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Va Medical Coding Jobs in Appleton, WI (NOW HIRING)

RN ER

Oshkosh, WI · On-site

MS RN: 2+ years Med-Surg (ER holds only, no ICU patients) Patient Ratios * ED RN: 1:3-4 * MS RN: 1 ... ED RN: IV starts, blood cultures, chest tubes, triage, code blue (Preferred: art lines, critical ...

Va Medical Coding information

See Appleton, WI salary details

$5

$29

$45

How much do va medical coding jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for va medical coding in Appleton, WI is $29.26, according to ZipRecruiter salary data. Most workers in this role earn between $24.13 and $33.56 per hour, depending on experience, location, and employer.

How much does the VA pay medical coders?

The VA pays medical coders an annual salary that typically ranges from $40,000 to $60,000, depending on experience, location, and grade level. Federal pay scales and certifications such as CPC or CCS can influence salary levels for VA medical coding positions.

How much does a medical coder in VA make?

A medical coder working for the VA typically earns between $45,000 and $65,000 annually, depending on experience, certifications, and location. Entry-level positions may start lower, while experienced coders with certifications like CPC or CCS can earn higher salaries. The role often requires knowledge of medical coding systems and electronic health records.

What is the difference between Va Medical Coding vs Medical Billing Specialist?

AspectVa Medical CodingMedical Billing Specialist
CertificationsCPMA, CPC, CCSCertified Billing and Coding Specialist (CBCS), CPC
Work EnvironmentVeterans Affairs hospitals, clinicsHospitals, clinics, private practices
Job FocusAssigning codes for VA medical servicesProcessing insurance claims and billing
Industry UsagePrimarily in VA healthcare systemBroad healthcare settings

Va Medical Coding involves assigning medical codes for services provided to veterans within the VA system, focusing on accurate documentation. Medical Billing Specialists handle the billing process, submitting claims to insurance companies across various healthcare settings. While both roles require coding and billing certifications, Va Medical Coders work specifically within the VA system, whereas Medical Billing Specialists serve a wider range of healthcare providers.

What is VA medical coding?

VA medical coding is the process of translating medical diagnoses, procedures, and services provided to veterans within the Veterans Affairs (VA) healthcare system into standardized alphanumeric codes. These codes are essential for accurate medical records, billing, and reimbursement, as well as for tracking healthcare statistics and outcomes. VA medical coders use specialized knowledge of coding systems like ICD-10-CM, CPT, and HCPCS, and must also be familiar with VA-specific documentation and compliance requirements. Their work ensures that services delivered to veterans are properly documented and reported, supporting both patient care and administrative processes.

Does the VA use medical coders?

Yes, the VA employs medical coders to review and assign appropriate codes for patient diagnoses and procedures, ensuring accurate billing and record-keeping. VA medical coders typically need certification and familiarity with healthcare coding systems like ICD-10 and CPT, working within electronic health record systems. Their role is essential for maintaining compliance and efficient healthcare administration within the VA system.

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

To thrive as a VA Medical Coder, you need a thorough understanding of medical terminology, anatomy, coding systems (like ICD-10-CM, CPT, and HCPCS), and typically a certification such as CPC or CCS. Proficiency with electronic health record (EHR) systems and medical billing software is crucial. Attention to detail, analytical thinking, and the ability to maintain confidentiality are important soft skills in this role. These skills ensure accurate coding, proper reimbursement, and compliance with federal regulations in the VA healthcare system.

What are some common challenges faced by VA Medical Coders, and how can they be addressed?

VA Medical Coders often encounter challenges such as staying updated with frequent changes in coding regulations and accurately interpreting complex medical documentation. Additionally, understanding the specific requirements of the Veterans Affairs healthcare system can be demanding. To address these challenges, it’s important to participate in ongoing training, utilize official coding resources, and actively communicate with healthcare providers for clarification. Many VA Medical Coders also benefit from collaborating with peers and joining professional networks to share best practices.

What is the highest paying medical coder job?

The highest paying medical coding roles are often senior or specialized positions such as Coding Manager, Coding Director, or Certified Professional Coder (CPC) with additional certifications like CCS or CPC-H. These roles typically require extensive experience, advanced certifications, and knowledge of complex medical billing and coding systems, leading to higher salaries within healthcare organizations.
What are popular job titles related to Va Medical Coding jobs in Appleton, WI? For Va Medical Coding jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Va Medical Coding jobs in Appleton, WI look for? The top searched job categories for Va Medical Coding jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Va Medical Coding jobs? Cities near Appleton, WI with the most Va Medical Coding job openings:
Prior Authorization Specialist

