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Senior Medical Coder Jobs in Wisconsin (NOW HIRING)

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Senior Medical Coder information

See Wisconsin salary details

$15

$26

$38

How much do senior medical coder jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for senior medical coder in Wisconsin is $26.60, according to ZipRecruiter salary data. Most workers in this role earn between $21.83 and $29.86 per hour, depending on experience, location, and employer.

What are Senior Medical Coders?

Senior Medical Coders are experienced professionals who review clinical documents and assign standardized codes for diagnoses, procedures, and medical services. They ensure that coding is accurate and compliant with healthcare regulations, which is essential for proper billing and reimbursement. Senior Medical Coders often mentor junior staff, audit coding work, and stay updated on changes in coding guidelines and healthcare laws. Their expertise helps healthcare providers maintain accurate records and avoid billing errors.

What are the key skills and qualifications needed to thrive as a Senior Medical Coder, and why are they important?

To thrive as a Senior Medical Coder, you need in-depth knowledge of medical terminology, anatomy, coding systems (ICD-10-CM, CPT, HCPCS), and compliance regulations, often supported by certification such as CPC or CCS. Expertise in coding software, electronic health record (EHR) systems, and auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for accuracy and collaboration with healthcare teams. These skills ensure precise coding, minimize errors, and support healthcare organizations in maintaining compliance and optimizing reimbursement.

How does a Senior Medical Coder typically collaborate with clinical staff and billing teams?

Senior Medical Coders frequently work alongside physicians, nurses, and billing specialists to ensure accurate and compliant coding of medical records. They may clarify documentation with clinical staff, resolve coding discrepancies, and provide guidance on complex coding scenarios. Collaboration ensures that claims are processed efficiently and that the organization remains compliant with regulations. Strong communication skills and attention to detail are essential for navigating these interactions and supporting both clinical and administrative teams.

What is the difference between Senior Medical Coder vs Medical Coder?

AspectSenior Medical CoderMedical Coder
CertificationsAHIMA or AAPC credentials, experience in codingEntry-level certifications, such as CPC or CCS
Work EnvironmentHospitals, clinics, insurance companies, often with complex casesSimilar settings but with less complex coding tasks
ResponsibilitiesReviewing complex medical records, mentoring, quality assuranceAssigning codes based on medical documentation

The main difference between a Senior Medical Coder and a Medical Coder lies in experience, responsibilities, and complexity of cases handled. Senior Medical Coders typically have more experience, advanced certifications, and handle complex coding tasks, often mentoring junior staff. Medical Coders are usually entry-level or less experienced, focusing on standard coding duties. Both roles are essential in healthcare billing and coding, but the senior position involves greater expertise and oversight.

What are the most commonly searched types of Medical Coder jobs in Wisconsin? The most popular types of Medical Coder jobs in Wisconsin are:
What cities in Wisconsin are hiring for Senior Medical Coder jobs? Cities in Wisconsin with the most Senior Medical Coder job openings:
Infographic showing various Senior Medical Coder job openings in Wisconsin as of July 2026, with employment types broken down into 46% Locum Tenens, 44% Full Time, 7% Part Time, 2% Contract, and 1% Summer. Highlights an 65% Physical, 2% Hybrid, and 33% Remote job distribution, with an average salary of $55,331 per year, or $26.6 per hour.
Clinical Provider Auditor Senior - Payment IntegritySIU

Clinical Provider Auditor Senior - Payment IntegritySIU

Elevance Health

Waukesha, WI • Hybrid

$81K - $99K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Elevance Health rating

7.7

Company rating: 7.7 out of 10

Based on 348 frontline employees who took The Breakroom Quiz

197th of 298 rated insurance


Job description

Anticipated End Date:

2026-07-31

Position Title:

Clinical Provider Auditor Senior - Payment IntegritySIU

Job Description:

Job Description

Clinical Provider Auditor II - Payment Integrity SIU

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center-connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together.

Among us are care providers, engineers, data scientists, and other dedicated professionalsdetermined to recover, eliminate and prevent unnecessary medical-expense spending.

The Clinical Provider Auditor Senior will be responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.

How you will make an impact:

  • Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control.

  • Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claims lifecycle.

  • Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.

  • Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern to determine patterns of billing behavior.

  • Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.

  • Trains new associates.

  • Develops, designs and implements new or revised methods to improve the operations.

Minimum Requirements:

  • Requires a AA/AS and minimum of 5 years medical coding/auditing experience, including minimum of 4 years in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background.

  • Requires coding certification (CPC, CCS, CPMA).

Preferred Experience:

  • Prepay review of Medicare and Medicaid experience highly desired.

  • Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology and Bachelor's degree strongly preferred.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

FRD > Audit

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.


Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.


How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.


We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.


Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.


The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.


Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.


Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.


NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.


What Elevance Health employees say

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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