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Coding Compliance Jobs in Indiana (NOW HIRING)

Completes HealthStream coding compliance task. * Coding: Applies the appropriate diagnostic and procedural codes to individual patient health information, for data retrieval, analysis, and claims ...

Completes HealthStream coding compliance task. * Coding: Applies the appropriate diagnostic and procedural codes to individual patient health information, for data retrieval, analysis, and claims ...

Completes HealthStream coding compliance task. * Coding: Applies the appropriate diagnostic and procedural codes to individual patient health information, for data retrieval, analysis, and claims ...

Completes HealthStream coding compliance task. * Coding: Applies the appropriate diagnostic and procedural codes to individual patient health information, for data retrieval, analysis, and claims ...

Completes HealthStream coding compliance task. * Coding: Applies the appropriate diagnostic and procedural codes to individual patient health information, for data retrieval, analysis, and claims ...

Completes HealthStream coding compliance task. * Coding: Applies the appropriate diagnostic and procedural codes to individual patient health information, for data retrieval, analysis, and claims ...

Keeps management in the loop for providers not responding to or maintaining adequate compliance results; audits coding team to ensure they are meeting compliance and governmental rules and ...

Certified Medical Coder

Gary, IN ยท Remote

$22.50 - $30.75/hr

Participate in internal coding audits and external compliance reviews. * Assist in correcting coding errors identified during audits. * Maintain coding accuracy standards of at least 95% while ...

Certified Medical Coder

Gary, IN ยท On-site

$60 - $80/hr

Participate in internal coding audits and external compliance reviews. * Assist in correcting coding errors identified during audits. * Maintain coding accuracy standards of at least 95% while ...

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Coding Compliance information

What is coding compliance?

Coding compliance refers to the process of ensuring that medical coding practices adhere to federal and state regulations, payer policies, and standardized coding guidelines such as ICD-10, CPT, and HCPCS. Professionals in this field review clinical documentation and coding to minimize errors, prevent fraud, and avoid financial penalties for healthcare organizations. Maintaining coding compliance is essential for accurate billing, reimbursement, and overall integrity of the healthcare revenue cycle.

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 a deep understanding of medical coding systems (like ICD-10, CPT, and HCPCS), healthcare regulations, and compliance standards, often supported by certifications such as CPC or CCS. Familiarity with electronic health records (EHRs), coding audit software, and compliance management systems is typically required. Strong attention to detail, analytical thinking, and effective communication skills help ensure accurate coding and collaboration with healthcare teams. These skills are crucial for maintaining regulatory compliance, minimizing risk, and ensuring proper reimbursement for healthcare services.

What are some common challenges faced in a coding compliance role, and how can they be addressed?

Professionals in Coding Compliance often encounter challenges such as keeping up with frequent updates to coding standards (like ICD-10 or CPT), ensuring consistent documentation from healthcare providers, and managing audits for accuracy. Addressing these challenges requires continuous education, strong communication skills to provide feedback to clinical staff, and proactive participation in training sessions. Many organizations also foster collaboration between coding compliance specialists and billing or clinical teams to streamline processes and reduce the risk of errors.

What is the difference between Coding Compliance vs Medical Coding?

AspectCoding Compliance
CertificationsOften requires certifications like CPC, CCS, or CRC
Work EnvironmentTypically in healthcare organizations, compliance departments, or consulting firms
Primary FocusEnsuring coding practices adhere to legal and regulatory standards
Job ResponsibilitiesAuditing, policy development, training, and compliance monitoring

While Medical Coding involves assigning codes to patient diagnoses and procedures, Coding Compliance focuses on ensuring that coding practices follow legal, ethical, and industry standards. Both roles require similar certifications and often work within healthcare settings, but Coding Compliance emphasizes regulatory adherence and audit processes to prevent fraud and ensure accurate billing.

What does a coding compliance specialist do?

A coding compliance specialist reviews medical records and coding practices to ensure they adhere to industry regulations and standards, such as those set by healthcare authorities. They analyze coding accuracy, identify discrepancies, and implement corrective actions, often using coding software and staying updated on coding guidelines. Their role helps prevent billing errors and ensures legal and regulatory compliance in healthcare documentation.
Infographic showing various Coding Compliance job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution.

