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Coding Compliance Specialist Jobs (NOW HIRING)

Sutter Health

Coding Compliance Analyst III

Sacramento, CA · On-site +1

$117K - $176K/yr

CCS-Certified Coding Specialist TYPICAL EXPERIENCE: * 5 years recent relevant experience. SKILLS ... reporting compliance. * Thorough understanding of rules/ regulations/ guidelines/ policies ...

Sutter Health

Coding Compliance Analyst III

$114K - $172K/yr

CCS-Certified Coding Specialist TYPICAL EXPERIENCE: * 5 years recent relevant experience. SKILLS ... reporting compliance. * Thorough understanding of rules/ regulations/ guidelines/ policies ...

divvyDOSE

Outpatient Facility Coding Compliance | , |

$72K - $130K/yr

Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by ... Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Outpatient ...

Community Health System

Coding Compliance Auditor

Fresno, CA · On-site

$44.52 - $56.65/hr

The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community ... CCS - Certified Coding Specialist * CCS-P - Certified Coding Specialist- Physician-based * CMAS ...

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Coding Compliance Specialist information

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$16

$29

$39

How much do coding compliance specialist jobs pay per hour?

As of Aug 8, 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 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 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 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, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $60,418 per year, or $29 per hour.

Coding Compliance Analyst III

Sutter Health

Sacramento, CA • On-site, Remote

$117K - $176K/yr

Full-time

Posted 21 days ago

Sutter Health rating

8.2

Company rating: 8.2 out of 10

Based on 326 frontline employees who took The Breakroom Quiz

55th of 887 rated healthcare providers

Job description

We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-Valley
Position Overview:
The position is responsible for advancing the mission of the Ethics and Compliance Services (ECS) in a manner consistent with the values and standards of the compliance profession. Functions as a subject matter expert and hospital facility coding compliance leader through the accurate development, review, and approval of system processes, directives, and tools regarding regulatory reporting and coding compliance with revenue cycle operations. Fosters strategic relationships within Sutter Health to maintain a culture of compliance, by providing accurate hospital facility coding compliance guidance and developing and delivering educational communications. A thorough understating of current hospital facility rules/ regulations/ guidelines/ policies/, coding and billing compliance, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and ICD-10-CM/PCS, CPT, and HCPCS is necessary to ensure accurate guidance is provided to those functional teams who rely upon it. A CCS credential is required, with an RHIA, RHIT, CDIP or CCDS credential preferred.
The position is responsible for participating in the department's annual risk assessment and work plan development processes and reviews. This includes project specific risk assessments, development of project objectives, scope, approach, deliverables, and assessment of the adequacy of operational action plans designed to mitigate identified risks. Is also responsible for assisting in investigations to provide subject matter expertise knowledge during an investigation.
Participates in improving the efficient and effective delivery of Ethics and Compliance Services consultative, education, training, and complying with regulatory, system, department and professional standards, participating in department initiatives and internal process improvement projects throughout the revenue cycle environment, providing input into the enhancement of hospital facility coding, billing and reporting work flows and tools for the health system.
Job Description:
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
  • Bachelor Degree

CERTIFICATION & LICENSURE:
  • CCS-Certified Coding Specialist

TYPICAL EXPERIENCE:
  • 5 years recent relevant experience.

SKILLS AND KNOWLEDGE:
  • Ability to design and implement regulatory and specialty specific education/ training to a wide variety of professionals including but not limited to professional coders, physicians, clinical documentation improvement specialists, other coding education professionals, non-coding professionals.
  • High level of expertise in the application of skills related to coding, billing, and reporting compliance.
  • Thorough understanding of rules/ regulations/ guidelines/ policies/ protocols related to mandatory reporting requirements to OSHPD, coding and coding compliance, including National Coverage Determinations (NCDs), and Local Coverage Determinations (LCDs).
  • Deep understanding of ICD-10-CM/PCS.
  • Well-developed written, verbal, and interpersonal communication skills, including experience communicating to audiences of clinicians, physicians, health information leaders and practitioners.
  • Experience performing coding/billing investigations, audits, or reviews.
  • Computer skills, including business, coding, spreadsheet, presentation, word processing and analytical support applications.

Job Shift:
Days
Schedule:
Full Time
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $117,436.80 to $176,155.20 / annual salary. California, New Jersey, Washington Pay Range is $117,436.80 to $176,155.20 / annual salary. Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, North Carolina, Ohio, Oregon, Pennsylvania, Texas, Virginia Pay Range is $105,705.60 to $158,558.40 / annual salary. Arizona, Arkansas, Idaho, Louisiana, Missouri, Montana, South Carolina, Tennessee, Utah Pay Range is $93,953.60 to $140,940.80 / annual salary.
The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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