Prior Authorization Specialist

Neuroscience Group

Appleton, WI • On-site

$20 - $24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago


Job description

Neuroscience Group is growing! We are adding to our Prior Authorization team. Neuroscience Group has an immediate opening for a full time Prior Authorization Specialist. This position will work Monday - Friday 8 hours per day. As an integral member of the Clinical Services Team, the Prior Authorization Specialist is responsible for pre-authorizing ancillary testing and treatment conducted in the Neuroscience Group office and outside the office setting. This position includes verification of insurance benefits as it applies to the precertification process and obtaining precertification/preauthorization from payors.
For over thirty years, Neuroscience Group has provided excellent neurologic care for the Fox Valley and Northeast Wisconsin. Ours is the only medical facility in the area that combines neurosurgery, neurology, orthopedic spine surgery, interventional and non-interventional pain management and physical therapy. Our practice has grown to over 50 providers and serves patients in nine outlying clinics scattered throughout the region. Our mission is to improve lives by providing the very best in brain, spine and pain care and we do that by living our company core values: compassionate care, teamwork, fiscal responsibility, continuous learning, leadership and community involvement.
RESPONSIBILITIES:
  • Collects and verifies all patient insurance information; makes changes/updates to information as needed.
  • Upon receiving the anticipated procedure codes and orders from the practitioner; reviews clinical documentation for medical criteria/guidelines as identified by the insurance companies.
  • Reviews CPT and Diagnosis codes for each order for accuracy before submitting to insurance.
  • Reviews patient chart documentation, Epic, Care Everywhere and outside locations to gather required information before submitting for authorization.
  • Determines necessity for pre-authorization for each CPT code via phone call or portal review.
  • Initiates prior authorization via portal, fax form or via telephone call; uploading or faxing clinicals per insurance requirements for ancillary tests (CT, MRI, EEG, EMG, Sleep studies, etc), treatment and/or procedure(s) conducted in the Neuroscience Group office and/or outside locations.
  • Regularly follows up on pending authorization requests so they are addressed in a timely manner via portal or phone call.
  • Notifies patients and practitioners of any services requested and/or referred that are not authorized by insurance.
  • Reviews denied cases for additional information required/reason for denial; communicates reason for denial to practitioner for guidance on next steps. Ie. Peer to Peer or Appeal
  • Schedules Peer to Peer based off of criteria, reason for denial and provider schedule.
  • Collaborates with provider on completion of appeal letter for submission to insurance.
  • Maintains good communication with the patient, physician, clinical services team, reimbursement services team, and outlying facility staff.
  • Daily use of Faxfinder cloud faxing system for managing incoming and outgoing faxes.
  • Maintains timely, complete documentation and recordkeeping to ensure accurate continuity of patient care.
  • Regularly attends all team and staff meetings
  • All other temporary and/or permanent duties as assigned by the Team Leader of Prior Authorization Specialist

Requirements
  • Previous experience in medical preauthorization/precertification
  • Knowledge of health care insurance and third-party payers. (VA, Work Comp)
  • Previous experience with CPT and ICD-10 coding
  • Prior EPIC experience
  • Team Player who can also work independently

KNOWLEDGE/SKILLS REQUIRED TO BE SUCCESSFUL IN THIS POSITION:
  • Proficient computer knowledge and keyboarding skills (Microsoft Office programs)
  • Medical terminology
  • Excellent verbal and written communication skills
  • Customer service experience
  • Strong organizational skills
  • Detail-oriented
  • Ability to multi-task and remain focused while managing a high-volume, time-sensitive workload
  • Critical thinking skills and decisive judgment

TYPICAL PHYSICAL DEMANDS AND WORKING CONDITIONS:
  • Primarily seated work but will require some position change including bending, stooping, and stretching.
  • May involve lifting supplies up to 20 to 30 pounds.
  • May occasionally need to assist with wheelchair transfers.
  • Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment.
  • Requires normal range of hearing and eyesight in order to communicate and function within this setting.

BENEFITS:
At Neuroscience Group we offer a very competitive salary. In addition to great pay we also offer the following benefits:
  • No nights, no weekends, and no holidays!
  • Health Insurance
  • Health Savings Accounts with a generous employer contribution
  • Dental Insurance
  • Vision Insurance
  • Company paid Long Term Disability and Life Insurance
  • Voluntary Life and Short Term Disability Insurance
  • Voluntary Accident and Critical Illness Insurance
  • Generous PTO and Sick Banks
  • 401(k) with guaranteed employer contribution, Profit Sharing, and a Cash Balance Pension Plan
  • Employee Assistance Program
  • Timber Rattler tickets
  • Holiday party, summer picnic, and annual recognition for years of service
  • Annual Employee Appreciation Day

Salary Description
$20 - $24 per hour