ZipRecruiter

Log In

1

Coding Compliance Manager Jobs in Minnesota (NOW HIRING)

HealthPartners

Charge Master Coding Analyst

Saint Paul, MN · On-site +1

$30.46 - $45.70/hr

... compliance, revenue capture review, troubleshoots problem codes. Special projects to improve revenue cycle outcomes. Assists the chargemaster manager with training, coding and billing research and ...

Regions Hospital

Charge Master Coding Analyst

Saint Paul, MN · On-site +1

$30.46 - $45.70/hr

... compliance, revenue capture review, troubleshoots problem codes. Special projects to improve revenue cycle outcomes. Assists the chargemaster manager with training, coding and billing research and ...

next page

Showing results 1-20

All JobsCoding Compliance JobsCoding Compliance Manager JobsCoding Compliance Manager Jobs in Minnesota

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 Minnesota?

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

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

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

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

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

Coding Compliance Manager jobs near you

Provider Coding Compliance Consultant

Minnesota Jobs

Saint Paul, MN • On-site

$63K/yr

Other

Posted 5 days ago

Job description

Provider Coding Compliance Consultant

Baylor Scott & White Health (BSWH) is committed to an effective compliance program. The Provider Coding Compliance Consultant reports to the Coding Compliance Manager and works under the Compliance Vice President or Director. They perform activities related to developing, implementing, and maintaining BSWH policies. These activities ensure adherence to federal, state, and local laws and regulations.

Salary: The pay range for this position is $30.52/hour ($63,481/year) for those with entry-level qualifications up to $45.79 ($95,243) for those highly experienced. The specific rate will depend upon the successful candidate's specific qualifications and prior experience.

Essential Functions of the Role

  • Identifies appropriate projects for audits and schedules audits with appropriate personnel.
  • Conducts auditing of provider services, monitoring, and investigating activities to establish compliance with BSWH policies and procedures, and federal, state and local laws.
  • Provides written audit and investigation reports, identifying risks and recommending appropriate steps to improve effectiveness and mitigate risks.
  • Obtains corrective action plans for identified deficiencies and follows through to establish effective implementation is completed.
  • Tracks audit findings and surveys personnel audited to assess audit satisfaction and effectiveness.
  • Provides and coordinates coding education with providers regarding audit trends and training for compliance initiatives.
  • Serves as a coding compliance resource to BSWH departments and entities on basic compliance matters.

Key Success Factors

  • Strong written and verbal communication skills with the ability to provide provider education and present audit findings.
  • Proficient in Microsoft Word and Excel.
  • Exercises good judgment, attention to detail, integrity, dependability, and objectivity.
  • Possesses exceptional critical thinking skills.
  • Demonstrates professional growth by obtaining continuing education and seeking certifications.
  • Demonstrates initiative by learning business processes and applicable auditing techniques.
  • HCCA Certification Preferred.
  • Advanced knowledge of CPT, ICD-10-CM, HCPCS, CMS regulations, and payer-specific billing and documentation requirements.
  • Experience auditing E/M services, surgical procedures, office-based procedures, and diagnostic services for multiple specialties with advanced knowledge in orthopedics.

Preferred Qualifications

  • Bachelor's in HIM or 4 years of Physician/Professional fee coding work experience
  • Medical Coding Certifications such as CPC, CCS, CCS-P

Minimum Qualifications

  • EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
  • EXPERIENCE - 1 Year of Experience

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Apply