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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 ...

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

Irving, TX · On-site

$66K - $145K/yr

Position Summary The Compliance Manager is responsible for overseeing All Payer Claims Database ... Understanding of healthcare claims processing and industry coding structures. * Ability to travel ...

Coding Manager

Austin, TX · On-site

$70K - $75K/yr

... compliance/coding questions to Federal, State and third party payers when clarification is ... Pain management or ASC experience preferred. WORKING CONDITIONS Environmental Conditions : Medical ...

... and municipal code requirements. Oversees development, implementation, and enforcement of ... compliance matters. Manages staff performance, training, and development for direct reports and ...

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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 are Coding Compliance Managers?

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 Texas as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.
Manager Coding Compliance

Manager Coding Compliance

Texas Children's Hospital

Houston, TX • On-site

Full-time

Posted 2 days ago


Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 174 frontline employees who took The Breakroom Quiz

79th of 1,051 rated hospitals


Job description

We're searching for a Coding Compliance Manager- someone who works well in a fast-paced setting. In this position, you will effectively manage the coding and auditing process so that Hospital claims are coded in a timely manner and according to coding guidelines. You'll effectively manage accounts holding for coding and review processes for accuracy. You'll also maintain consistent, timely, and compliant coding practices.
Think you've got what it takes?


Job Duties & Responsibilities
    Manages and oversees all coding staff and activities. 
    Performs/manages audit and review of medical records process to ensure coding accuracy and compliance with regulatory guidelines and coding guidelines. 
    Participates in performance improvement initiatives to meet hospital, departmental, and area goals and strategies. Documents the performance improvement and measures success as reported quarterly to Director. 
    Participates in performance improvement initiatives to meet hospital, departmental, and area goals and strategies. Documents the performance improvement and measures success as reported quarterly to Director. 
    Conducts NCCI Edits and Medical Audit Reviews.

Skills & Requirements
    Required H.S. Diploma or GED. A bachelor's degree will substitute for 4 years of experience
    Required Licenses/Certifications
    CCA - Certified Coding Associate American Health Information Management Association 
    CCC-P - Cert Coding Spec-physician American Health Information Management Association 
    CCS - Cert-cert Coding Specialist by the American Health Information Management Association 
    CIPC - Certified Inpatient Coder by the American Academy of Professional Coders
    COC - Certified Outpatient Coder by the American Academy of Professional Coders
    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
    RHIA - Cert-reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
    Required 7 Years experience coding inpatient and outpatient records using the most current coding systems
 

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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