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Coding Compliance Auditor Jobs (NOW HIRING)

Sentara

Compliance Coding Auditor

Norfolk, VA · Remote

Compliance Coding Auditor Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external ...

Sentara

Compliance Coding Auditor

Norfolk, VA · Remote

$10K/mo

Compliance Coding Auditor Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external ...

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Coding Compliance Auditor information

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$31.5K

$68.7K

$112K

How much do coding compliance auditor jobs pay per year?

As of May 30, 2026, the average yearly pay for coding compliance auditor in the United States is $68,732.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,000.00 and $86,500.00 per year, depending on experience, location, and employer.

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

To thrive as a Coding Compliance Auditor, you need an in-depth understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and coding audit methodologies, often backed by a degree in health information management and certifications like CPC or CCS. Proficiency with electronic health record (EHR) systems, coding audit software, and data analysis tools is essential. Exceptional attention to detail, analytical thinking, and strong communication skills set top performers apart in this role. These competencies ensure accurate coding, minimize compliance risks, and help healthcare organizations maintain financial integrity and regulatory adherence.

What are common challenges faced by Coding Compliance Auditors, and how can they be addressed in the workplace?

Coding Compliance Auditors often encounter challenges such as staying current with frequent changes in coding guidelines (e.g., ICD-10, CPT), managing large volumes of medical records, and ensuring accuracy while meeting productivity targets. Effective communication with healthcare providers is crucial, as auditors often need to clarify documentation or educate staff on compliance issues. These challenges can be addressed by participating in ongoing training, using advanced audit software, and fostering a collaborative environment with clinical and billing teams.

What are Coding Compliance Auditors?

Coding Compliance Auditors are healthcare professionals responsible for reviewing medical records and billing data to ensure that coding for diagnoses, procedures, and services complies with regulatory requirements and organizational policies. They help healthcare facilities avoid errors, reduce fraudulent practices, and optimize reimbursement by ensuring accurate documentation and coding. Their work involves analyzing patient records, providing feedback to medical coders, and recommending improvements to coding practices.

What is the difference between Coding Compliance Auditor vs Medical Coder?

AspectCoding Compliance AuditorMedical Coder
CertificationsAHIMA or AAPC certifications, compliance trainingCertified Professional Coder (CPC), CPC-H, or similar
Work EnvironmentHealthcare facilities, auditing departments, compliance teamsHospitals, clinics, physician offices, outpatient facilities
Primary FocusEnsuring coding accuracy and compliance with regulationsAssigning accurate medical codes for billing and documentation
Industry UsageUsed in healthcare compliance and auditing rolesUsed in medical billing and coding roles

While both roles involve medical coding, a Coding Compliance Auditor primarily reviews coding practices for compliance and accuracy, often working in auditing and regulatory environments. A Medical Coder focuses on assigning correct codes for billing purposes. The auditor ensures adherence to standards, whereas the coder executes the coding process.

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What cities are hiring for Coding Compliance Auditor jobs? Cities with the most Coding Compliance Auditor job openings:
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Coding Compliance Auditor jobs near you
Infographic showing various Coding Compliance Auditor job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $68,732 per year, or $33 per hour.
Coding and Compliance Auditor

Coding and Compliance Auditor

South Shore Health

Weymouth, MA

$73K - $104.40K/yr

Part-time

Posted 15 days ago

South Shore Health rating

7.7

Company rating: 7.7 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

158th of 864 rated healthcare providers

Job description

If you are an existing employee of South Shore Health then please apply through the internal career site.

Requisition Number:

R-22463

Facility:

LOC0006 - 780 Main Street780 Main Street Weymouth, MA 02190

Department Name:

SHS Compliance

Status:

Part time

Budgeted Hours:

32

Shift:

Day (United States of America)The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements.

Compensation Pay Range:

$73,000.00 - $104,400.00

Job Responsibilities:

Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.

  • Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC's, PCS and ICD-10-CM codes.

  • Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection.

  • Analyzes data to identify deficiencies, prepare reports to deliver provider education specific to training needs identified during audit.

  • Develop and monitor follow-up audits and education as determined necessary to improve documentation quality.

Support all departments of the Health System with coding guidance:

  • Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.

  • Designs training programs around compliant coding and billing from a regulatory standpoint for any new initiatives or programs affecting the Health System.

  • Evaluates vendor-training materials for its application or recommendation for use in educational programs.

Maintains:

  • Knowledge of all State and Federal regulatory changes that impact the Health System

  • Revises/modifies any instructional tools as necessary based on any changes to State and Federal regulatory changes to ensure guidance and training are accurate.

  • Assists in the development of follow-up mechanisms to ensure that knowledge and/or skills learned in the training are being applied on the job and have an impact on staff performance in meeting organizational goals.

  • Reports on program effectiveness and documents necessary changes.

Self Development:

  • Participates in professional societies or organizations relevant to ICD-9-CM, ICD-10-CM, PCS and CPT.

  • Maintains necessary licensure required for employment.

Administrative Duties:

  • Assists with administering programs as assigned.

  • Attends and participates in organization-wide committees as assigned.

  • Performs additional related duties as required.

  • Designs, develops and delivers education and training programs that meet the staff's needs for compliant coding and billing.

  • Plans and develops curriculum in accordance with the organization's strategic goals, mission and business strategies to improve employee performance leading to quality data and accuracy.

JOB REQUIREMENTS

Minimum Education - Preferred

Associates or Bachelor's degree in Health Information Management.

Minimum Work Experience

Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
Experience, preferred, in adult and continuing education, organizational development and training.

Required Certifications

CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or

CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or

CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc) or

CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or

CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or

RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Association)

Required additional Knowledge and Abilities:

Interact with constituents who have competing priorities and effectively communicate the importance of compliance in a respectful yet authoritative manner.

Monday thru Friday 32-hour position 4 days a week working hours between 8am - 5pm

Responsibilities if Required:

Education if Required:

License/Registration/Certification Requirements:

Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician Based - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator - American Health Information Management Association (AHIMA)

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About South Shore Health

Sourced by ZipRecruiter

South Shore Health is a leading provider of health services in South Weymouth, Massachusetts, US. As an integrated health system, the company has a broad offering ranging from primary and specialty care, home health and hospice services, to preventive and emergency care. Founded over a century ago, South Shore Health initially operated as a single hospital but has since morphed into a health network of providers and facilities for comprehensive care. The company's mission is to benefit the community by providing easily accessible, top-quality health services with an emphasis on wellness and prevention.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

South Weymouth, MA, US

Year founded

1922

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