ZipRecruiter

Log In

1

Coding Compliance Jobs (NOW HIRING)

GeBBS Healthcare Solutions

Coding Compliance Auditor

$36/hr

GeBBS Healthcare Solutions is seeking an experienced Coding Compliance Auditor to join our growing team of industry experts. In this role, you'll leverage your extensive coding knowledge to evaluate ...

Sutter Health

Coding Compliance Analyst III

Sacramento, CA · On-site +1

$117K - $176K/yr

Functions as a subject matter expert and hospital facility coding compliance leader through the accurate development, review, and approval of system processes, directives, and tools regarding ...

next page

Showing results 1-20

All JobsHealthcare JobsHospital JobsMedical Coder JobsCoding Compliance Jobs

Coding Compliance information

See salary details

$16

$29

$39

How much do coding compliance jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for coding compliance in the United States is $29.05, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $35.10 per hour, depending on experience, location, and employer.

What is coding compliance?

Coding compliance refers to the process of ensuring that medical coding practices adhere to federal and state regulations, payer policies, and standardized coding guidelines such as ICD-10, CPT, and HCPCS. Professionals in this field review clinical documentation and coding to minimize errors, prevent fraud, and avoid financial penalties for healthcare organizations. Maintaining coding compliance is essential for accurate billing, reimbursement, and overall integrity of the healthcare revenue cycle.

What are the key skills and qualifications needed to thrive as a coding compliance specialist, and why are they important?

To thrive as a Coding Compliance Specialist, you need a deep understanding of medical coding systems (like ICD-10, CPT, and HCPCS), healthcare regulations, and compliance standards, often supported by certifications such as CPC or CCS. Familiarity with electronic health records (EHRs), coding audit software, and compliance management systems is typically required. Strong attention to detail, analytical thinking, and effective communication skills help ensure accurate coding and collaboration with healthcare teams. These skills are crucial for maintaining regulatory compliance, minimizing risk, and ensuring proper reimbursement for healthcare services.

What are some common challenges faced in a coding compliance role, and how can they be addressed?

Professionals in Coding Compliance often encounter challenges such as keeping up with frequent updates to coding standards (like ICD-10 or CPT), ensuring consistent documentation from healthcare providers, and managing audits for accuracy. Addressing these challenges requires continuous education, strong communication skills to provide feedback to clinical staff, and proactive participation in training sessions. Many organizations also foster collaboration between coding compliance specialists and billing or clinical teams to streamline processes and reduce the risk of errors.

What is the difference between Coding Compliance vs Medical Coding?

AspectCoding Compliance
CertificationsOften requires certifications like CPC, CCS, or CRC
Work EnvironmentTypically in healthcare organizations, compliance departments, or consulting firms
Primary FocusEnsuring coding practices adhere to legal and regulatory standards
Job ResponsibilitiesAuditing, policy development, training, and compliance monitoring

While Medical Coding involves assigning codes to patient diagnoses and procedures, Coding Compliance focuses on ensuring that coding practices follow legal, ethical, and industry standards. Both roles require similar certifications and often work within healthcare settings, but Coding Compliance emphasizes regulatory adherence and audit processes to prevent fraud and ensure accurate billing.

What does a coding compliance specialist do?

A coding compliance specialist reviews medical records and coding practices to ensure they adhere to industry regulations and standards, such as those set by healthcare authorities. They analyze coding accuracy, identify discrepancies, and implement corrective actions, often using coding software and staying updated on coding guidelines. Their role helps prevent billing errors and ensures legal and regulatory compliance in healthcare documentation.
More about Coding Compliance jobs

What cities are hiring for Coding Compliance jobs?

Cities with the most Coding Compliance job openings:

What are the most commonly searched types of Coding Compliance jobs?

The most popular types of Coding Compliance jobs are:

What states have the most Coding Compliance jobs?

States with the most job openings for Coding Compliance jobs include:

What job categories do people searching Coding Compliance jobs look for?

The top searched job categories for Coding Compliance jobs are:

Coding Compliance jobs near you
Infographic showing various Coding Compliance job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $60,418 per year, or $29 per hour.

Coding Compliance Specialist

Prestige Billing Services, Ltd.

