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Coding Compliance Analyst Jobs (NOW HIRING)

Compliance Analyst

New York, NY · On-site

$70K - $160K/yr

Compliance Analyst The Compliance Department at Millennium serves to adopt, implement, and enforce ... Manage the Firm's code of ethics/personal trading policies utilizing compliance software * Liaise ...

Analyze key coding performance indicators to determine those providers in need of initial or ... Resolve coding compliance inquiries, ensuring all responses are researched, documented, and ...

The Compliance Analyst will work with all Support Services departments as well as interact directly ... Coding experience * Audit experience USD $65,000.00/Yr. USD $65,000.00/Yr.Qualifications:

PR · On-site

JOB SUMMARY & RESPONSIBILITIES The Compliance Analyst is responsible for supporting the ... coding guidelines, medical policies, and payment procedures. * Conduct desktop reviews, on-site ...

Trade Compliance Analyst Location: Nashua, NH We are currently seeking a Trade Compliance Analyst ... Audit global import/export documentation for accuracy, Harmonized Tariff Codes, ECCN codes

The Compliance Analyst will work with all Support Services departments as well as interact directly ... Coding experience * Audit experience USD $65,000.00/Yr. USD $65,000.00/Yr.

The Compliance Analyst will work with all Support Services departments as well as interact directly ... Coding experience * Audit experience USD $65,000.00/Yr. USD $65,000.00/Yr.Qualifications:

Compliance Analyst

New York, NY · Remote

$77K - $92K/yr

Review documentation to identify and correct coding and billing errors, ensuring compliance with ... Analyze trends and discrepancies in coding and billing practices, providing actionable insights and ...

Administer the firm's Code of Ethics (gift/entertainment requests, conflict disclosures, political contributions, etc.), track certifications and maintain compliance logs * Assist with employee and ...

Compliance Analyst

New York, NY · On-site +1

$77K - $92K/yr

Review documentation to identify and correct coding and billing errors, ensuring compliance with ... Analyze trends and discrepancies in coding and billing practices, providing actionable insights and ...

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Coding Compliance Analyst information

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How much do coding compliance analyst jobs pay per hour?

As of May 31, 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.

What are the key skills and qualifications needed to thrive as a Coding Compliance Analyst, and why are they important?

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.

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.
More about Coding Compliance Analyst jobs
Infographic showing various Coding Compliance Analyst job openings in the United States as of May 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $72,853 per year, or $35 per hour.
Director of Coding Compliance

Full-time

Posted 10 days ago


Job description

Overview

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved residents.

Founded in 1999, we've grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women's health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We're looking for talented, motivated individuals to join our growing team. Whether you're a medical provider, administrator, or operations professional, there's a career here for you. Join us in making a real difference in the health of our community.

Job Summary

Position Title: Director of CodingCompliance

Position Summary: The Director of Coding Compliance is responsible for leading coding compliance and audit activities related to health plan operations, risk adjustment, payer audits and regulatory requirements. This role ensures accurate medical coding, documentation integrity, and adherence to federal, state, and payer-specific guidelines. The ideal candidate will possess advanced CPC coding expertise, strong analytical skills, and extensive experience supporting compliance initiatives within a managed care or health plan environment.

Responsibilities

Key Responsibilities

  • Conduct complex coding audits and documentation reviews for accuracy, completeness, and regulatory compliance.
  • Review ICD-10-CM, CPT, HCPCS, and risk adjustment coding to ensure alignment with CMS and payer guidelines.
  • Identify coding trends, compliance risks, and opportunities for operational improvement.
  • Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives.
  • Develop and deliver provider and staff education related to coding accuracy and compliance standards.
  • Monitor regulatory changes and communicate impacts to leadership and operational teams.
  • Assist with internal and external audit preparation, corrective action plans, and regulatory responses.
  • Support oversight activities related to FWA (Fraud, Waste, and Abuse) prevention and documentation integrity.
  • Analyze audit findings and prepare detailed reports, dashboards, and executive summaries.
  • Serve as a subject matter expert for coding compliance and regulatory requirements.
Qualifications

Required Qualifications

  • Certified Professional Coder (CPC) certification required.
  • Minimum 7-10 years of medical coding and compliance auditing experience.
  • Minimum 5 years of experience within a health plan, managed care organization, or payer environment.
  • Strong knowledge of CMS regulations, Medicare Advantage, NYS Medicaid, HEDIS, and risk adjustment methodologies.
  • Extensive experience with ICD-10-CM, CPT, and HCPCS coding systems.
  • Knowledge of healthcare compliance standards and regulatory requirements.
  • Experience conducting coding audits and developing corrective action plans.
  • Strong analytical, communication, and leadership skills.
  • Proficiency with coding and audit software applications and Microsoft Office Suite.

 

Preferred Qualifications

  • CRC, CPMA, CCS, or other advanced coding/audit certification preferred.
  • Experience supporting delegated vendor oversight and regulatory audits.
  • Knowledge of NCQA standards and healthcare quality programs.
  • Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or related field preferred.

 

Core Competencies

  • Regulatory Compliance
  • Risk Assessment
  • Medical Coding Expertise
  • Audit & Monitoring
  • Provider Education
  • Cross-Functional Collaboration
  • Strategic Problem Solving
  • Data Analysis & Reporting

 

Work Environment

  • Onsite - Bronx, New York Office Monday - Friday
Equal Opportunity EmployerEssen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse populationEmployment Type: FULL_TIME