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Coding Compliance Jobs (NOW HIRING)

Community Health System

Coding Compliance Auditor

Fresno, CA · On-site

$44.52 - $56.65/hr

  • Retirement

  • PTO

Responsibilities The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System's mission to better the lives of all those we serve. As a Coding ...

Community Health System

Coding Compliance Auditor

Fresno, CA

$44.52 - $56.65/hr

  • Retirement

  • PTO

The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System's mission to better the lives of all those we serve. As a Coding Compliance Auditor ...

Sutter Health

Coding Compliance Analyst III

$114K - $172K/yr

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 ...

Essen Healthcare

Be Seen First

Director of Coding Compliance

Bronx, NY · On-site

$85K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Director of Coding Compliance Position Summary: The Director of Coding Compliance is responsible for leading coding compliance and audit activities related to health plan operations, risk adjustment ...

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Coding Compliance information

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How much do coding compliance jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for coding compliance 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 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.
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What cities are hiring for Coding Compliance jobs?

Cities with the most Coding Compliance job openings:

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

The most popular types of Coding Compliance jobs are:

What states have the most Coding Compliance jobs?

States with the most job openings for Coding Compliance jobs include:

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The top searched job categories for Coding Compliance jobs are:

Coding Compliance jobs near you
Infographic showing various Coding Compliance 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 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $60,418 per year, or $29 per hour.

Coding Compliance Auditor

Community Health System

Fresno, CA • On-site

$44.52 - $56.65/hr

Full-time

Retirement, PTO

Re-posted 2 days ago

Job description

Overview
Opportunities for you!
  • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
  • Free Continuing Education and certification
  • Tuition reimbursement, education programs and scholarships
  • Vacation time starts building on Day 1, and builds with your seniority
  • Free money toward retirement with a 403(b) and matching contributions
  • Great food options with on-demand ordering
  • Free parking and electric charging

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
Responsibilities
The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System's mission to better the lives of all those we serve. As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation audits to ensure accurate code assignment, appropriate billing, integrity of the medical record, and compliance with federal and state healthcare program requirements.
The role requires a highly confident coder who can audit both facility coding and professional fees for partners, as well as audit other coders and physicians.
Qualifications
Education
  • Associate's Degree in Business, Information Systems, Nursing, Health Care, or a related field required
  • Bachelor's Degree in Business, Information Systems, Nursing, Health Care, or a related field preferred

Experience
  • Experience performing medical record and billing audits/reviews, including clinical documentation, medical terminology, codes (CPT, HCPCS, ICD-10-CM, and revenue), and reviews for charge and reimbursement accuracy required
  • Knowledge of federal, state, and private payer guidelines required

One of the following is required:
  • 5 years of healthcare coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCS, if qualifying with an Associate's Degree
  • 3 years of healthcare coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCS, if qualifying with a Bachelor's Degree
  • Epic experience preferred
  • Experience with 3M or Optum is preferred
  • Experience completing a formal validation report after completing audits preferred.

Licenses and Certifications:
  • One of the following is required:
    • CCS - Certified Coding Specialist
    • CCS-P - Certified Coding Specialist- Physician-based
    • CMAS - Certified Medical Audit Specialist
    • CPMA - Certified Professional Medical Auditor
    • CPC - Certified Professional Coder
  • Additional certifications preferred:
    • RHIA - Registered Health Information Administrator
    • RHIT - Registered Health Information Technician
  • Two or more certifications preferred

Disclaimers
• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.

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