This role is well suited for a detail-focused coding professional who enjoys reviewing medical records and ensuring accurate billing. A third party is sharing this opportunity to help skilled auditors connect with a remote position that supports coding quality within a major healthcare system. If you enjoy clear rules, steady review work and meaningful impact on billing accuracy, this job may be the right match.
You will review documentation, check codes against many guidelines and help improve accuracy across several departments. You will support clear feedback, share findings with teams and help maintain strong billing compliance.
Job summary
Position: Reimbursement Auditor
Company: Marshfield Clinic Health System
Location: Remote, Wisconsin only
Employment: Full time
Salary Range: Not listed
Job Category: Medical Coding and Audit
Main responsibilities
You will audit medical record documentation to confirm correct coding and billing. You will check documentation using AMA CPT rules, ICD diagnosis codes, HCPCS codes and CMS billing policies. Your reviews will support many types of visits and services.
You will review outpatient encounters. You will audit diagnostic visits, emergency department records and minor procedures. You may also review homecare, hospice, nursing home and dialysis documentation.
You will look for errors in coding or documentation. You will explain the issue clearly so teams can understand what needs correction. Your work will support feedback and training for staff members who handle records and billing.
You will help strengthen coding quality. You will share findings with interested groups and support education that reduces errors. You may help teams understand proper code use and required documentation.
You will help maintain compliance with payer rules. You will apply knowledge of Medicare, Medicaid and commercial payer policies. You will help prevent billing mistakes that lead to denials or delays.
Education requirements
You must complete specific courses within one year of hire. These include CPT, ICD, HCPCS and medical terminology. Training must meet the department’s protocol and come from an approved source.
A background in a medical field is helpful. Preferred options include medical assistant programs, surgical assistant training, medical transcription or coding and billing programs. Courses in anatomy and physiology are also helpful.
Experience requirements
You must have experience working in healthcare, medical records or a medical business office. You must understand Medicare, Medicaid and commercial payer rules.
It is helpful to have experience working as a medical coder or auditor. Knowledge of coding is a strong plus for this role.
Certification requirements
You must obtain a coding certification within three years of hire. Accepted certifications include those from the American Academy of Professional Coders and the American Health Information Management Association.
It is preferred that candidates already hold a coding certification at the time of hire.
Work expectations
You will work full time on a Monday through Friday schedule. This role supports day shifts. You must live in Wisconsin to apply.
You must avoid exclusion from federally funded programs. You must be eligible to work with Medicare and Medicaid. If you are ever at risk of exclusion, you must report it immediately to leadership.
About the company
Marshfield Clinic Health System focuses on accessible and compassionate healthcare. The organization values teamwork, service and patient needs. Staff members are expected to listen, help and support the people they serve.
The health system supports fairness and equal opportunity. It welcomes applicants regardless of protected characteristics under federal, state and local laws. The organization promotes respect, inclusion and equal treatment in all employment decisions.
Additional notes
All degrees must come from accredited institutions recognized by the Council for Higher Education and Accreditation. The health system sets strict standards for coding and documentation and supports ongoing training to ensure compliance.
New staff will receive support to understand policies and expectations. The role includes regular contact with other coding teams and departments that rely on accurate billing information.
How to apply
Apply through the official Marshfield Clinic Health System career portal. Include a resume that highlights your coding background, payer knowledge and any audit experience you have. If you meet the requirements, the hiring team will reach out with next steps.
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