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Coding Compliance Manager Jobs in Maine (NOW HIRING)

University of Rochester

$61K - $85K/yr

Collaborates with coding and clinical documentation integrity management, plays a critical role in ensuring the accuracy, completeness, and compliance of coding practices within the organization.

Highmark Health

Supervisor Coding

Augusta, ME · On-site

$48.54/hr

Assists in the management of daily operational processes, including: optimization of work ... Compliance Requirement : This job adheres to the ethical and legal standards and behavioral ...

Datavant

Profee Coding Consultant - PRN

Augusta, ME · On-site

$20 - $28/hr

Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. * Communicate professionally with co-workers, management, and hospital staff regarding ...

Datavant

Profee Coding Consultant - Full Time

Augusta, ME · On-site

$20 - $28/hr

Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. * Communicate professionally with co-workers, management, and hospital staff regarding ...

Rouse Properties

Compliance Specialist

Millinocket, ME · On-site

Ensure compliance with all applicable regulatory licenses, permits, and codes of operation and ... Work with Licensing Managers to support the hydro re-licensing efforts and participate in hydro re ...

Rouse Properties

Compliance Specialist

Milford, ME · On-site

Ensure compliance with all applicable regulatory licenses, permits, and codes of operation and ... Work with Licensing Managers to support the hydro re-licensing efforts and participate in hydro re ...

Trice Healthcare

Coding Payment Resolution Spec

Augusta, ME · On-site

$18.50 - $23.75/hr

... and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ... company, managed care organization or other health care financial service setting, performing ...

Brookfield Renewable

Compliance Specialist

Milford, ME · On-site

Ensure compliance with all applicable regulatory licenses, permits, and codes of operation and ... Work with Licensing Managers to support the hydro re-licensing efforts and participate in hydro re ...

MaineGeneral Health

Compliance Specialist

Augusta, ME

$66K - $116K/yr

Research coding, billing, and documentation requirements to support departments. Who you will serve ... and help manage health care costs. * Employees have access to industry-leading leave for new ...

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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 Maine? For Coding Compliance Manager jobs in Maine, the most frequently searched job titles are:
What job categories do people searching Coding Compliance Manager jobs in Maine look for? The top searched job categories for Coding Compliance Manager jobs in Maine are:
What cities in Maine are hiring for Coding Compliance Manager jobs? Cities in Maine with the most Coding Compliance Manager job openings:
Coding Compliance Manager jobs near you
Infographic showing various Coding Compliance Manager job openings in Maine as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Medical Coding Educator/Analyst

University of Rochester

On-site, Remote

$61K - $85K/yr

Full-time

Re-posted 24 days ago

University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

122nd of 616 rated colleges and universities

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
601 Elmwood Ave, Rochester, New York, United States of America, 14642
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
500009 Utilization Management
Work Shift:
UR - Day (United States of America)
Range:
UR URG 110
Compensation Range:
$61,000.00 - $85,400.00
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
Collaborates with coding and clinical documentation integrity management, plays a critical role in ensuring the accuracy, completeness, and compliance of coding practices within the organization. Develops and delivers coding education programs, conducts regular coding audits, analyzes coding data to identify trends and areas for improvement, and serves as a subject matter expert on coding guidelines and regulations. Fosters a culture of continuous learning and coding excellence among our coding staff and clinical documentation team for the accurate and timely assignment of diagnostic and procedural codes for complex patient encounters. Provides expert-level coding guidance, education, and quality review for all coding staff. Acts as a subject matter expert, ensuring coding compliance, data integrity, process improvements, system implementations and upgrades, and optimal reimbursement while supporting the professional development of the coding team.
Essential Functions:
  • Develops, implements, and delivers comprehensive coding education programs for new hires and existing coding staff, covering ICD-10-CM/PCS, CPT, HCPCS, DRG, and APC methodologies. Provides ongoing education on updates to coding guidelines, regulatory changes, and payer requirements. Creates educational materials, presentations, and job aids to support learning and reference. Conducts one-on-one coaching and mentoring sessions for coders to address specific areas for improvement. Collaborates with clinical documentation team to provide education to clinicians on documentation best practices that support accurate coding. Serves as a resource to the coders, clinical documentation specialists, providers, ISD, Compliance, and other billing departments.
  • Performs regular internal coding audits (pre-bill and post-bill) to assess coding accuracy, compliance with official guidelines, and adherence to organizational policies. Identifies coding discrepancies, documentation deficiencies, and opportunities for revenue integrity improvement. Provides constructive feedback to coders based on audit findings and monitors progress on corrective actions. Assists in preparing for external audits and responding to audit requests.
  • Analyzes coding data, audit results, and denial trends to identify patterns, root causes of errors, and areas requiring focused education or process improvement. Generates reports on coding accuracy, productivity, and educational effectiveness for department leadership. Monitors key performance indicators (KPIs) related to coding quality and compliance.
  • Participates in the development and revision of coding policies, procedures, and guidelines to ensure compliance with regulatory standards and industry best practices. Stays current with changes in coding regulations (e.g., CMS, OIG), payer policies, and industry standards. Serves as a subject matter expert in coding.
  • Other duties as assigned.

Minimum Education & Experience:
  • Bachelor's degree in Health Information Management, Healthcare Administration, Nursing or a related healthcare field and 4 years of inpatient coding experience in an acute care setting required.
  • Or equivalent combination of education and experience.

Knowledge, Skills & Abilities:
  • Expert Coding Knowledge, including in-depth understanding of ICD-10-CM/PCS, CPT, HCPCS, MS-DRGs, APR-DRGs, APCs, and NCCI edits preferred.
  • Strong knowledge of HIPAA, CMS regulations, OIG guidelines, and other relevant healthcare compliance standards preferred.
  • Ability to analyze complex data, identify trends, and draw actionable conclusions preferred.
  • Excellent written and verbal communication skills, with the ability to present complex information clearly and concisely to broad audiences preferred.
  • Proven ability to develop effective training materials and deliver engaging educational sessions preferred.
  • Proficient in Electronic Health Record (EHR) systems, coding encoder software, and Microsoft Office Suite (Word, Excel, PowerPoint) preferred.
  • Strong ability to build rapport, collaborate effectively, and provide constructive feedback preferred.
  • Meticulous attention to detail in auditing and documentation review preferred.
  • Proactive approach to identifying and resolving coding and documentation challenges preferred.

Licenses and Certifications:
  • Certified Coding Specialist (CCS) required OR
  • Registered Health Information Administrator (RHIA) required OR
  • Registered Health Information Technician (RHIT) upon hire required.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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