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Coding Compliance Manager Jobs in Michigan (NOW HIRING)

Hurley Medical Center

Inpatient Coder - Fully Remote

Flint, MI · On-site +1

$18.50 - $22.25/hr

... coding and reimbursement Federal, State, and local laws and regulations, the Compliance ... Associate's Degree in Health Information Management or related field. * Two (2) years of documented ...

Highmark Health

Supervisor Coding

Lansing, MI · 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 ...

Integra Partners

Medical Coding Specialist

Troy, MI · On-site +1

$65K - $65K/yr

Collaboration • Serve as a coding resource for Medical Management and other internal departments. • Partner with clinical, operational, provider relations, credentialing, compliance, and business ...

MyMichigan Health

Coding Educator

Midland, MI · On-site

$21.50 - $24.50/hr

This position is responsible for providing on-going coding, documentation and compliance education ... management coding as well as patient requests for denials on services provided at the facility.

My Michigan Health

Coding Educator

Midland, MI · On-site

$21.50 - $24.50/hr

This position is responsible for providing on-going coding, documentation and compliance education ... management coding as well as patient requests for denials on services provided at the facility.

MyMichigan Health

Coding Educator

Midland, MI · On-site

$23.50 - $26.50/hr

This position is responsible for providing on-going coding, documentation and compliance education ... management coding as well as patient requests for denials on services provided at the facility.

MyMichigan Health

Coding Educator

Midland, MI · On-site

$23.50 - $26.50/hr

This position is responsible for providing on-going coding, documentation and compliance education ... management coding as well as patient requests for denials on services provided at the facility.

MyMichigan Health

Coding Educator

Midland, MI · On-site

$23.50 - $26.50/hr

This position is responsible for providing on-going coding, documentation and compliance education ... management coding as well as patient requests for denials on services provided at the facility.

Integra Partners

Medical Coding Specialist

Troy, MI · On-site

$65K/yr

Collaboration • Serve as a coding resource for Medical Management and other internal departments. • Partner with clinical, operational, provider relations, credentialing, compliance, and business ...

MyMichigan Health

Coding Educator

Midland, MI · On-site

$23.50 - $26.50/hr

This position is responsible for providing on-going coding, documentation and compliance education ... management coding as well as patient requests for denials on services provided at the facility.

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

Inpatient Coder - Fully Remote

Hurley Medical Center

Flint, MI • On-site, Remote

$18.50 - $22.25/hr

Full-time

Re-posted 4 days ago

Hurley Medical Center rating

6.3

Company rating: 6.3 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

779th of 1,055 rated hospitals

Job description


GENERAL SUMMARY: Ensures proper assignment of diagnosis and procedure codes, along with validating and adjusting charges according to the services the patient received. Works collaboratively with Clinical Documentation Improvement personnel to ensure coding is clinically supported. Participates in the identification and resolution of discrepancies in documentation; assists in training as necessary. Maintains a working knowledge of applicable coding and reimbursement Federal, State, and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. Participates in quality assessment and continuous quality improvement activities. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior.
SUPERVISION RECEIVED: Works under the general supervision of the Clinical Coordinator and/or Director of Coding and Clinical Documentation Improvement (CDI).
Responsibilities
RESPONSIBILITIES AND DUTIES:
  1. Assigns diagnostic and procedural codes to patient's clinical records using ICD-10-CM and ICD-10-PCS coding systems for reimbursement purposes and for Hurley Medical Center's automated information system: Responsible for inpatient coding as assigned.
  2. Determines DRG assignment through input of diagnostic codes, procedural codes and abstracted data into the computer system: Follows up to ensure accuracy of DRG assignment for cases submitted for reimbursement.
  3. Abstracts specific data elements after thorough review of each medical record.
  4. Designates principal diagnosis and procedure on complex cases requiring independent action and judgment; assists in monitoring the completeness, accuracy and consistency of the principal diagnosis, related diagnoses and procedures.
  5. Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine the Principal Diagnosis, secondary diagnoses, and procedures. Screens medical records to ensure completeness in line with record content guidelines such as Present On Admission (POA) indicators and discharge disposition.
  6. Identifies discrepancies and inconsistencies in documentation; assignment of codes and abstraction of data elements. Serves as a liaison between other departments in resolving complex problems associated with data entry and submission of diagnostic/procedural codes for reimbursement.
  7. Maintains accurate diagnostic and procedural indices and retrieves data from the indices for complex requests from physicians, Administration, Hurley Medical Center personnel and external agencies.
  8. Utilizes coding expertise and knowledge to write appeal letters in response to payor disputes related to medical necessity and level of care determinations. Prepares complex routine and special reports relative to the Data Unit.
  9. Reviews Claim Edits for coding corrections.
  10. Maintains various control functions that enable monitoring of specific status including abstract accounting, batch control and coding status.
  11. Demonstrates knowledge of current, compliant coder query practices related to the composition and forwarding of queries to providers.
  12. Assists in identifying, developing and implementing new procedures and operational systems designed to increase operating efficiency.
  13. Assists in performing quality monitoring for the accuracy and validity of coded and abstracted data; assists in revising coding/abstracting and data collection guidelines to reflect accurate data optimizing hospital reimbursement.
  14. Participates in ongoing education and training to remain current with evolving coding standards, medical practices, compliance and technology.
  15. May assist in training personnel in the policies and procedures related to proper coding, compliance, and auditing of patient charts.
  16. Performs other related duties as assigned. Utilizes new improvements, and/or technologies that relate to work assignment.

Qualifications
MINIMUM ENTRANCE REQUIREMENTS:
  • Associate's Degree in Health Information Management or related field.
  • Two (2) years of documented experience in ICD-10-CM and ICD-10-PCS coding and DRG reimbursement.
  • Certification through AHIMA in Registered Health Information (RHIA, RHIT) or as a Certified Coding Specialist (CCS); or Certification through AAPC as a Coding Specialist (CIC).
  • Demonstrated knowledge of reimbursement methodology pertaining to MS-DRG's, APR-DRG's, and APC's.
  • Ability to properly sequence ICD-10 codes based on coding guidelines and coding clinics. Proficient on identifying POA, SOI, and ROM indicators for Inpatient records as well as HAC's and PSI's to ensure accurate hospital reimbursement.
  • Knowledge of the required content and claim completion guidelines of the UB04.
  • Possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting as well as Coding Clinics.
  • Demonstrated ability to function in a 100% virtual environment working independently while maintaining efficiency, compliance, and coding quality standards.
  • Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent literature.
  • Knowledge of professional coding practices.
  • Ability to communicate effectively in oral and written modes.
  • Ability to interact successfully and maintain harmonious relationships with physicians and Medical Center personnel.

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