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Coding Compliance Analyst Jobs (NOW HIRING)

If you enjoy analyzing trends, influencing best practices, and partnering with coding professionals ... Identify documentation and coding trends, compliance risks, and reimbursement opportunities through ...

Compliance Analyst needed! Join our growing organization! Onco360 has an immediate need for a ... Conducts job responsibilities in accordance with the standards set out in the Company's Code of ...

Compliance Analyst needed! Join our growing organization! Onco360 has an immediate need for a ... Conducts job responsibilities in accordance with the standards set out in the Company's Code of ...

Strong quantitative and analytical skills with the ability to communicate data concisely and clearly to a variety of audiences. * Demonstrate a strong commitment to coding compliance and regulatory ...

Coding Compliance Auditor

OR ยท Remote

$75K - $90K/yr

Strong quantitative and analytical skills with the ability to communicate data concisely and clearly to a variety of audiences. * Demonstrate a strong commitment to coding compliance and regulatory ...

Conduct audits upon claims as prescribed in the Medical Billing and Coding Compliance audit plan, especially upon changes made to claims by billers employed, contracted, or subcontracted by the ...

Compliance Analyst

Anchorage, AK ยท On-site

$69K - $75K/yr

The Compliance Analyst supports the Company's legal and compliance efforts through coordination of ... Track Code of Ethics training completion for new hires and for the annual Code of Ethics training ...

Independently analyze and interpret clinical documentation from medical records * Validate coding ... Provide compliance oversight of QA audit activities, ensuring consistency and adherence to ...

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Coding Compliance Analyst information

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How much do coding compliance analyst jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for coding compliance analyst in the United States is $35.03, according to ZipRecruiter salary data. Most workers in this role earn between $27.64 and $39.42 per hour, depending on experience, location, and employer.

Is a coding compliance analyst in demand?

Coding compliance analysts are in demand due to the increasing complexity of healthcare regulations and the need for accurate medical coding to ensure proper reimbursement and compliance. Employers in healthcare, insurance, and government sectors seek professionals with knowledge of coding standards, auditing skills, and relevant certifications like CPC or CCS to maintain regulatory adherence.

What is a coding compliance analyst?

A Coding Compliance Analyst is a healthcare professional who ensures that medical coding practices within an organization adhere to federal regulations, industry standards, and internal policies. They review clinical documentation and coding for accuracy, conduct audits, and provide education or feedback to staff to minimize errors and compliance risks. Their work helps prevent fraudulent billing, ensures proper reimbursement, and supports overall healthcare quality and integrity.

What are the key skills and qualifications needed to thrive as a coding compliance analyst?

To thrive as a Coding Compliance Analyst, you need in-depth knowledge of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and a relevant certification like CCS or CPC. Familiarity with coding audit software, electronic health records (EHRs), and compliance management tools is typically required. Strong analytical thinking, attention to detail, and effective communication are essential soft skills for interpreting codes and collaborating with clinical staff. These skills ensure accurate coding, minimize compliance risks, and support optimal reimbursement for healthcare organizations.

What are some common challenges faced by coding compliance analysts, and how can they be addressed?

Coding Compliance Analysts often encounter challenges such as keeping up with frequent regulatory changes, ensuring accurate documentation, and mitigating discrepancies between clinical documentation and coded data. To address these, analysts typically engage in continuous education, collaborate closely with clinical staff for clarification, and utilize audit tools to identify and resolve compliance issues. Strong attention to detail, proactive communication, and staying current with industry updates are essential to overcome these challenges effectively.
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What job categories do people searching Coding Compliance Analyst jobs look for? The top searched job categories for Coding Compliance Analyst jobs are:
Infographic showing various Coding Compliance Analyst job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $72,853 per year, or $35 per hour.

Coding and Compliance Analyst

Family Health Center

Marshfield, WI โ€ข On-site

Full-time

Re-posted 26 days ago


Job description

JOB SUMMARY

The Coding and Billing Compliance Analyst plays a critical role in safeguarding the accuracy, integrity, and regulatory compliance of coding and billing operations across all service lines. This position supports the organization’s revenue cycle and compliance initiatives by conducting detailed coding and billing reviews, identifying areas of risk, and contributing to the development of corrective action plans and educational programs. The analyst ensures adherence to federal and state billing regulations, including Medicaid/Medicare guidelines, HRSA program requirements, and Office of Inspector General (OIG) guidance specific to Federally Qualified Health Centers (FQHCs). The Analyst collaborates with providers, billing teams, compliance officers, and revenue cycle leadership, to improve clinical documentation, optimize reimbursement, and maintain full compliance with all applicable standards and payer requirements.

ESSENTIAL JOB FUNCTIONS

  1. Reviews provider documentation, medical records, and associated charges to ensure correct assignment of ICD-10, CPT, HCPCS codes, and modifiers according to payer, CMS, HRSA, and FQHC-specific guidelines.
  2. Conducts regular audits of coding, billing, and claims to ensure accuracy, completeness, and compliance with CPT, CDT, HCPCS, ICD-10, and payer-specific guidelines.
  3. Monitors claims submissions, pre-bill edits, denials, and payor feedback and identify coding and billing errors or trends and recommend corrective actions and coordinate follow-up audits as needed.
  4. Assists in developing, updating, and maintaining coding and billing compliance policies, procedures, training materials as guidelines or payor rules change.
  5. Collaborates proactively with providers, clinical teams, and billing staff to ensure accurate documentation, compliant coding practices, and adherence to Medicaid coverage and reimbursement requirements.
  6. Analyzes denied or underpaid claims to identify root causes, including coding errors, documentation gaps, or payer-specific policy issues, and collaborate with interdepartmental teams to implement targeted process improvements that strengthen billing compliance and optimize revenue integrity.
  7. Monitors and interprets payer updates, coding changes, and reimbursement policy revisions from CMS, HRSA, Medicaid, and commercial payers; evaluates their impact on FQHC operations and communicates relevant updates, guidance, and action steps to affected departments to ensure compliance and optimized reimbursement.
  8. Monitors coding practices for compliance with FQHC Prospective Payment System (PPS) and encounter-based billing guidelines.
  9. Performs charge reviews comparing itemized bills to medical record documents to ensure appropriate charges.
  10. Conducts regular staff training sessions for providers, billers, and clinical staff on documentation, coding updates, and compliance best practices.
  11. Prepares audit reports and presents findings to leadership and compliance officer.
  12. Maintains strict adherence to scheduled work hours with regular and reliable attendance.
  13. Performs other duties as assigned.

EDUCATION AND EXPERIENCE

  1. Minimum of 3-5 years of experience in medical billing, coding, and/or compliance within a healthcare setting is required; FQHC experience preferred.
  2. Proficiency with EHR and practice management systems (e.g., Epic Systems, NextGen Healthcare, eClinicalWorks).
  3. Associate’s or degree in Health Information Management, Healthcare Administration, or related field preferred.

CERTIFICATIONS / LICENSES

  1. Certified Professional Coder (CPC), awarded by American Academy Professional Coders (AAPC) required.
  2. Additional credentials such as Certified Compliance Professional (CCP) preferred.
  3. Valid Wisconsin Driver’s License required with an acceptable motor vehicle record (MVR), per FHC guidelines.


Equal Employment Opportunity