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Coding Compliance Manager Jobs in Rhode Island (NOW HIRING)

Fire Equipment Inc

Fire Sprinkler Technician

Smithfield, RI · On-site

$38.46 - $62.50/hr

Operations Manager Compensation: $38.46-$62.50 About Fire Equipment Inc. (FEI) Fire Equipment Inc ... This role plays a critical part in ensuring system functionality, code compliance, and customer ...

STV

Project Manager- Higher Education

Providence, RI

$116K - $133K/yr

Review project designs for compliance with university standards, regulations, and sustainability ... Ensure that all applicable codes, laws, and safety standards are followed during the design and ...

Stahl Companies

Program Manager

Newport, RI · On-site

... Code 70 programs, ranges, and facilities. This role provides leadership across engineering ... needed. • Ensure compliance with DoD, Navy, and NUWC standards, safety requirements, and ...

Stahl Companies

Program Manager

Newport, RI · On-site

... Code 70 programs, ranges, and facilities. This role provides leadership across engineering ... needed. · Ensure compliance with DoD, Navy, and NUWC standards, safety requirements, and ...

STAHL

Program Manager

Newport, RI · On-site

Ensure compliance with DoD, Navy, and NUWC standards, safety requirements, and engineering best ... Code 70 programs, ranges, and facilities. This role provides leadership across engineering ...

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

Program Manager

Criminal Investigation & Law Enforcement | IRS Careers

Warwick, RI

$125K/yr

Full-time

Posted 8 days ago

Job description

WHAT IS THE LARGE BUSINESS & INTERNATIONAL DIVISION? A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
  • Position(s) are to be filled in following area(s):
    • LBI - Director Treaty and Trans Pric Ops - Treaty & Transfer Pricing Operations (TTPO) and Transfer Pricing Practice (TPP)
REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:

Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.
SPECIALIZED EXPERIENCE IR-1: To be minimally qualified for this position you must have at least one (1) year of specialized experience equivalent to the next lower-level payband or GS grade in the normal line of progression.
Specialized experience would include one year of substantive supervisory or program management experience at the GS-13 or GS-14 level or equivalent level manager or comparable management or leadership experiences outside of Federal service. To be qualifying for this position your experience should be sufficient to demonstrate:

  • Experience applying budget and fiscal methods, financial management principles, or resource analysis techniques used to support tax administration programs, compliance activities, or organizational operations.
  • Experience working in the international tax law domain, such as applying tax principles related to Individual International Tax, Transfer Pricing, Business International Tax, Internal Revenue Code Chapter 3 (Withholding of Tax on Nonresident Aliens and Foreign Corporations), Chapter 4 (Taxes to Enforce Reporting on Certain Foreign Accounts), Chapter 61 (Information & Returns), and other complex international tax compliance issues.
  • Experience interpreting and applying the Internal Revenue Code, tax laws, regulations, rulings, procedures, tax treaties, and other guidance to analyze and resolve complex tax issues.
  • Experience applying examination techniques, auditing principles, and compliance procedures involving complex returns, large business entities, international transactions, or other tax administration matters.
  • Experience analyzing industry practices, regulatory provisions, and emerging trends to identify compliance issues and develop technically supported recommendations or resolutions.
AND
You must also meet the following requirement(s):
  • TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. For this requirement, a competitive appointment is one where you applied to and were appointed from an announcement open to "All US Citizens".

For more information on qualifications please refer to OPM's Qualifications Standards.
Go to Understanding the IRS Paybands for GS/IR conversion.

Education:A college or university degree generally must be from an accredited (or pre-accredited) college or university recognized by the U.S. Department of Education. For a list of schools which meet these criteria, please refer to Department of Education Accreditation page.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER

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