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Medical Coding Compliance Jobs in Baton Rouge, LA

FMOLHS

Coding Audit Coordinator

Baton Rouge, LA · Remote

$26.25 - $29.75/hr

... ensure compliance with federal and state laws and regulations. Also performs audits of coding ... Medical Coding Review * Assist in the development, performance and maintenance of a long term ...

FMOLHS

Coder 2 - Clinic

Baton Rouge, LA

$18 - $24/hr

To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. * Associates degree, Bachelors degree, or coding ...

Datavant

Profee Coding Consultant - PRN

Baton Rouge, LA · On-site

$20 - $28/hr

... compliance, and optimizing service outcomes in both hospitals and alternative care settings. What You Will Do: * Review medical records and assign precise codes to ensure accurate coding aligned with ...

Intermountain Health

PB Coder

Baton Rouge, LA · On-site

$28.06 - $44.20/hr

... compliance guidelines. Essential Functions * Evaluates and resolves all types of coding edits in ... medical terminology, disease processes, and surgical techniques to support the effective ...

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Medical Coding Compliance information

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How much do medical coding compliance jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for medical coding compliance in Baton Rouge, LA is $21.53, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What is medical coding compliance?

Medical coding compliance refers to the process of ensuring that medical coding practices adhere to federal, state, and organizational regulations and guidelines. This involves accurately translating medical diagnoses, procedures, and services into standardized codes for billing and documentation purposes. Compliance helps prevent fraud, reduce billing errors, and ensures that healthcare providers receive appropriate reimbursement while avoiding legal penalties. Professionals in this field stay updated on changing regulations, conduct audits, and provide training to staff to maintain high standards of accuracy and integrity.

What are the key skills and qualifications needed to thrive in medical coding compliance, and why are they important?

To thrive in Medical Coding Compliance, you need a thorough understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and compliance standards, often backed by certifications like CPC, CCS, or CHC. Proficiency with electronic health record (EHR) systems, coding software, and compliance auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and educating staff. These skills ensure accurate coding, reduce legal risks, and maintain organizational compliance with healthcare regulations.

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

Medical Coding Compliance professionals often encounter challenges such as staying updated with frequent changes to coding regulations, ensuring consistent adherence to compliance standards across departments, and accurately interpreting complex clinical documentation. To address these, it’s crucial to participate in ongoing education, maintain close communication with healthcare providers, and utilize robust auditing tools. Collaborating with compliance officers and regularly attending training sessions can also help reinforce best practices and minimize errors.

What is the difference between Medical Coding Compliance vs Medical Coding Specialist?

AspectMedical Coding ComplianceMedical Coding Specialist
CertificationsCPMA, CPC, CCSCPC, CCS
Work EnvironmentCompliance departments, healthcare organizationsMedical offices, hospitals, clinics
Primary FocusEnsuring coding accuracy and regulatory adherenceAssigning codes to medical procedures and diagnoses
Employer & Industry UsageHealthcare compliance and auditing firms, hospitalsHealthcare providers, billing companies

Medical Coding Compliance professionals focus on ensuring that coding practices adhere to regulations and standards, often working in compliance or auditing roles. Medical Coding Specialists primarily assign codes to medical records for billing and documentation. While both roles require similar certifications, their responsibilities and work environments differ significantly.

What does a medical coding compliance specialist do?

A medical coding compliance specialist ensures that healthcare providers accurately code medical procedures and diagnoses according to industry standards and regulations. They review coding practices, monitor for compliance with legal and payer requirements, and implement policies to prevent fraud and errors, often using coding software and staying updated on coding guidelines.

What are popular job titles related to Medical Coding Compliance jobs in Baton Rouge, LA?

For Medical Coding Compliance jobs in Baton Rouge, LA, the most frequently searched job titles are:

What job categories do people searching Medical Coding Compliance jobs in Baton Rouge, LA look for?

The top searched job categories for Medical Coding Compliance jobs in Baton Rouge, LA are:

What cities near Baton Rouge, LA are hiring for Medical Coding Compliance jobs?

Cities near Baton Rouge, LA with the most Medical Coding Compliance job openings:

Coding Audit Coordinator

Baton Rouge, LA • Remote

FMOLHS
5 - 10K employees
Learn more about FMOLHSexternal

$26.25 - $29.75/hr

Full-time

Posted 13 days ago

Job description

The Corp Coding Audit Coord reviews documentation and coding of hospital records to patients to ensure compliance with federal and state laws and regulations.  Also performs audits of coding quality and maintains spreadsheets for coding area statistics and process flow.  

  • 5 years IP and OP coding experience
  • Bachelors degree with RHIA and CCS; Associates degree with RHIT and CCS (if not current CCS, position contingent on CCS within 3 months of hire)
  •  
  • Extensive knowledge of coding to include proficiency in coding of inpatient, outpatient, ambulatory surgery and ER visits using knowledge of ICD-9 and CPT coding; assignment of DRGs, APCs and official coding guidelines.
  • CCS
  1. Medical Coding Review
    1. Assist in the development, performance and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient coding. Conducts coding compliance and charge-based coding audits, inpatient and outpatient coding reviews.
    2. Performs quarterly complex coding quality audits on each coder. Reviews 100% of coding performed by new staff until preset quality standards are met. Audits clinics with autocoding feature for accuracy of documentation and correct diagnosis assignment.
    3. Designs and implements additional coding and billing audits on items of focus and vulnerability based on RACs, OIG workplan, public profile sites and other areas considered high-risk from a compliance standpoint.
    4. Prepares reports based on audit results (including recommendations for improvement); analyzes coding data to identify coding variations and determine cause for variation. Presents findings to Corporate Coding leadership. Provides input to coding manager on quality of coding for each coder at yearly evaluation.
    5. Assists FMOLHS in reviews related to internal or external investigations.
  2. Quality/Compliance Review
    1. Performs code-based charge audits to assure compliant claims data and monitors adherence to government and third-party billing requirements to optimize revenue generation. Researches and appeals payment denials received from payers as necessary within designated timelines. Analyzes any identified patterns in NCCI edits and assists FMOLHS facilities with implementing process improvement initiatives to prevent claim failures.
    2. Works with compliance officer to ensure that FMOLHS entities comply with coding/billing laws and guidelines.
    3. Identifies opportunities for documentation improvement and/or process changes.
  3. Collaboration & Partnership
    1. Collaborates with coding manager and coding educator to identify educational opportunities from results of quarterly audits. Assists coding educator in development of education specific to issues/opportunities identified during auditing/monitoring of coding.
    2. Ientifies any medical staff training needed from issues/opportunities found during audits, notifying coding manager and coding educator of educational needs. Assists in providing training to coders, hospital staff and physicians for ICD-10-CM/PCS future implementation.
    3. Assists in compiling information as needed for various Medical Staff, Medical Records and Quality meetings.
    4. Serves as a resource to Internal Audit staff/RMD on coding and chargemaster-related issues.
  4. Other Duties As Assigned
    1. Performs other duties as assigned or requested.
    2. Stays abreast of the latest developments, advancements, and trends in the field of coding by attending educational programs, reading professional journals, actively participating in professional organizations, and maintaining certification. Integrates knowledge gained into current work practices.

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