Makes Things Happen

NewYork-Presbyterian is one of the nation's most comprehensive academic health care delivery systems, dedicated to providing the highest quality, most compassionate care to patients in the New York metropolitan area and throughout the globe. In collaboration with two renowned medical schools, Weill Cornell Medicine and Columbia University College of Physicians & Surgeons, NewYork-Presbyterian is consistently recognized as a leader in medical education, ground-breaking research and innovative, patient-centered clinical care. We are offering the ultimate opportunity for clinical coding professionals.

Inpatient Coder - HIM Coding - Full Time

In this role, you will perform complex diagnostic and procedural coding for inpatient coding. You will review and analyze the medical record to accurately assign the responsible attending physician and clinical service in accordance with guidelines.

This is a Full Time, day shift position that requires weekend coverage.

Preferred Criteria

  • CCS, RHIA or RHIT certification

  • Experienced coding in a hospital setting is a plus

Required Criteria

  • High School Diploma or GED

  • College level courses or equivalent in anatomy and physiology, and medical terminology

  • Minimum of 3 years' demonstrated complex diagnostic and procedural inpatient coding experience in a computerized/electronic environment.

  • Documented evidence of advanced course work ICD-10 CM, ICD-10 PCS

#LI-SL1

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.

NYP will not reimburse for travel expenses.

__________________

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NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:

$54.35-$62.35/Hourly

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.

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