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Coding Compliance Manager Remote Jobs in Colorado

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

... management team regarding coding and documentation trends to ensure accurate coding and ... Works closely with physicians, team members, quality, and compliance partners at enterprise and ...

As the leader in AI code review and verification, we solve a critical problem: ensuring that ... compliant software. Customers who use Sonar are 44% less likely to report an outage due to AI ...

As the leader in AI code review and verification, we solve a critical problem: ensuring that ... compliant software. Customers who use Sonar are 44% less likely to report an outage due to AI ...

Be our next Senior Environmental Project Manager (Remote) Your work environment at EXP In this role ... Develop, prepare and maintain environmental policy and procedures manuals for compliance assurance ...

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Coding Compliance Manager Remote information

What is the difference between Coding Compliance Manager Remote vs Coding Auditor?

AspectCoding Compliance Manager RemoteCoding Auditor
CertificationsCPHQ, CPC, CCS-PCPC, CCS, RHIT
Work EnvironmentRemote, healthcare compliance teamsRemote or onsite, auditing healthcare records
Industry UsageHealthcare organizations, compliance departmentsHospitals, insurance companies, consulting firms

The Coding Compliance Manager Remote and Coding Auditor roles share certifications like CPC and CCS, and often operate remotely within healthcare settings. While the Compliance Manager oversees compliance programs and policies, the Coding Auditor focuses on reviewing medical records for coding accuracy. Both roles are essential in healthcare revenue cycle management, but they differ in scope and responsibilities.

What are Coding Compliance Managers?

Coding Compliance Managers are professionals responsible for overseeing the accuracy and integrity of medical coding within healthcare organizations. They ensure that coding practices comply with federal regulations, payer guidelines, and internal policies. Working remotely, they audit medical records, provide training to coding staff, and implement corrective actions to prevent compliance issues. Their goal is to minimize errors, reduce the risk of audits, and ensure accurate reimbursement for healthcare services.

What are the key skills and qualifications needed to thrive as a Coding Compliance Manager (Remote), and why are they important?

To thrive as a Coding Compliance Manager (Remote), you need in-depth knowledge of medical coding standards (such as ICD-10, CPT, and HCPCS), auditing processes, and a relevant degree or certification like CCS, CPC, or RHIA. Familiarity with electronic health record (EHR) systems, coding audit software, and compliance management tools is essential. Strong attention to detail, analytical thinking, and effective communication are vital soft skills for leading teams and ensuring regulatory adherence. These skills are crucial for minimizing compliance risks, maintaining accurate billing, and supporting organizational integrity in a remote environment.

What are the primary challenges a Coding Compliance Manager faces when working remotely, and how can they be addressed?

A Coding Compliance Manager working remotely may encounter challenges such as ensuring consistent communication with coding teams, maintaining up-to-date knowledge of regulatory changes, and effectively overseeing audits and training from a distance. These can be addressed by leveraging secure collaboration tools, scheduling regular virtual meetings, and implementing robust documentation practices. Additionally, fostering a culture of accountability and continuous education within the remote team helps ensure compliance standards are met and sustained.
What are popular job titles related to Coding Compliance Manager Remote jobs in Colorado? For Coding Compliance Manager Remote jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Coding Compliance Manager Remote jobs in Colorado look for? The top searched job categories for Coding Compliance Manager Remote jobs in Colorado are:
What cities in Colorado are hiring for Coding Compliance Manager Remote jobs? Cities in Colorado with the most Coding Compliance Manager Remote job openings:
Coding Operations Manager

Coding Operations Manager

American Family Care

Denver, CO • Remote

$90K - $115K/yr

Full-time

Medical, Retirement

Posted 4 days ago


Job description

Benefits:
  • 401(k) matching
  • Competitive salary
  • Health insurance
  • Opportunity for advancement
  • Training & development

American Family Care (AFC)

Founded in 1982 with a single location, American Family Care (AFC) pioneered the concept of non-emergency room care, providing treatment for injuries and illnesses in a convenient, lower-cost setting. Headquartered in Birmingham, Alabama, AFC has grown into the nations leading provider of accessible healthcare, with more than 400 company-owned and franchised centers across the United States, caring for over 3.5 million patients annually.
Position Summary

The Coding Operations Manager provides oversight of end-to-end coding workflows across American Family Cares high-volume urgent care network.
Key Responsibilities

Manage coding workflows to ensure accuracy, compliance, and alignment with urgent care-specific guidelines
Lead clinical documentation improvement (CDI) initiatives to enhance completeness, specificity, and payer compliance
Partner with providers, center leadership, and vendors to improve documentation and coding outcomes
Ensure adherence to coding SLAs for timely charge capture, claim submission, and reduced billing lag
Develop and deliver coding and documentation education for providers, clinical staff, and BPO partners
Collaborate with offshore coding vendors to monitor performance, improve quality, and optimize cost efficiency
Establish and track KPIs, including coding accuracy, productivity, denial rates, and turnaround times
Lead audit programs and implement corrective actions to maintain regulatory and compliance standards
Drive continuous improvement initiatives across the revenue cycle in a high-volume urgent care setting




Education & Qualification Requirements

Bachelors degree in a related field
Minimum 5 years of healthcare leadership experience in coding and/or CDI
Experience in urgent care, ambulatory, or high-volume outpatient settings preferred
RHIA, RHIT, or CPC certification preferred
Strong knowledge of CPT, ICD-10-CM, and payer-specific guidelines
Experience managing BPO/vendor relationships strongly preferred

This is a remote position.


American Family Care Bloomfield logo

About American Family Care Bloomfield

Sourced by ZipRecruiter

It is our mission to provide the best healthcare possible in a kind and caring environment while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. All AFC clinics are designed, equipped, and staffed to provide accessible primary care, urgent care, minor emergency treatment, and occupational medicine. We are considered pioneers in non-emergency room urgent care, with a majority of our patients coming in, receiving care, and returning home in one hour’s time on average.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Bloomfield, NJ, US