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Coding Compliance Manager Jobs in Kentucky (NOW HIRING)

Onco360

Compliance Auditor

Louisville, KY · Remote

$60K/yr

Conducts job responsibilities in accordance with the standards set out in the Company's Code of ... Strong project management skills. * Desired: Driven, energetic individual with experience of ...

Onco360

Compliance Auditor

Louisville, KY · On-site

$60K/yr

Conducts job responsibilities in accordance with the standards set out in the Company's Code of ... Strong project management skills. * Desired: Driven, energetic individual with experience of ...

Onco360

Compliance Analyst

Louisville, KY · Remote

Conducts job responsibilities in accordance with the standards set out in the Company's Code of ... Strong project management skills. * Desired: Driven, energetic individual with experience of ...

Onco360

Compliance Analyst

Louisville, KY · On-site

Conducts job responsibilities in accordance with the standards set out in the Company's Code of ... Strong project management skills. * Desired: Driven, energetic individual with experience of ...

ORTHOCINCY

Medical Billing Specialist

Edgewood, KY · On-site

$17.25 - $22.25/hr

... coding compliance and reimbursement guidelines * Thorough knowledge of medical terminology, managed care financial agreements; CPT, HCPCS, and ICD-10 codes. * Handle billing calls and answer ...

Shake Shack

Restaurant General Manager

Lexington, KY · On-site

$53K - $73K/yr

Implement company policies, procedures, and strategies to promote effective local and state health and safety code compliance. * Manage payroll and scheduling * Promote the brand in the local ...

Shake Shack

Restaurant General Manager

Lexington, KY · On-site

$53K - $73K/yr

Implement company policies, procedures, and strategies to promote effective local and state health and safety code compliance. * Manage payroll and scheduling * Promote the brand in the local ...

Shawnee Christian Healthcare

Coder

Louisville, KY · On-site

This role is responsible for coding, charge entry, Accounts Receivable (A/R) follow-up and reimbursement management. This position also ensures compliance with established coding guidelines, third ...

ORR Protection

Field Solutions Manager

Louisville, KY · On-site

FIELD SOLUTIONS MANAGER ABOUT ORR ORR Protection is a national leader in fire and life safety ... Code Compliance amp; Quality Assurance * Ensure compliance with NFPA, IFC, IBC, UL, FM, AHJ ...

ORR Protection

Field Solutions Manager

Louisville, KY · On-site +1

Code Compliance & Quality Assurance * Ensure compliance with NFPA, IFC, IBC, UL, FM, AHJ ... Strong time management and organizational skills. * High attention to detail. * Ability to lead ...

Tate Access Floors Inc

Quality Manager

Glasgow, KY · On-site

$115K - $130K/yr

Manage the site quality management system, ensuring compliance with ISO standards, local ... Remain compliant with the Code of Conduct and Policies which includes the Kingspan Group Compliance ...

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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 Kentucky?

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

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

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

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

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

Coding Compliance Manager jobs near you
Infographic showing various Coding Compliance Manager job openings in Kentucky as of August 2026, with employment types broken down into 83% Full Time, 9% Part Time, 7% Temporary, and 1% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution.

Medical Billing and Coding Specialist ( IN PERSON )

Lumera Healthcare

Paducah, KY • On-site

$18.50 - $23.50/hr

Full-time

Re-posted 8 days ago

Job description

Medical Billing & Coding Specialist

Position Summary

The Medical Billing & Coding Specialist is responsible for managing insurance billing, claims processing, coding accuracy, and collection activities. This role ensures timely reimbursement, maintains compliance with coding guidelines, identifies documentation gaps, and works collaboratively with clinical and administrative teams to support accurate billing practices.

This is an on-site position and is not remote.

Education, Experience, and Certification Requirements

  • High school diploma, GED, or equivalent required.
  • Associate degree, bachelor’s degree, or relevant experience in medical records, healthcare administration, billing, or claims processing preferred.
  • Experience with Kentucky Medicaid, medical billing, coding, insurance claims, or revenue cycle management preferred.
  • Certification preferred:
    • Certified Coding Associate (CCA) through AHIMA
    • Certified Coding Specialist (CCS) through AHIMA
    • Certified Professional Coder (CPC) through AAPC
    • Or equivalent coding certification.

Essential Responsibilities and Duties

Billing & Claims Management

  • Manage insurance billing and collections processes.
  • Process, submit, track, and follow up on insurance claims to ensure accuracy and timely reimbursement.
  • Review unpaid claims and resolve billing issues with insurance companies.
  • Post Electronic Remittance Advice (ERA) payments and reconcile payment discrepancies.
  • Maintain accurate records of billing and collection activities.
  • Monitor accounts receivable and identify trends or issues impacting reimbursement.
  • Generate monthly reports to track billing and collection performance.

Medical Coding & Documentation Review

  • Assign accurate medical codes for reimbursement, compliance, and reporting purposes according to current coding guidelines.
  • Review and verify documentation supporting diagnoses, procedures, and treatment outcomes.
  • Analyze medical records and identify documentation deficiencies.
  • Audit clinical documentation and coded data to ensure services rendered are supported and compliant.
  • Identify coding discrepancies, billing concerns, and potential compliance issues.
  • Research, analyze, and recommend corrective actions to prevent future coding errors.
  • Ensure proper coding conventions and regulatory requirements are followed.
  • Serve as a coding resource and subject matter expert for clinical and administrative staff.

Data & Reporting

  • Research and analyze data needs related to reimbursement and billing performance.
  • Maintain accurate billing records and documentation.
  • Utilize Excel for reporting, including:
    • Sorting and filtering data
    • Pivot tables
    • VLOOKUP functions
    • Data analysis and reporting

Training & Support

  • Provide guidance and support to other billing and coding staff.
  • Assist with orientation, training, and mentoring of team members.
  • Provide ongoing education and support related to coding standards and billing processes.
  • Participate in special projects and additional duties as assigned.

Required Skills and Qualifications

  • Strong attention to detail and excellent organizational skills.
  • Ability to analyze medical documentation and identify discrepancies.
  • Knowledge of insurance billing processes, claims management, and reimbursement practices.
  • Strong understanding of medical terminology, coding guidelines, and healthcare compliance.
  • Ability to work independently while maintaining accuracy and productivity.
  • Excellent communication and customer service skills.
  • Proficiency in Microsoft Excel and billing software systems.

Work Environment

  • This position is performed on-site and is not eligible for remote work.
  • Requires collaboration with clinical, administrative, and billing teams.
  • Must maintain confidentiality and comply with HIPAA regulations.