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Coding Compliance Manager Jobs in Texas (NOW HIRING)

The Compliance Manager is responsible for building, executing, and continuously improving Dozee ... Working knowledge of CPT coding (99453-99470), CMS PFS Final Rules, OIG Work Plan, MAC audit ...

The Compliance Manager is responsible for building, executing, and continuously improving Dozee ... Working knowledge of CPT coding (99453-99470), CMS PFS Final Rules, OIG Work Plan, MAC audit ...

Compliance Manager

Dallas, TX · On-site

$80 - $100/hr

Own the monthly billing compliance review cycle--validate CPT code selection (99453-99470 ... Manage the annual SOP review cycle; obtain CEO and VP sign‑off; track version history and change ...

Own the monthly billing compliance review cycle -- validate CPT code selection (99453-99470), data ... Manage the annual SOP review cycle; obtain CEO and VP sign-off; track version history and change ...

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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 Texas?

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

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

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

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

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

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

Supervisor Coding Compliance

Texas Children's Hospital

Bellaire, TX • On-site

Full-time

PTO

Posted 3 days ago

New


Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 177 frontline employees who took The Breakroom Quiz

86th of 1,066 rated hospitals


Job description


We're searching for a Supervisor of Coding Compliance, someone who works well in a fast-paced setting. In this position, you will support the Manager of Coding & Quality Assurance. Assist with follow-up on processes assigned, ensure continuity of coded accounts and monitor accuracy to ensure accounts do not exceed acceptable Bill Hold and AR days. Ensure that Texas Children's Hospital is coding according to government regulations and coding guidelines. Assist the Coding Technicians with the implementation and training of any new and existing software applications. Reviews coding denials and provides education to the Coding Technicians when appropriate. Work closely with Business Services, Admissions, Billing, Medical Records, Care Management, and healthcare providers to retrieve information supporting coding. Assist with special projects as assigned for management.
Think you've got what it takes
Job Duties & Responsibilities
  • Supervises, ensures competencies, and evaluates the activities of assigned staff.
  • Conducts daily and weekly analysis of reports, which assess the department's performance and identify corrective action plans were required (stats, productivity, quality, staff churn/turnover and attendance).
  • Distributes workloads and queues and adjusts staff allocation to ensure the agreed service levels are met.
  • Participates in interviewing and evaluating applicants and makes hiring recommendations as requested by leader.
  • Completes off-orientation paperwork and provides feedback on annual performance reviews, ensuring objectivity and consistency of the evaluations and development plans.
  • Performs staff coaching and counseling as required.
  • Assesses competency of staff and identifies training needs to ensure staff can demonstrate required skills to complete staff assignments effectively.
  • Ensures appropriate staffing levels by determining requirements for daily coverage, developing, and posting work schedules and making appropriate decisions regarding PTO requests to ensure adequate vacancy coverage to meet operational needs.
  • Ensures timely and effective two-way communication of strategic and operational messages to teams.
  • Funnels information between staff and leadership regarding workplace issues, resource needs, incidents, and departmental/organizational events by conducting regular staff meetings, one-on-one conferences, and education.
  • Performs edits in API system (enters missed punches when appropriate, enters PTO and EIB hours).
  • Monitors API system to ensure adherence to punctuality and attendance expectations in strict accordance with Hospital and departmental policies and procedures as measured by API reports and other performance and productivity metrics. Reports tardiest and missed punches to Management.
  • Initiates timely contact with providers to be able to code outstanding accounts.
  • Conducts quality reviews and provides education to the staff as needed.
  • Maintains Bill Hold by following established Departmental Policy & Procedures, Workflow, and Departmental Goals.
  • Actively participates in special assignments, programs, or improvement initiatives with successful outcomes.
  • Assists in training new employees on how to use work queues and work accounts in the encoder.

Skills & Requirements
  • Required H.S. Diploma or equivalent, preferred bachelor's degree
  • Required Certifications:
  • RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association
  • RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association
  • CCS - Cert-Cert Coding Specialist by the American Health Information Management Association
  • CCA - Certified Coding Associate American Health Information Management Association
  • CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association
  • CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders
  • CPC-A - Cert Prof Coder - Apprentice by the American Academy of Professional Coders
  • COC - Certified Outpatient Coder by the American Academy of Professional Coders
  • CIPC - Certified Inpatient Coder by the American Academy of Professional Coders
  • Required 5 years coding experience with preferred experience in a large hospital setting

About Us
Since 1954, Texas Children's has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children's hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city's Best Places to Work for ten consecutive years.
Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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