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Coding Compliance Jobs in Maryland (NOW HIRING)

TEKsystems

Coding Auditor

Baltimore, MD · Hybrid

$66K - $92K/yr

This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and ...

TEKsystems

Coding Auditor

Baltimore, MD · Hybrid

$66K - $92K/yr

This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and ...

Johns Hopkins Healthcare

Coding Educator

Baltimore, MD · On-site

$27 - $30.75/hr

The Coding Educator is responsible for developing and delivering coding education programs to support coding accuracy, regulatory compliance, and revenue integrity within professional billing ...

Johns Hopkins HealthCare

Coding Educator

Baltimore, MD · On-site

$27 - $30.75/hr

The Coding Educator is responsible for developing and delivering coding education programs to support coding accuracy, regulatory compliance, and revenue integrity within professional billing ...

Johns Hopkins Health System

Coding Educator

Baltimore, MD · On-site

$27 - $30.75/hr

The Coding Educator is responsible for developing and delivering coding education programs to support coding accuracy, regulatory compliance, and revenue integrity within professional billing ...

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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.

What are the most commonly searched types of Coding Compliance jobs in Maryland?

The most popular types of Coding Compliance jobs in Maryland are:

What are popular job titles related to Coding Compliance jobs in Maryland?

For Coding Compliance jobs in Maryland, the most frequently searched job titles are:

What job categories do people searching Coding Compliance jobs in Maryland look for?

The top searched job categories for Coding Compliance jobs in Maryland are:

Coding Compliance jobs near you
Infographic showing various Coding Compliance job openings in Maryland as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Coding Compliance Auditor, Remote

University of Maryland Medical System

Baltimore, MD • Remote

$33.46 - $46.70/hr

Full-time

Posted 25 days ago

Job description

Job Requirements

Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.


Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.


  • Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
  • Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations.
  • Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. 
  • Serves in an advisory and educator role for Coding Specialists. Serves as communicator between Clinical Documentation Specialists and Coding. Researches new surgical procedures and technology. Provides training to new employees
  1. Reports coding quality accuracy rate for each coder
  2. Monitors productivity rate for each coder
  3. Conducts specialized focused audits as needed.

  • Communicates with various departments within the hospitals regarding coding accuracy. Refers any problems to management timely, providing clear details. Assist coding specialists in writing appropriate coding queries, works collaboratively with CDI, understand Potentially Preventable Complications (PPC's)/Maryland Hospital Acquired Conditions (MHAC's), Prevention Quality Indicators (PQI's) and their impact and other indicators as needed.

  • Complies with AHIMA standards of ethical coding and coding compliance guidelines.

  • Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager.

Work Experience
Education and Experience

 

  • High School graduate or equivalent. Formal ICD-10-CM, ICD-10-PCS, CPT-4 training. Associates or Bachelor's degree. Education will be considered in lieu of experience.
  • Minimum of two years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records. 2-3 Years Ambulatory coding experience.
  • One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC)

Benefits

Compensation:

$33.46 - $46.70/hr


Employment Type: FULL_TIME

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