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Coding Compliance Manager Remote Jobs in Minnesota

Meduit

Medical Coder II - Remote

Sartell, MN · Remote

$26 - $30/hr

The Medical Coding Specialist II is responsible for correctly coding healthcare claims and ... Associates degree or equivalent in Health Information Management * MediTech experience * Rural ...

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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 is a coding compliance manager?

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.
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Coding Compliance Manager Remote jobs near you

Senior Revenue Integrity Analyst - Charge Build/Foundation

Essentia Health

Duluth, MN • On-site, Remote

$62K - $94K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 12 days ago

Essentia Health rating

7.0

Company rating: 7.0 out of 10

Based on 210 frontline employees who took The Breakroom Quiz

416th of 887 rated healthcare providers

Job description

Building Location:
Business Service Center
Department:
1006210 REVENUE INTEGRITY - EH SS
Job Description:
The Senior Revenue Integrity Analyst - Charge Build/Foundation serves as the enterprise subject matter expert for charge configuration, Epic build integrity, and chargemaster (CDM) governance. This role is responsible for ensuring the foundational accuracy of charge build within Epic, including CPT/HCPCS assignment, revenue code mapping, modifier logic, pricing alignment, and general ledger linkage. This position safeguards the structural integrity of the organization's revenue cycle by overseeing new charge build requests, maintaining CDM accuracy, supporting regulatory updates, and ensuring standardized charge configuration across all facilities and service lines. This role works proactively and cross-functionally with Finance, Coding, Compliance, Patient Access, Billing, Clinical Departments, Informatics, and IT to prevent downstream denials, revenue leakage, and compliance risk.
Education Qualifications:
Key Responsibilities:
  • Lead EPIC (HB/PB) charge build, including CPT/HCPCS, revenue codes, modifiers, pricing, GL mapping, router rules, and testing for new or expanded services
  • Maintain and govern the chargemaster through regulatory updates, CDM standardization, defensible pricing, and price transparency accuracy
  • Partner with IT and Clinical Informatics to ensure compliant and optimized charge setup
  • Establish and monitor charge reconciliation controls, policies, education, variance investigation, and escalation of financial risk
  • Promote alignment with Epic Foundation principles and Epic Gold Standard workflows
  • Oversee charge capture performance, monitoring charge lag, work queues, and root causes of missed or incorrect charges
  • Implement systemic corrections to prevent recurring issues
  • Conduct denial root cause analysis, monitor payer edits, and implement build and workflow corrections in partnership with operational, IT, and Revenue Cycle leaders
  • Develop and maintain revenue integrity dashboards, KPIs, and reports to help inform and guide leadership actions
  • Serve as escalation point for complex issues and mentor Revenue Integrity team members while leading cross-functional optimization initiatives

Education Requirements:
  • Bachelor's degree in a related field.
  • Extensive relevant experience may be considered in lieu of formal education.

Required Qualifications:
  • Epic Resolute (HB and/or PB) experience
  • 5+ years in Revenue Integrity, CDM Build/Maintenance, Revenue Cycle, Coding, or healthcare finance
  • Advanced knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, charge build workflows and CDM governance
  • Strong proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook), including advanced Excel skills for data analysis and reporting

Preferred Qualifications:
  • Epic HB or PB certification
  • CRCR, CHRI, CPC, CCS, RHIA, RHIT or similar certification
  • Experience leading charge standardization initiatives in an integrated health system
  • Knowledge of payer contracts and reimbursement methodologies

Licensure/Certification Qualifications:
FTE:
1
Possible Remote/Hybrid Option:
Remote
Shift Rotation:
Day Rotation (United States of America)
Shift Start Time:
Days
Shift End Time:
Days
Weekends:
NO
Holidays:
No
Call Obligation:
No
Union:
Union Posting Deadline:
Compensation Range:
$62,691.20 - $94,036.80
Employee Benefits at Essentia Health:At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

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About Essentia Health

Sourced by ZipRecruiter

Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of 13,500 employees, including 3,500 registered nurses & licensed practical nurses, who serve our patients and communities through the mission of being called to make a healthy difference in people's lives. Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 70 clinics, six long-term care facilities, three assisted living facilities, three independent living facilities, five ambulance services and one research institute.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Duluth, MN, US

Year founded

2004

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