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Coding Compliance Manager Jobs in Arizona (NOW HIRING)

SMI IMAGING LLC

Radiology Coder/Auditor

Scottsdale, AZ · On-site

Evaluate coding accuracy, consistency, compliance, and proper application of MIPS quality measures ... Strong organizational and time-management skills * Proficiency with revenue cycle and coding ...

SMI IMAGING LLC

Radiology Coder/Auditor

Scottsdale, AZ · On-site +1

Evaluate coding accuracy, consistency, compliance, and proper application of MIPS quality measures ... Strong organizational and time-management skills * Proficiency with revenue cycle and coding ...

Honorhealth

Professional Coding Manager

Phoenix, AZ · Remote

Conducts regular reviews of coding accuracy, documentation quality, and regulatory compliance ... Works closely with the Manager of Clinical Documentation Improvement to support cohesive ...

HonorHealth

Professional Coding Manager

Phoenix, AZ · On-site

Conducts regular reviews of coding accuracy, documentation quality, and regulatory compliance ... Works closely with the Manager of Clinical Documentation Improvement to support cohesive ...

Unislink

E/M Orthopedic Surgery Coder

Phoenix, AZ · On-site

$21.25 - $29/hr

... Evaluation & Management (E/M) and orthopedic surgery coding, and hands-on experience with the ... coding compliance. · Follow current CMS, AMA CPT, ICD-10-CM, NCCI, and payer-specific coding ...

Tenet Health

Physician Advisor

Goodyear, AZ · On-site

Provide consultation for the Risk Manager and liaison with physicians in matters of reportable events, eg Code 15s and disclosure of unanticipated outcomes in compliance with JCAHO standards and the ...

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Coding Compliance Manager information

What is a coding compliance manager?

Coding Compliance Managers are professionals responsible for ensuring that healthcare organizations accurately assign medical codes to diagnoses and procedures, and that these codes comply with federal regulations and payer requirements. They oversee coding staff, develop policies, conduct audits, and provide education to ensure proper billing and minimize risks of fraud or non-compliance. Their role is critical for optimizing reimbursement and maintaining the integrity of patient records.

What are some common challenges a coding compliance manager faces when implementing new coding guidelines within a healthcare organization?

One common challenge for Coding Compliance Managers is ensuring consistent understanding and adoption of new coding guidelines among diverse coding staff. Differences in experience levels and interpretations can lead to discrepancies, so frequent training and clear documentation are crucial. Additionally, balancing the need for accuracy with productivity targets can be difficult, especially when guidelines change frequently. Effective communication across departments and ongoing audits help address these challenges and promote compliance.

What are the key skills and qualifications needed to thrive as a coding compliance manager, and why are they important?

To thrive as a Coding Compliance Manager, you need deep knowledge of medical coding standards (ICD-10, CPT, HCPCS), healthcare regulations, and typically a credential such as CPC, CCS, or RHIA. Familiarity with auditing software, EHR systems, and compliance management tools is crucial. Strong analytical thinking, attention to detail, and effective communication skills set high performers apart. These competencies ensure accurate coding, regulatory compliance, and reduced risk of financial penalties for healthcare organizations.

What is the difference between Coding Compliance Manager vs Medical Coder?

AspectCoding Compliance ManagerMedical Coder
CertificationsAHIMA/AAPC certifications, compliance trainingCertified Professional Coder (CPC), CCS
Work EnvironmentHealthcare facilities, compliance departmentsHospitals, clinics, physician offices
Primary FocusEnsuring coding compliance, auditing, policy developmentAssigning medical codes for billing and documentation

The Coding Compliance Manager oversees coding practices to ensure regulatory adherence, while the Medical Coder focuses on accurately translating medical records into codes. Both roles require coding certifications, but the Compliance Manager emphasizes policy, audits, and compliance management, whereas the Medical Coder concentrates on coding accuracy for billing purposes.

What are popular job titles related to Coding Compliance Manager jobs in Arizona?

For Coding Compliance Manager jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Coding Compliance Manager jobs in Arizona look for?

