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Coding Compliance Manager Jobs in Arizona (NOW HIRING)

CDI Specialist RN Ld

Phoenix, AZ · On-site

$39.96 - $58.94/hr

Under general direction from the CDI Supervisor and Manager, the CDI Specialist RN Ld provides ... coding, quality, compliance, and revenue cycle stakeholders to strengthen documentation accuracy ...

Inpatient Medical Coding Auditor

Phoenix, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate ... Manages multiple priorities, collaborates with peers and ensures timely completion of inpatient ...

Ensure compliant storage and transportation of hazardous and temperature-regulated agrochemical ... HS codes and ECCN classifications * Safety Data Sheets (SDS) * Dangerous Goods documentation

Senior Clinical Coding Analyst

Phoenix, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... ensure compliance with required timelines for completion of assigned reviews. • Prepares ... Information Management: Ability to manage large amounts of complex information easily, communicate ...

Zip Code: 85040 Overview We are seeking a detail-oriented and proactive Labor Compliance Clerk to ... This position works closely with account managers, project managers, and general managers to ...

Government Compliance Counsel

Scottsdale, AZ · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Working with senior management and outside counsel to conduct risk assessments, recommend ... Accenture's Code of Business Ethics, Accenture's Government Compliance policies, and all other ...

Showing results 41-60

Coding Compliance Manager information

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 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 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 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 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:

Infographic showing various Coding Compliance Manager job openings in Arizona as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

$39.96 - $58.94/hr

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Re-posted 20 days ago


Valleywise Health rating

7.5

Company rating: 7.5 out of 10

Based on 60 frontline employees who took The Breakroom Quiz

188th of 887 rated healthcare providers


Job description

Under general direction from the CDI Supervisor and Manager, the CDI Specialist RN Ld provides advanced clinical documentation integrity (CDI) expertise and serves as a functional lead for inpatient CDI practice at Valleywise Health. This role supports CDI staff education, mentorship, and competency development to ensure consistent application of clinical validation standards, regulatory requirements, and compliant documentation practices. A key responsibility includes advanced review of DRG downgrades and audit activity (including RAC reviews), providing clinical insight to support appeal determination and development. Findings and trends are translated into targeted education, quality improvement initiatives, and workflow enhancements. The CDI RN Lead partners closely with CDI leadership, Physician Advisors, coding, quality, compliance, and revenue cycle stakeholders to strengthen documentation accuracy, reduce reimbursement risk, and support high-quality, compliant patient care documentation.
Annual Salary Range: $83,116.80 - $132,995.20
Qualifications
Education:
  • Requires a bachelor's degree in nursing, or an advanced clinical degree (MD, DO, PA, NP).

Experience:
  • Must have a minimum of seven (7) years of Clinical Documentation Integrity (CDI) experience that demonstrates a solid understanding of the required knowledge, skills, and abilities.
  • Must have demonstrated experience with DRG downgrade review, payer denials, and audit support.
  • Must have experience providing staff and peer education.
  • Must have experience leading and/or performing mortality reviews.

Certification/Licensure:
  • Requires a current, valid AZ RN license, or valid compact RN licensure for the current state of practice, or an advanced clinical degree (MD, DO, PA, NP).
  • Requires a Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Professional (CDIP).

Knowledge, Skills, and Abilities:
  • Advanced knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG methodologies, risk adjustment, and coding compliance.
  • Strong clinical validation expertise and critical-thinking skills.
  • Ability to deliver effective education to CDI staff and medical providers.
  • Strong written and verbal communication skills.
  • Proficiency with Epic and CDI/coding tools (e.g., 3M or similar systems).
  • Demonstrated ability to analyze data, identify trends, and recommend improvements.
  • Proficient computer skills (Word, Excel, PowerPoint).

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