CODING SPECIALIST

Merrillville, IN โ€ข On-site

Methodist Hospitals
Health Care and Social Assistanceย โ€ขย 1 - 5K employees

Full-time

Re-posted 7 days ago


Job description

Under supervision, to perform work involving the thorough examination and evaluation of medical record documentation to accurately assign ICD-10-CM, CPT 4, and HCPCS codes and to abstract relevant information from inpatient and outpatient records.
PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions)

  1. Coding Standards and Guidelines: Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Completes HealthStream coding compliance task.

  2. Coding: Applies the appropriate diagnostic and procedural codes to individual patient health information, for data retrieval, analysis, and claims processing utilizing computerized encoder and grouper.

  3. Accuracy Standards: 100-95 = Exceeds Standards (5); 94-90 = Above Standards (4); 89-85 = Meets Standards (3); 84-80 = Improvement Needed (2); 79 and under (1) - Most work onsite with supervisor, until successful completion of a quarterly review with accuracy level at "meets standards".

  4. Abstracting: Applies appropriate elements to record, including admitting provider, attending provider, other providers, point of origin, primary service, discharge destination, discharge disposition, present on admission.

  5. Accuracy Standards: 100-90 = Exceeds Standards (5); 89-80 = Above Standards (4); 79-70 = Meets Standards (3); 69-60 = Improvement Needed (2); 59 and below: (1) must work on site, with supervisor, until successful completion of a quarterly review, with accuracy level at meets standards.

  6. Coding Education Maintenance: Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department director for resolution, Completes educational credits according to applicable area.

  7. Learning opportunity standard: 8 or more completed = Exceeds standards (5); 7-6 completed = Above standards (4); 5-4 completed = Meets standards (3); 3-2 completed = Improvement needed (2); 1-0 completed = Not meeting expectations (1).

  8. Queries: Queries the appropriate discipline for additional or clarifying documentation to ensure the accuracy and completeness of coding and abstracting.

  9. Teamwork: Shows initiative by providing input to better the department and/or hospital. Reviews MCC and CC list to identify opportunities for queries or documentation improvement.

  10. Departmental Expectations: Attends departmental meetings (6 out of 12 monthly meetings minimum). Acknowledges minutes and handouts, when absent from meetings, by initialing e-mail within one week. Checks Methodist's internal e-mail when logging on for work, at mid-day, and before logging off.


JOB SPECIFICATIONS(Minimum Requirements)

    KNOWLEDGE, SKILLS, AND ABILITIES
  • Considerable knowledge of ICD-10 and CPT coding systems.

  • Ability to work independently, and as part of a team collaborating with colleagues.

  • Enthusiastic, motivated and positive attitude.

  • Successful completion of a coding certificate program, with American Health Information Management Association (AHIMA) approval status, as RHIA, RHIT, CCS or CCA is required.


EDUCATION

  • High School Diploma/GED Equivalent Required

  • Certificate Required

  • 5 Healthcare/Medical - Medical Coding Preferred


STANDARDS OF BEHAVIOR
Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code.
CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family, organizational and other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state and local laws, rules and regulations governing ethical business practices for healthcare providers.
DISCLAIMER - The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. The statements are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.

Methodist Hospitals logo

About Methodist Hospitals

Sourced by ZipRecruiter

Methodist Hospitals is a reputable institution in the healthcare and medical industry with its base in Gary, Indiana, United States. A trusted name in comprehensive medical services, the organization is primarily known for its robust offering in the fields of emergency and acute medical care, tracking back its foundational roots to the year 1923. Catholic nun Sister Gesuina set up the hospital with the sole mission of providing affordable healthcare services to the residents of Gary. Today, their mission stays true to promoting health, healing, and well-being in the communities they serve, encompassing a diverse representation of races, ethnicities, genders, ages, religions, abilities, and sexual orientations.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Gary, IN, US

Year founded

1923

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