The top searched job categories for Coding Compliance Manager jobs in Arizona are:

What cities in Arizona are hiring for Coding Compliance Manager jobs?

Cities in Arizona with the most Coding Compliance Manager job openings:

Coding Compliance Manager jobs near you
Infographic showing various Coding Compliance Manager job openings in Arizona as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution.

Radiology Coder/Auditor

SMI IMAGING LLC

Scottsdale, AZ • On-site

Full-time

Posted 19 days ago

Job description

Description
Job Duties:
  • Assign accurate ICD-10-CM, CPT, HCPCS, and modifier codes, including radiopharmaceutical/tracer HCPCS coding (e.g., A-codes, Q-codes) and dosage-based unit calculation for PET and Nuclear Medicine studies, in in accordance with AMA, CMS, payer-specific, and regulatory coding guidelines, ensuring the highest level of specificity supported by clinical documentation.
  • Review and process encounters from assigned coding, audit, and denial work queues, completing or reassigning work as appropriate.
  • Conduct quality assurance audits of radiology encounters coded by third-party coding vendors and AI-assisted coding platforms, against defined accuracy benchmarks.
  • Evaluate coding accuracy, consistency, compliance, and proper application of MIPS quality measures.
  • Identify, analyze, and correct coding discrepancies, denials, claim rejections, and documentation-related issues.
  • Monitor coding performance trends and prepare reports highlighting coding effectiveness, error patterns, audit findings, and areas of risk.
  • Provide detailed feedback and recommendations to coding leadership regarding vendor performance, AI tool performance, training needs, and process improvement opportunities.
  • Review provider documentation to determine coding completeness and compliance and communicate documentation improvement opportunities to leadership.
  • Collaborate with cross-functional teams to support revenue cycle optimization, coding education, and audit initiatives.
  • Maintain current knowledge of coding regulations, payer requirements, and industry best practices impacting radiology and Nuclear Medicine/PET services.
  • Escalate audit findings involving potential compliance risk, billing integrity concerns, or regulatory exposure per company policy to coding leadership.
  • Ensure compliance with all departmental policies, organizational standards, regulatory requirements, and confidentiality guidelines.
  • Participate in special projects, training initiatives, and ongoing quality improvement activities as assigned.

Education and Experience:
  • Bachelor's degree preferred; equivalent combination of education and relevant experience may be considered.
  • Minimum of 5 years of recent radiology coding experience required, including experience coding PET and/or Nuclear Medicine studies.
  • Certified Professional Coder (CPC) or Radiology Certified Coder (RCC) required.
  • Certified Professional Medical Auditor (CPMA) preferred.
  • Radiology Certified Coder-Interventional Radiology (RCC-IR) preferred.
  • Demonstrated experience performing coding audits and quality assurance reviews.
  • Experience reviewing and resolving coding-related denials and claim rejections.
  • Experience working with coding vendors, outsourced coding teams, or quality review programs preferred.
  • Experience with AI-assisted coding platforms, including Aideo and/or Gemini, preferred.

Knowledge, Skills, and Abilities:
  • Advanced knowledge of radiology coding, compliance, and reimbursement methodologies
  • Advanced knowledge of PET and Nuclear Medicine coding, including radiopharmaceutical/tracer billing (HCPCS A-codes and Q-codes), dosage-based unit calculation, and payer-specific coverage requirements.
  • Working knowledge of Medicare National and Local Coverage Determinations (NCD/LCD) relevant to PET imaging, including medical necessity documentation requirements.
  • Ability to distinguish and correctly code professional vs. technical component billing in outpatient Nuclear Medicine and PET/CT fusion studies.
  • Strong auditing and analytical skills
  • Experience evaluating coding accuracy across both human and AI-assisted workflows
  • Ability to deliver structured feedback and training to an offshore coding team, including calibration sessions and documented coaching or scorecard mechanisms.
  • Attention to detail with a commitment to quality and accuracy
  • Excellent written and verbal communication skills
  • Ability to identify trends and provide actionable recommendations
  • Strong organizational and time-management skills
  • Proficiency with revenue cycle and coding technology platforms

Please note this job description is not designed to contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without prior notice.

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