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Medical Coding Compliance Jobs in Chicago, IL (NOW HIRING)

Certified Medical Coder

Gary, IN · Remote

$22.50 - $30.75/hr

Medical Coding and Documentation * Review medical records to accurately identify diagnoses ... Participate in internal coding audits and external compliance reviews. * Assist in correcting ...

... Medical Coding Preferred STANDARDS OF BEHAVIOR Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code. CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE ...

... Medical Coding Preferred STANDARDS OF BEHAVIOR Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code. CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE ...

... Medical Coding Preferred STANDARDS OF BEHAVIOR Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code. CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE ...

... Medical Coding Preferred STANDARDS OF BEHAVIOR Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code. CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE ...

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Medical Coding Compliance information

See Chicago, IL salary details

$16

$23

$35

How much do medical coding compliance jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medical coding compliance in Chicago, IL is $23.10, according to ZipRecruiter salary data. Most workers in this role earn between $18.56 and $24.76 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 Chicago, IL?

For Medical Coding Compliance jobs in Chicago, IL, the most frequently searched job titles are:

What job categories do people searching Medical Coding Compliance jobs in Chicago, IL look for?

The top searched job categories for Medical Coding Compliance jobs in Chicago, IL are:

What cities near Chicago, IL are hiring for Medical Coding Compliance jobs?

Cities near Chicago, IL with the most Medical Coding Compliance job openings:

Infographic showing various Medical Coding Compliance job openings in Chicago, IL as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $48,044 per year, or $23.1 per hour.

Other

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago


Job description

EMS Medical Coding Specialist

At Paramedic Services of Illinois, we are dedicated to providing compassionate and high-quality emergency medical care to our community. Our company culture is centered around the belief that every individual deserves prompt and professional medical attention delivered with empathy and respect.

The EMS Medical Coding Specialist is responsible for accurate and compliant assignment of diagnosis and procedure codes to emergency medical services encounters, including ground and air ambulance transports. This senior-level position requires expert knowledge of ICD-10-CM, HCPCS Level II coding conventions, and Medicare/Medicaid billing regulations specific to EMS transport services. The specialist ensures optimal reimbursement while maintaining strict adherence to federal and state compliance requirements.

Medical Coding & Documentation:

  • Review and abstract patient care reports (PCRs) to assign accurate ICD-10-CM diagnosis codes and HCPCS transport codes (A0426–A0436).
  • Evaluate medical necessity documentation to support BLS, ALS-1, ALS-2, and specialty care transport (SCT) levels.
  • Apply modifiers (e.g., QL, QM, QN) correctly for Medicare and Medicaid claims.
  • Query EMS providers for incomplete or ambiguous clinical documentation in accordance with AHIMA query guidelines.
  • Maintain coding accuracy rate of 95% or above on internal and external audits

Billing & Claims Management:

  • Submit clean claims to Medicare, Medicaid, and commercial payers following payer-specific guidelines.
  • Review and resolve coding-related claim denials, underpayments, and appeals.
  • Identify and escalate patterns of denial or documentation deficiency to management.
  • Coordinate with billing staff to ensure seamless claims submission and follow-up.

Compliance & Quality Assurance:

  • Ensure coding practices comply with OIG guidelines, HIPAA, and payer-specific policies.
  • Participate in internal audits and respond to external audit requests.
  • Monitor and implement updates related to annual HCPCS/ICD-10 code changes and CMS rulemaking.
  • Maintain current knowledge of Local Coverage Determinations (LCDs) for ambulance services.

Required Qualifications & Skills:

  • Minimum 3–5 years of EMS/ambulance medical coding experience.
  • Active CPC, CCS, or COC credential from AAPC or AHIMA; CPC-P or AMPA EMT-Coder preferred.
  • Expert-level knowledge of ICD-10-CM, HCPCS Level II, and CMS ambulance billing rules.
  • Demonstrated experience with Medicare ambulance billing, including ABN requirements and transport certification statements.
  • Proficiency with EMS billing software (e.g., Zoll Billing, TriTech, ESO, ImageTrend).
  • Strong understanding of federal and state ambulance reimbursement regulations.
  • High school diploma or GED required; Associate's or Bachelor's degree in Health Information Management preferred.

Preferred Qualifications:

  • Certified Ambulance Coder (CAC), Certified Professional Coder (CPC), or other revenue cycle certification.
  • Familiarity with value-based care models and ET3 (Emergency Triage, Treat, and Transport) program billing.
  • Knowledge of state-specific Medicaid managed care ambulance reimbursement policies.
  • Experience with revenue cycle analytics and reporting tools.

Work Environment & Benefits:

  • Employment Type: Full-time
  • Compensation: Competitive hourly pay based on experience.
  • Benefits: Health, dental, vision, 401(k), paid time off, professional development opportunities.

$26 - $32 biweekly

At Paramedic Services of Illinois, our company culture is built on the foundation of compassion, professionalism, and teamwork. For over 50 years, we have been committed to creating a supportive and inclusive work environment where every team member is valued and respected. Our philosophy extends not only to our patients but also to our employees, who play a vital role in fulfilling our mission of providing exceptional emergency medical care to our communities.

Join our team at Paramedic Services of Illinois and be part of a company that truly cares about its employees and the communities we serve.