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Coding Compliance Consultant Jobs (NOW HIRING)

$60 - $80/hr

The Provider Coding Compliance Consultant reports to the Coding Compliance Manager works under the Compliance Vice President or Director. They perform activities related to developing, implementing ...

... Code. • Preparing monthly, quarterly, and annual compliance reports to business partners and LVIP ... resource and consulting with internal/external stakeholders on a broad variety of compliance ...

... Code. • Preparing monthly, quarterly, and annual compliance reports to business partners and LVIP ... resource and consulting with internal/external stakeholders on a broad variety of compliance ...

The Compliance Consultant works under the supervision of the Director of Compliance. This position ... Audits may focus on but are not limited to documentation, billing, coding, medical necessity, and ...

Additionally, the Compliance Consultant is responsible for effective implementation of these ... Supporting the administration of LVIP's, PM Funds', and LFI 's Code of Ethics programs including ...

Top Skill * 5+ extensive coding audit experience * General Microsoft Office, e-mails, Teams * EPIC (HealthConnect), 3M for coding; Outlook, Teams for communication. Performs coding audits by ...

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How much do coding compliance consultant jobs pay per year?

As of Sep 9, 2026, the average yearly pay for coding compliance consultant in the United States is $80,929.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $96,500.00 per year, depending on experience, location, and employer.

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Infographic showing various Coding Compliance Consultant job openings in the United States as of July 2026, with employment types broken down into 85% Full Time, 11% Part Time, 1% Temporary, and 3% Contract. Highlights an 79% Physical, 4% Hybrid, and 17% Remote job distribution, with an average salary of $80,929 per year, or $38.9 per hour.

Provider Coding Compliance Consultant

Remote

Baylor Scott & White Health
Outpatient Health Care • 10K+ employees

$63K/yr

Full-time

Posted 25 days ago


Baylor Scott & White Health rating

7.4

Company rating: 7.4 out of 10

Based on 775 frontline employees who took The Breakroom Quiz

263rd of 898 rated healthcare providers


Job description

Job Summary

Baylor Scott & White Health (BSWH) is committed to an effective compliance program. The Provider Coding Compliance Consultant reports to the Coding Compliance Manager works under the Compliance Vice President or Director. They perform activities related to developing, implementing, and maintaining BSWH policies. These activities ensure adherence to federal, state, and local laws and regulations.

Salary: The pay range for this position is $30.52/hour ($63,481/year) for those with entry-level qualifications up to $45.79 ($95,243) for those highly experienced. The specific rate will depend upon the successful candidate's specific qualifications and prior experience.

Essential Functions of the Role

  • Identifies appropriate projects for audits and schedules audits with appropriate personnel.
  • Conducts auditing of provider services, monitoring, and investigating activities to establish compliance with BSWH policies and procedures, and federal, state and local laws.
  • Provides written audit and investigation reports, identifying risks and recommending appropriate steps to improve effectiveness and mitigate risks.
  • Obtains corrective action plans for identified deficiencies and follows through to establish effective implementation is completed.
  • Tracks audit findings and surveys personnel audited to assess audit satisfaction and effectiveness.
  • Provides and coordinates coding education with providers regarding audit trends. and training for compliance initiatives.
  • Serves as a coding compliance resource to BSWH departments and entities on basic compliance matters.

Key Success Factors

  • Strong written and verbal communication skills with the ability to provide provider education and present audit findings.
  • Proficient in Microsoft Word and Excel.
  • Exercises good judgment, attention to detail, integrity, dependability, and objectivity.
  • Possesses exceptional critical thinking skills.
  • Demonstrates professional growth by obtaining continuing education and seeking certifications.
  • Demonstrates initiative by learning business processes and applicable auditing techniques.
  • HCCA Certification Preferred.
  • Advanced knowledge of CPT, ICD-10-CM, HCPCS, CMS regulations, and payer-specific billing and documentation requirements.
  • Experience auditing E/M services, surgical procedures, office-based procedures, and diagnostic services for multiple specialties with advanced knowledge in orthopedics

Preferred Qualifications

  • Bachelor's in HIM or 4 years of Physician/Professional fee coding work experience
  • Medical Coding Certifications such as CPC, CCS, CCS-P 

Minimum Qualifications

  • EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
  • EXPERIENCE - 1 Year of Experience

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