Miamisburg, OH • Remote

Full-time

Posted 19 days ago

Job description

Position: Coding Compliance Specialist
Reports To: Operations Director
Exempt/Non: Exempt, Full-Time
Education: CPC (Certified Professional Coder) required; CPMA (Certified Professional Medical Auditor) preferred; CCS (Certified Coding Specialist) preferred
Experience: Minimum of five (5) years of physician and/or facility coding experience
The Coding Compliance Specialist is responsible for ensuring coding accuracy, regulatory compliance, and adherence to federal, state, payer, and organizational coding standards. This position serves as the department's subject matter expert for coding compliance by conducting internal and external audits, researching evolving coding regulations, supporting payer audit activities, and developing organizational coding and compliance standards.
This role is a complementary role to the Coding Operations Specialist, which focuses on operational workflow and production. The Coding Compliance Specialist focuses on compliance-related coding review.
In addition to audit responsibilities, the Coding Compliance Specialist leads the research and development of coding and compliance frameworks for prospective clients by evaluating specialty-specific coding requirements, documentation standards, payer regulations, and operational considerations to support successful client onboarding and implementation.
This position is an individual contributor role and does not include direct supervisory or personnel management responsibilities.
Requirements (Skills amp; Background)
  • Demonstrated expertise in coding audits, regulatory compliance, and coding research
  • Thorough knowledge of ICD-10-CM, CPT, HCPCS, CMS regulations, payer policies, and official coding guidelines
  • Strong analytical, research, and problem-solving skills
  • Excellent written and verbal communication skills
  • Proficiency with electronic health records (EHR), coding software, and Microsoft Office application
Essential Duties and ResponsibilitiesCoding Compliance and Auditing
  • Conduct routine internal coding audits to evaluate coding accuracy, documentation quality, and compliance with ICD-10-CM, CPT, HCPCS, CMS, and payer guidelines
  • Review external audit findings and validate recommended corrections prior to releasing encounters from audit hold queues
  • Perform annual coding audits for designated clients to ensure ongoing coding accuracy and regulatory compliance
  • Document audit findings, identify coding and documentation trends, and recommend educational opportunities to improve coding quality
  • Monitor compliance with applicable federal regulations, payer policies, and organizational coding standards
  • Identify compliance risks and recommend corrective actions and process improvements
  • Track audit metrics and prepare audit summaries for leadership review
Regulatory Research and Standards Development
  • Research evolving CMS regulations, payer policies, coding updates, and industry guidance affecting coding and reimbursement
  • Develop, maintain, and update internal coding and compliance policies, standards, reference materials, and best practice guidelines
  • Create and revise coding appeal letter templates, compliance documentation, audit tools, certification letter templates, and supporting resources to promote departmental consistency
  • Translate regulatory changes into practical guidance and educational resources for coding staff
  • Maintain departmental coding reference libraries and compliance resources
  • Help identify payer denials that could be resolved through education of proper coding guidelines
New Client Compliance and Research
  • Research coding, documentation, regulatory, and payer requirements for prospective clients across multiple medical specialties
  • Develop specialty-specific coding and compliance frameworks to support the successful onboarding of new client contracts
  • Evaluate payer requirements, specialty coding guidelines, and documentation expectations to establish compliant operational workflows for new business opportunities
  • Collaborate with operational leadership during the implementation of new client coding processes
  • Assist in developing coding policies, workflows, and documentation standards for newly acquired clients
Audit and Payer Support
  • Collaborate with physicians and providers to prepare certification letters and supporting documentation for payer audits and medical record reviews
  • Support clients with payer coding and contractual issues by researching applicable regulations, identifying coding requirements, and presenting findings to facilitate appropriate resolution
  • Assist with coding-related audit responses, compliance inquiries, regulatory documentation requests, and payer appeals as needed
  • Serve as a coding compliance resource during external audits and client reviews
Coding Consultation and Education
  • Serve as the primary resource for coding staff regarding coding guidelines, compliance issues, payer policies, and documentation requirements
  • Provide coding guidance based on current regulatory standards and official coding references
  • Share audit findings, coding trends, and regulatory updates with the Operations Director to support ongoing education and quality improvement initiatives
  • Assist in developing educational materials and coding reference tools for internal staff
Core Competencies
  • Coding Compliance
  • Medical Coding Auditing
  • Regulatory Research
  • Policy and Standards Development
  • Documentation Review
  • Coding Quality Assurance
  • Critical Thinking
  • Analytical Problem Solving
  • Written and Verbal Communication
  • Collaboration and Consultation
  • Attention to Detail
  • Organization and Time Management
  • Professional Judgment
  • Adaptability
Physical Requirements
  • Ability to sit and work at a computer for extended periods
  • Ability to occasionally lift up to 20 pounds
Additional Responsibilities
  • Maintain confidentiality of protected health information in accordance with HIPAA regulations
  • Maintain required coding certifications and continuing education requirements
  • Participate in departmental meetings, compliance initiatives, and special projects as assigned
  • Support departmental and organizational compliance initiatives
  • Perform other duties as assigned

Apply