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Coding Compliance Manager Jobs in Virginia (NOW HIRING)

Sentara

Compliance Coding Auditor

Norfolk, VA · Remote

Compliance Coding Auditor Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external ...

Sentara

Compliance Coding Auditor

Norfolk, VA · Remote

$10K/mo

Compliance Coding Auditor Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external ...

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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.
What are popular job titles related to Coding Compliance Manager jobs in Virginia? For Coding Compliance Manager jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Coding Compliance Manager jobs in Virginia look for? The top searched job categories for Coding Compliance Manager jobs in Virginia are:
What cities in Virginia are hiring for Coding Compliance Manager jobs? Cities in Virginia with the most Coding Compliance Manager job openings:
Coding Compliance Manager jobs near you
Infographic showing various Coding Compliance Manager job openings in Virginia as of May 2026, with employment types broken down into 1% As Needed, 92% Full Time, 1% Part Time, 1% Temporary, and 5% Contract. Highlights an 76% Physical, 4% Hybrid, and 20% Remote job distribution.
Compliance Coding Auditor

Compliance Coding Auditor

Sentara

Norfolk, VA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 383 frontline employees who took The Breakroom Quiz

487th of 869 rated healthcare providers

Job description

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Compliance Coding Auditor

Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines.

Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year.

All queries arising from the audit process are managed by the Compliance Auditor. Follows audit plan, completing numerous audits and providing follow-up to coders, management, and physicians. Looks for new problem areas, trends, etc., and advises Manager of Audit and Coding Compliance. Works with leadership regarding scheduling of internal and external audits.

Education

  • Associate Level degree preferred but required

Certification/Licensure

  • CPC or CCS certification (Required)

Experience

  • 4+ years of experience with multi-specialty coding (Required)

  • 4+ years of experience with acute care outpatient coding (Required)

  • Professional fee coding experience (Required)

Remote work opportunity preferred candidates in the Virginia/North Carolina geographic location

Benefits: Caring For Your Family and Your Career
Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to 10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down - 10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.


In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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