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How much do coding compliance specialist jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for coding compliance specialist in the United States is $29.05, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $35.10 per hour, depending on experience, location, and employer.

What is a coding compliance specialist?

A coding compliance specialist enforces medical billing and coding regulations. As a coding compliance specialist, you are in charge of training medical staff on the different medical codes used in treatment and insurance billing. You also review medical records, clarify billing issues, and conduct audits, while maintaining patient privacy. Medical insurance companies, hospitals, and other healthcare facilities have coding compliance specialists on staff.

What are some common challenges coding compliance specialists face when ensuring accurate medical coding across teams?

Coding Compliance Specialists often encounter challenges such as keeping up with frequent changes in coding regulations, ensuring all team members consistently apply complex coding guidelines, and addressing discrepancies between clinical documentation and coding requirements. Effective collaboration with providers and coding staff is essential to clarify documentation and resolve issues quickly. Strong attention to detail and ongoing education help specialists maintain compliance and minimize errors, which are crucial for accurate billing and avoiding regulatory penalties.

What are the key skills and qualifications needed to thrive as a coding compliance specialist, and why are they important?

To thrive as a Coding Compliance Specialist, you need in-depth knowledge of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and a relevant certification like CCS, CPC, or RHIA. Familiarity with electronic health record (EHR) systems and coding audit tools is essential for accurate data analysis and compliance reviews. Strong attention to detail, analytical thinking, and effective communication skills set top performers apart in this role. These competencies are crucial for ensuring coding accuracy, minimizing compliance risks, and supporting proper healthcare reimbursement.

What is the difference between Coding Compliance Specialist vs Medical Coder?

AspectCoding Compliance SpecialistMedical Coder
Required CredentialsCertification (e.g., CPC, CCS), knowledge of coding standards, compliance regulationsCertification (e.g., CPC, CCS), proficiency in coding systems
Work EnvironmentHealthcare facilities, compliance departments, insurance companiesHospitals, clinics, physician offices
Employer & Industry UsageFocuses on ensuring coding accuracy and regulatory compliancePrimarily responsible for assigning medical codes for billing
Search & Comparison IntentUnderstanding compliance roles, regulatory standards, auditingMedical coding procedures, billing, and documentation

The main difference is that a Coding Compliance Specialist focuses on ensuring coding practices adhere to regulations and standards, often involving audits and compliance monitoring. In contrast, a Medical Coder primarily assigns medical codes for billing and documentation purposes. Both roles require similar certifications but serve different functions within healthcare organizations.

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Coding Compliance Specialist jobs near you
Infographic showing various Coding Compliance Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 12% Part Time, and 4% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $60,418 per year, or $29 per hour.

Senior Coding Specialist

Chesapeake Regional Healthcare

Chesapeake, VA • On-site

Full-time

Re-posted 3 days ago

Chesapeake Regional Healthcare rating

6.9

Company rating: 6.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Summary
The Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records.
Essential Duties and Responsibilities
These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
  • Code diagnostic and procedural information from the record using ICD and CPT/HCPCS classification systems
  • Utilize a computerized encoding system to facilitate accurate coding
  • Sequence diagnoses and procedures by following the ICD, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal Intermediary guidelines
  • Work cooperatively with the medical staff and other healthcare professionals in obtaining documentation to complete medical records and ensure quality coding
  • Select the DRG for each inpatient discharge and APC for each outpatient visit, ensuring coding compliance based on approved coding guidelines and conventions
  • Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit, completing and verifying diagnostic and demographic information
  • Enter patient information into computerized inpatient and outpatient medical record databases
  • Ensure the accuracy and integrity of medical record abstract data prior to billing interface and claims submission
  • Routinely code inpatient records to meet productivity and quality standards for inpatient coding
  • Code outpatient, emergency department, and outpatient diagnostic records as determined by Coding Operations Manager
  • Consistently maintain established productivity requirements and maintain a 96% or greater accuracy rate
  • Communicate and advise the Patient Accounts on coding and DRG/APC assignment and submission
  • Assist the Coding Compliance Specialist and/or Coding Operations Manager as needed
  • Fill-in for the Coding Compliance Specialist and/or Coding Operations Manager as needed
  • Attend required hospital-wide orientations, meetings, and in-services
  • Demonstrate a commitment to flexible work scheduling when necessary

Summary of Other Job Duties and Expectations
  • Adhere to the Service Excellence Standards and Expectations at Chesapeake Regional Medical Center
  • Exhibit excellent customer relations to patients, visitors, physicians, and co-workers
  • Exhibit courteous communication skills and an ability to work with others, exercising good judgment in performance of job duties
  • Demonstrate courtesy, compassion, and respect to others in adherence of the hospital's philosophy and policy for promoting positive work and customer environments
  • Work as a team to continuously improve work quality
  • Demonstrate a commitment to flexible work schedules when it is necessary to ensure patient care
  • Present self in a positive manner as reflected by personal attire, etiquette, and behavior

Supervisory Responsibilities
Reports to:
HIM Coding Operations Manager
Supervises:
N/A
Responsibilities:
N/A
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Experience
Minimum Required Education:
Completion of a Health Information Management program with AHIMA approval status or coding program with AAPC
Preferred Education:
N/A
Experience:
4+ years recent experience coding in an acute hospital setting required; coding ability will need to be demonstrated via a skills assessment
Certificates, Licenses, Registrations
Certification in RHIA or RHIT and CCS or CIC is required. In addition, also prefer outpatient coding certifications through AHIMA and AAPC.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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