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Coding Compliance Manager Remote Jobs in Texas (NOW HIRING)

Dozee

Compliance Manager

Dallas, TX · Remote

Dozee Health AI is the pioneer in Contactless Remote Patient Monitoring (RPM), proven to drive ... Working knowledge of CPT coding (99453-99470), CMS PFS Final Rules, OIG Work Plan, MAC audit ...

Dozee

Compliance Manager

Dallas, TX · Remote

Dozee Health AI is the pioneer in Contactless Remote Patient Monitoring (RPM), proven to drive ... Working knowledge of CPT coding (99453-99470), CMS PFS Final Rules, OIG Work Plan, MAC audit ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

Experience with denial management. * Proficiency with Epic and/or 3M Encoder. * Experience in a ... The coder is responsible for productivity and quality standards to adhere with coding compliance ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

Experience with denial management. * Proficiency with Epic and/or 3M Encoder. * Experience in a ... The coder is responsible for productivity and quality standards to adhere with coding compliance ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$21.50 - $28.50/hr

Experience with denial management. * Proficiency with Epic and/or 3M Encoder. * Experience in a ... The coder is responsible for productivity and quality standards to adhere with coding compliance ...

Hendrick Health

Coding Auditor

Abilene, TX · Remote

$26.50 - $30/hr

Conducts coding compliance audits of inpatient and outpatient encounters to validate code ... Ability to demonstrate initiative and discipline in time management and assignment completion

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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.
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Coding Compliance Manager Remote jobs near you
Senior Compliance Coding Auditor (REMOTE)

Senior Compliance Coding Auditor (REMOTE)

Central Health

Austin, TX • Remote

$27.50 - $31.25/hr

Full-time

Re-posted 4 hours ago

Job description

Overview

This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis.

Responsibilities

Essential Functions:

  • Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements.
  • Identify coding discrepancies and formulate suggestions for improvement.
  • Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas.
  • Work with medical staff department to identify and assist providers with coding.
  • Report findings and recommendations to compliance and executive leadership.
  • Provide continuing education to providers and ancillary staff on CPT/HCPCS and ICD-9/10 coding.
  • Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
  • Work closely with all departments, including but not limited to, Clinical Services, Nursing, Practice Leadership, Finance, IT, Training, Rev Cycle, and Billing to assist in accuracy of reported services and with chart reviews, as requested.
  • Work with the purchasing department to order and distribute annual coding materials for all clinical sites and departments.
  • Advise Compliance Officer of government coding and billing guidelines and regulatory updates and work closely with department personnel to provide coding/compliance support.
  • Participate in the development and enhancement of EHR templates and programming and advise on coding compliance with payor guidelines.
  • Perform other duties as assigned.

Knowledge, Skills and Abilities:

  • Proficiency in correct application of CPT, HCPCS procedure and ICD-10-CM diagnosis codes used for coding and billing for medical claims. High
  • Knowledge of medical terminology, disease processes and pharmacology. 
  • Strong attention to detail and accuracy. 
  • Excellent verbal, written and communication skills. 
  • Ability to multi-task. 
  • Excellent organizational skills. 
  • Proficient in Microsoft Office Suite. 
  • Critical thinking/problem solving. 
  • Ability to provide data and recommend process improvement practices.
Qualifications

Education:

  • High School Diploma or equivalent (higher degree accepted) with 5 years of experience
  • Associates Degree (higher degree accepted)

Licenses/Certifications:

  • Certified Professional Coder (CPC) through AAPC OR Certified Coding Specialist (CCS) through American Health Information Management Association (AHIMA) required.

Required Work Experience:

  • 5 years Experience in a medical office or medical environment. 
  • 5 years Experience in procedural and diagnostic coding. 
  • 5 years Extensive knowledge of current trends in the industry based on Medicare and Texas Medicaid as well as national coding updates, such as AMA correct coding, nationally recognized coding references and/or appropriate list serves.
  • 5 years Extensive knowledge of Centers for Medicare & Medicaid (CMS) regulations.
Employment Type: FULL_TIME

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