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Coding Compliance Jobs in Pennsylvania (NOW HIRING)

Datavant

Profee Coding Consultant - PRN

Harrisburg, PA · On-site

$20 - $28/hr

Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. * Communicate professionally with co-workers, management, and hospital staff regarding ...

UHS

Manager - Coding (REMOTE)

Wayne, PA · Remote

The Coding Manager coaches, counsels and mentors all coding.Responsible for driving consistency ... compliance requirements. * Demonstrate excellent initiative and judgement. Works independently ...

UHS

Manager - Coding (REMOTE)

Wayne, PA · Remote

The Coding Manager coaches, counsels and mentors all coding.Responsible for driving consistency ... compliance requirements. * Demonstrate excellent initiative and judgement. Works independently ...

Elevance Health

Coding Analyst Sr.

Seven Fields, PA · On-site

The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance. Primary duties may include, but are not ...

Elevance Health

Coding Analyst Sr.

Seven Fields, PA · On-site

The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance. Primary duties may include, but are not ...

Icon plc

Medical Coding Specialist

Blue Bell, PA

Ensuring coding accuracy, consistency, and compliance with regulatory requirements across multiple clinical studies. * Collaborating with clinical and data management teams to resolve complex coding ...

New

UHS

Manager - Coding (REMOTE)

Wayne, PA · Remote

POSITION OVERVIEW The Coding Manager is responsible for driving consistency across IPM, related to ... compliance requirements. * Demonstrate excellent initiative and judgement. Works independently ...

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Coding Compliance information

See Pennsylvania salary details

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$29

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How much do coding compliance jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for coding compliance in Pennsylvania is $29.12, according to ZipRecruiter salary data. Most workers in this role earn between $19.28 and $35.19 per hour, depending on experience, location, and employer.

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 Pennsylvania?

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

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

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

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

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

Coding Compliance jobs near you
Infographic showing various Coding Compliance job openings in Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $60,563 per year, or $29.1 per hour.

Network Coordinator, Coding Audit & Education

St. Luke's University Health Network

Allentown, PA • On-site

Full-time

Re-posted 24 days ago

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Network Coordinator, Coding Audit & Education performs internal, concurrent, prospective and retrospective coding audit activities. Reviews/validates coded medical records of Professional Coding (PC) staff to determine data quality and accuracy of coding, billing and documentation related to ICD-10, PCS, DRGs.CPT, APC's, and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements.
JOB DUTIES AND RESPONSIBILITIES:
  • Coding audits of Professional Coding staff in accordance with regulatory requirements, official coding guidelines, and Network audit standards.
  • Reviews and validates coded medical records to assess coding accuracy, documentation integrity, compliance risk, and reimbursement impact related to ICD-10-CM/PCS, CPT/HCPCS, DRG/APC assignment, modifiers, and applicable payment methodologies.
  • Analyzes audit results to identify trends, patterns, and areas of risk or opportunity, including recurring errors, documentation gaps, and compliance vulnerabilities across the hospital system.
  • Develops audit summaries, reports, and tracking tools to communicate findings, monitor improvement over time, and support leadership review and decision-making.
  • Provides targeted, audit-driven education and training to Professional Coding staff, including one-on-one feedback and department-level education based on validated audit findings.
  • Collaborates with Coding Management and Compliance to recommend corrective actions, process improvements, and risk mitigation strategies based on audit outcomes.
  • Supports onboarding and ongoing education of coding staff by contributing audit-based insights, educational materials, and coding guidance aligned with official standards and Network expectations.
  • Participates in external audit activities, including preparation, review, validation of findings, and assistance with response development, in collaboration with Coding Management and Compliance.
  • Promotes accurate, compliant documentation and coding practices through consistent application of coding principles, official guidelines, and regulatory requirements.

PHYSICAL AND SENSORY REQUIREMENTS:
Sitting up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use for retrieving/viewing computerized patient medical records and abstracting information. Extended periods of vision use for reviewing computerized patient records, abstracting of patient information, approximately 7 hours per day, hours at a time. Hearing as it relates to normal conversation. Seeing as it relates to general vision, peripheral vision and visual monotony. Occasionally may be required to use upper extremities to lift up to 10 lbs.; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with downtime policy; or use wheel cart.
EDUCATION:
Must maintain and be credentialed in at least ONE of the following AHIMA and/or AAPC recognized Professional Coding Certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS/CPT Official Guidelines, Outpatient Prospective Payment System and Coding Clinic References. Current working knowledge of encoder/grouper. Strong analytical and communication skills.
TRAINING AND EXPERIENCE:
5 years of coding experience required. Experience in auditing education techniques and methods preferred, but not required.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.

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