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Coding Integrity Specialist Jobs (NOW HIRING)

R1

Coding Integrity Specialist

$42.50 - $45.50/hr

As our Coding Integrity Specialist , you will works with the Coding Integrity Manager and Director of Coding Operations to establish open lines of communication regarding potential coding quality ...

OU Health

Orthopedic Coding Integrity Specialist

Orthopedic Coding Integrity Specialist Department: Revenue Integrity New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Looking for a coding team to love at ...

Zunch Staffing

Inpatient Coding Specialist III

$24.61 - $34.46/hr

Job Title: Coding Integrity Specialist III - RemoteJob Summary: As a Coding Integrity Specialist III, you will play a crucial role in the healthcare system by reviewing and evaluating hospital ...

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How much do coding integrity specialist jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for coding integrity specialist in the United States is $27.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $32.69 per hour, depending on experience, location, and employer.

How does a Coding Integrity Specialist typically collaborate with clinical staff and other departments?

Coding Integrity Specialists frequently work closely with clinical staff, billing teams, and compliance departments to ensure accurate medical coding and adherence to regulatory guidelines. They often clarify documentation with healthcare providers, participate in cross-departmental meetings, and provide education on coding best practices. This collaborative approach helps reduce errors, prevent claim denials, and maintain high standards for data integrity across the organization.

What is the difference between Coding Integrity Specialist vs Medical Coder?

AspectCoding Integrity SpecialistMedical Coder
CertificationsAHIMA or AAPC coding credentials, compliance trainingAHIMA or AAPC coding credentials, certification often preferred
Work EnvironmentHealthcare organizations, compliance departmentsHospitals, clinics, billing companies
Job FocusEnsuring coding accuracy, compliance, auditingAssigning medical codes for billing and documentation

The Coding Integrity Specialist and Medical Coder roles both require coding certifications and work within healthcare settings. However, the Coding Integrity Specialist primarily focuses on auditing, compliance, and maintaining coding accuracy, while Medical Coders are responsible for assigning codes for billing purposes. The Specialist role emphasizes oversight and integrity, whereas the Coder role centers on code assignment.

What are the key skills and qualifications needed to thrive as a Coding Integrity Specialist, and why are they important?

To thrive as a Coding Integrity Specialist, you need comprehensive knowledge of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and typically a certification like CCS or CPC. Proficiency with coding auditing software, electronic health record (EHR) systems, and compliance tools is essential. Attention to detail, analytical thinking, and strong communication skills are crucial soft skills for ensuring accuracy and collaborating with healthcare teams. These skills ensure accurate coding, regulatory compliance, and optimized reimbursement for healthcare organizations.

What are Coding Integrity Specialists?

Coding Integrity Specialists are professionals who ensure the accuracy and compliance of medical coding within healthcare organizations. They review clinical documentation and coding processes to make sure that diagnoses, procedures, and services are coded correctly according to regulatory requirements and industry standards. Their work helps organizations receive appropriate reimbursement, avoid coding errors, and maintain compliance with healthcare laws. Coding Integrity Specialists often collaborate with medical coders, auditors, and healthcare providers to resolve discrepancies and provide education on best practices.
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What cities are hiring for Coding Integrity Specialist jobs? Cities with the most Coding Integrity Specialist job openings:
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Coding Integrity Specialist jobs near you
Infographic showing various Coding Integrity Specialist job openings in the United States as of May 2026, with employment types broken down into 74% Full Time, 10% Part Time, 3% Temporary, 10% Contract, and 3% Nights. Highlights an 76% Physical, 4% Hybrid, and 20% Remote job distribution, with an average salary of $57,000 per year, or $27.4 per hour.
Coding Integrity Specialist

Coding Integrity Specialist

R1

Remote

$42.50 - $45.50/hr

Full-time

Posted 28 days ago

R1 RCM rating

6.9

Company rating: 6.9 out of 10

Based on 178 frontline employees who took The Breakroom Quiz

123rd of 138 rated financial services

Job description

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
As our Coding Integrity Specialist, you will works with the Coding Integrity Manager and Director of Coding Operations to establish open lines of communication regarding potential coding quality concerns. Every day you will, leads, coordinates, and performs coding quality reviews. To thrive in this role you must, strong analytical skills and ability to comprehend and analyze large quantities of operational data, ability to review complex medical records and strong ability to multi-task and prioritize work assignments
Here's what you will experience working as a Coding Integrity Specialist:
  • Conduct complex coding reviews related to reimbursement, public reporting, and pay for performance.
  • Collaborates with the CDI team, assisting with the resolution of documentation inconsistencies, DRG variances, and CDI and internal operations to ensure KPIs, SLA, RIS, and DNFB requirements.
  • Ensures that the DRG or reimbursement accurately reflects the services/utilization of resources provided by the hospital to optimize the impacts of case mix index reporting.
  • Collaborates with hospital/client leadership to validate proper coding for appropriate reimbursement for specific service lines and technology which assists hospitals in determining if that technology is a positive return on investment
  • Performs second level focused pre-bill and post-bill account reviews to ensure accurate coding, review for quality and risk (HAC, PSI, Mortalities, Core Measures and CMS Initiatives) and escalation for final review which may include approval for write-off.
  • Conduct complex 360 coding reviews which include identification and correction of coding, and trending for the following issues: documentation, coding denials i.e medical necessity, billing, and charging
  • Evaluate for coding accuracy/specificity to assist with preventing possible loss of revenue for the hospital related to value-based payment programs and public reporting
  • Provide education/feedback to coders/coding managers regarding coding corrections via automated individual notifications
  • Identify coding trends that require formal education by the R1 Education and Training team and work with integration teams and project management teams to test and give feedback on updates to systems and mappings
  • Perform ad hoc, Cloudmed DRG Validation Reviews or requests based on client specific wants or needs.
  • Compensation: $42.50-$45.50/hour (based on experience & location)

Required Skills:
  • Bachelor's or associate's degree in HIM related fields or CCS credential is required.
  • Minimum 5 years of inpatient coding.
For this US-based position, the base pay range is $28.24 - $40.21 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package.
R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent
To learn more, visit: R1RCM.com
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About R1 RCM

Sourced by ZipRecruiter

R1 RCM, Inc., based in Salt Lake City, UT, US, is a leading provider of technology-enabled revenue cycle management services which transform and solve revenue cycle performance challenges across hospitals, health systems, and physician groups. R1’s proven, scalable operational model seamlessly complements a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows. Founded in 2003, the company was initially named Accretive Health. It became R1 RCM in 2017 following a significant commitment by Ascension, the largest non-profit health system in the U.S., to long-term partnerships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Murray, UT, US

Year founded

2003

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