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Coding Compliance Manager Remote Jobs in Texas (NOW HIRING)

Conducts risk-based coding compliance audits and ad hoc audits of outpatient encounters to validate ... Managers, and Directors throughout the organization. * Identifies documentation issues (lacking ...

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 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 ...

Senior DRG Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$17.50 - $22.25/hr

Responsible for productivity and quality standards to adhere with coding compliance and federal ... Remote, Monday through Friday, Full-Time Position. Equal Employment Opportunity UTMB Health strives ...

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 ...

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.
What are popular job titles related to Coding Compliance Manager Remote jobs in Texas? For Coding Compliance Manager Remote jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Coding Compliance Manager Remote jobs in Texas look for? The top searched job categories for Coding Compliance Manager Remote jobs in Texas are:
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Coding/Compliance Denials Analyst

Coding/Compliance Denials Analyst

UT Southwestern Medical Center

Dallas, TX • Remote

Other

Medical, Retirement, PTO

Posted 23 days ago


UT Southwestern rating

7.8

Company rating: 7.8 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

105th of 877 rated healthcare providers


Job description

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
Develops outpatient coding education. Research complex outpatient coding denials. Conducts risk-based coding compliance audits and ad hoc audits of outpatient encounters to validate code assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record and payer guidelines.

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

  • PPO medical plan, available day one at no cost for full-time employee-only coverage
  • 100% coverage for preventive healthcare-no copay
  • Paid Time Off, available day one
  • Retirement Programs through the Teacher Retirement System of Texas (TRS)
  • Paid Parental Leave Benefit
  • Wellness programs
  • Tuition Reimbursement
  • Public Service Loan Forgiveness (PSLF) Qualified Employer
  • Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION
Required
  • Experience
    5 years of coding experience including but not limited to hospital outpatient encounters
    5 years of experience in coding audit or quality review work including but not limited to outpatient encounters
    1 year of experience preparing and delivering education as it relates to audit findings or regulatory guidance to coders and auditors
  • Licenses and Certifications
    (CPC) CERT PROFESSIONAL CODER Upon Hire or
    (CPMA) Cert Prof Medical Auditor Upon Hire or
    (CEMC) Certified E/M Coder Upon Hire or
    (CPC-I) AAPC Approved Instructor Certification Upon Hire
Preferred
  • Education
    Bachelor's Degree in relevant field preferred or combination of equivalent of education and experience

JOB DUTIES
  • Develops outpatient coding education via spreadsheet.
  • Research complex outpatient coding issues related to questions, inquiries, and investigations.
  • Understands, interprets, and applies coding guidelines for risk-based audits.
  • Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating Coders, Auditors, Managers, and Directors throughout the organization.
  • Identifies documentation issues (lacking documentation, missed physician queries, etc.) that impact coding accuracy. Clearly communicates (verbally and in written reports or summaries) opportunities for documentation improvement related to coding issues.
  • Stays current with AHA Official Coding and Reporting Guidelines, CMS, AAPC and other agency directives for ICD-10-CM and CPT coding. Completes online education courses and attends mandatory coding workshops and/or seminars (OPPS ICD-10-CM, and CPT updates) for outpatient coding. Reviews AHA and CPT quarterly coding update publications. Attends all internal conference calls for Quarterly Coding Updates.
  • Performs other duties as assigned.

SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

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