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Coding Compliance Manager Jobs in Texas (NOW HIRING)

Worldwide Flight Services

Manage, administer, and champion E&C policies and processes, including code of ethics and conduct, anti-bribery and anti-corruption policies, trade compliance/sanctions, related party transactions ...

City of Waco

Environmental Compliance Manager

Waco, TX

$96K - $143K/yr

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

Gulfshoresal

UTILITY COMPLIANCE MANAGER

Richardson, TX · On-site

$90 - $120/hr

Maintain meticulous compliance records and analyze sampling data to ensure the City meets or exceeds all Texas Administrative Code requirements. 2. Program Management & Oversight * Develop and manage ...

Abbott

Compliance Manager, Neuromodulation

Austin, TX · On-site

The Opportunity This Compliance Manager, Neuromodulation position is located in Austin, TX. At ... Code of Business Conduct. Assists with development and delivery of training on complex OEC and ...

New

Gfoat

UTILITY COMPLIANCE MANAGER

Richardson, TX · On-site

$90 - $150/hr

Maintain meticulous compliance records and analyze sampling data to ensure the City meets or exceeds all Texas Administrative Code requirements. 2. Program Management & Oversight Develop and manage ...

Celestica

Trade Compliance Manager

Fort Worth, TX · On-site

Manager, Supply Chain Logistics 1 Job Code : MG1-SCM-LOG Job Level : Level 09 Direct/Indirect Indicator : Indirect Summary The Trade Compliance Manager is a strategic leadership role responsible for ...

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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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Coding Compliance Manager jobs near you
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.

Client Success- Coding Manager

Calpion/Plutus Health

Addison, TX • On-site

Full-time

Re-posted 3 days ago

Job description

About Plutus Health Inc.:
Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and recognized among the Inc. 5000 fastest-growing private companies. We specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. Our commitment to innovation and excellence has earned us recognition as a 2024 EY Entrepreneur Of The Year finalist and one of the top 100 fastest-growing companies in Dallas.
Job Description:
We are seeking an experienced Client Success- Coding Manager with expertise in medical coding, auditing, and compliance to oversee client relationships, coding operations, and revenue cycle optimization. This role requires a deep understanding of CPT, ICD-10, HCPCS, payer policies, and denial management, ensuring that clients receive best-in-class coding services and compliance support.
The ideal candidate will have a strong background in medical coding, compliance audits, RCM workflow optimization, and payer regulations, along with exceptional client relationship management skills.
Key Responsibilities:
Client Success & Relationship Management:
  • Serve as the primary point of contact for clients, ensuring smooth communication and resolution of coding-related concerns.
  • Develop and implement client engagement strategies to maximize satisfaction, retention, and revenue growth.
  • Conduct Quarterly Business Reviews (QBRs) and compliance audits to drive process improvements.
  • Identify upsell and cross-sell opportunities within client accounts to expand coding service offerings.

Medical Coding & Compliance Oversight:
  • Ensure adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines across multiple specialties.
  • Conduct coding audits, documentation reviews, and risk assessments to improve coding accuracy and compliance.
  • Monitor denial trends, coding discrepancies, and revenue leakage, implementing corrective actions as needed.
  • Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory compliance.
  • Provide training and education to clients and internal teams on evolving coding guidelines and best practices.

Revenue Cycle & Denial Management:
  • Optimize coding workflows, ensuring efficient charge capture and clean claim submission.
  • Collaborate with billing, AR, and denial management teams to reduce denials, enhance revenue recovery, and improve coding accuracy.
  • Track key performance indicators (KPIs) such as clean claim rates, denial rates, coding accuracy, and compliance scores.
  • Drive coding automation initiatives to improve operational efficiency and minimize manual errors.

Cross-Functional Collaboration & Leadership:
  • Work closely with operations, compliance, and technology teams to refine and enhance coding service offerings.
  • Lead and mentor onshore and offshore coding teams, ensuring high performance and adherence to compliance standards.
  • Partner with business development teams to support client onboarding, process improvement initiatives, and contract renewals.
  • Act as an RCM Subject Matter Expert (SME) in internal strategy discussions and client engagements.

Required Qualifications:
  • Bachelor's degree in Healthcare Administration, Business, or a related field (Master's preferred).
  • 7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role.
  • Certification required: CPC, CCS, or equivalent (AHIMA or AAPC certification preferred).
  • Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies.
  • Experience in coding audits, denial resolution, and revenue integrity initiatives.
  • Proficiency in RCM platforms, EHR/EMR systems (Epic, Meditech, Paragon, etc.).
  • Experience managing onshore/offshore coding teams and handling multi-client engagements.
  • Strong analytical, problem-solving, and negotiation skills with the ability to translate data into actionable insights.
  • Willingness to travel as needed(30-50%).

Why Join Plutus Health Inc.?
  • Work for a fast-growing, innovative company recognized for excellence in healthcare.
  • Collaborate with a dynamic, supportive team that values professional development.
  • Make a meaningful impact on patient care and operational success.

Apply