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Medical Coding Compliance Jobs in Rochester, NY (NOW HIRING)

RadNet

Compliance Medical Records Auditor

Fairport, NY · On-site

$63K/yr

Independently conducts and documents compliance audits of medical records, coding, and billing in accordance with regulatory requirements, internal policies, and audit standards. * Analyzes audit ...

RadNet

Compliance Medical Records Auditor

Fairport, NY · On-site

$63K - $87K/yr

Independently conducts and documents compliance audits of medical records, coding, and billing in accordance with regulatory requirements, internal policies, and audit standards. * Analyzes audit ...

Rochester Regional Health

Coder - Inpatient

Rochester, NY · On-site +1

$21.50 - $26/hr

... compliant Physician Coding Queries when documentation is inadequate, ambiguous or unclear for ... H), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), Registered ...

Varsity Tutors

CPC Tutor

Rochester, NY · Remote

$18 - $40/hr

Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...

Rochester Regional Health

Coder - Lead

Rochester, NY · On-site +1

$23.10 - $33.60/hr

This role ensures daily operational functions are met, supports coding quality and compliance, and ... medical conditions), sexual orientation, gender identity or expression, national origin, age ...

Allied Digestive Health

Medical Secretary 2

Rochester, NY · On-site

$18 - $20/hr

The Medical Secretary 2 plays a critical role in ensuring the smooth and efficient operation of ... Experience with insurance billing and coding processes. * Familiarity with healthcare compliance ...

Lthc

Medical Director, Commercial

Rochester, NY · On-site

Provides clinical expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews ... compliant with these requirements. * Conducts periodic staff meetings to include timely ...

Lthc

Medical Director, Commercial

Rochester, NY · On-site

Provides clinical expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews ... compliant with these requirements. * Conducts periodic staff meetings to include timely ...

Lthc

Medical Director, Commercial

Rochester, NY · On-site

Provides clinical expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews ... compliant with these requirements. * Conducts periodic staff meetings to include timely ...

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Medical Coding Compliance information

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How much do medical coding compliance jobs pay per hour?

As of Jun 27, 2026, the average hourly pay for medical coding compliance in Rochester, NY is $22.12, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $23.70 per hour, depending on experience, location, and employer.

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 is the full meaning of medical?

In the context of medical coding compliance, 'medical' refers to anything related to the practice of medicine, healthcare, and patient care. It encompasses medical diagnoses, procedures, and services that are documented and coded for billing, reimbursement, and compliance purposes.

What's the difference between Medicare and Medi-Cal?

Medical coding compliance professionals need to understand that Medicare is a federal health insurance program primarily for people aged 65 and older or with certain disabilities, while Medi-Cal is California's Medicaid program providing health coverage for low-income individuals and families. Both programs have different billing rules, coverage policies, and documentation requirements that impact coding accuracy and compliance efforts.

What's the maximum income to qualify for Medi-Cal?

For medical coding compliance roles, eligibility for Medi-Cal depends on income levels, which are generally set as a percentage of the Federal Poverty Level (FPL). As of 2023, individuals with incomes up to 138% of the FPL typically qualify for Medi-Cal in California. Income limits vary by household size and specific program rules, so it's important to check current guidelines for accurate qualification thresholds.

Is medical the same as medi-cal?

Medical coding compliance professionals focus on ensuring accurate coding and billing practices for healthcare services. Medi-Cal is California's Medicaid program providing health coverage to eligible individuals; it is not related to medical coding but involves healthcare program administration. The two are distinct in purpose and function within the healthcare industry.

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 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 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 popular job titles related to Medical Coding Compliance jobs in Rochester, NY? For Medical Coding Compliance jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Medical Coding Compliance jobs in Rochester, NY look for? The top searched job categories for Medical Coding Compliance jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Medical Coding Compliance jobs? Cities near Rochester, NY with the most Medical Coding Compliance job openings:
Medical Coding Compliance jobs near you
Medical Coding Specialist

Medical Coding Specialist

TRILLIUM HEALTH INC

Rochester, NY • On-site

$20 - $28.80/hr

Full-time

Posted 10 days ago

Job description

Job Title: Medical Coding Specialist

Department: Revenue Cycle

Position Type: Full-Time

FLSA: Non-Exempt

Job Summary:

The Medical Coding Specialist is responsible for reviewing medical records and encounter documentation to ensure accurate, complete, and compliant coding in accordance with ICD-10-CM and CPT guidelines. Under the supervision of the Director of Revenue Cycle and Billing, this role supports compliant billing practices, maximizes reimbursement, and ensures adherence to federal, state, and payer regulations, including those specific to Federally Qualified Health Centers (FQHCs).

The Medical Coding Specialist collaborates closely with providers, billing staff, and other members of the healthcare team to clarify documentation, resolve coding issues, and promote best practices in clinical documentation and coding accuracy.

Duties and Responsibilities:Medical Coding
  • Review and analyze patient records and clinical documentation to ensure completeness and accuracy for coding purposes.
  • Assign and sequence diagnosis and procedure codes using ICD-10-CM and CPT for all services rendered.
  • Apply coding guidelines and regulatory requirements to ensure correct code assignment and compliance.
Compliance and Accuracy
  • Adhere to national coding standards, payer policies, and regulatory requirements.
  • Stay current on coding rules, regulations, and industry trends through ongoing education and training.
Collaboration with Healthcare Staff
  • Communicate with providers to clarify missing, incomplete, or unclear documentation.
  • Provide education and feedback to clinical staff on documentation best practices to support accurate coding.
  • Participate in team meetings related to patient care, billing, and coding updates.
Billing Support
  • Accurately translate medical procedures and diagnoses into codes for submission to payers.
  • Ensure timely submission of coding information to support claims processing and reimbursement.
  • Collaborate with billing staff to resolve coding-related claim issues.
Record Maintenance
  • Maintain strict confidentiality of patient information in compliance with HIPAA and privacy laws.
  • Ensure coded medical records are stored securely and accurately.
  • Keep coding manuals and guidelines current and updated.
Professional Development and Other Duties
  • Pursue ongoing professional development to remain proficient in medical coding.
  • Attend workshops, seminars, and training sessions as needed.
  • Serve as a resource or mentor to less experienced coding staff when applicable.
  • Assist with automation of cash receipt applications and perform other duties as assigned.
Required Skills and Abilities:
  • Proficiency in medical terminology, ICD-10-CM, and CPT coding systems
  • Strong attention to detail and accuracy
  • Knowledge of FQHC billing and reimbursement regulations
  • EPIC experience preferred.
  • Effective written and verbal communication skills
  • Ability to work collaboratively with clinical and administrative teams
  • Ability to relate to individuals from diverse backgrounds, cultures, races, sexual orientations, and gender identities
Education and Experience:
  • Associate’s Degree in Health Information Management or a related field required
  • Professional coding certification required (CPC, CCS, or equivalent)
  • Minimum of 6 months of professional fee coding experience
  • Commitment to continuous learning and staying current with coding regulations and healthcare requirements
Physical Requirements:

While performing the duties of this job, the employee is regularly required to sit, stand, walk, use hands to finger, handle or feel; reach with hands and arms; and talk or hear. The employee may occasionally need to stoop, bend, and lift or move up to 25 pounds. Specific vision abilities include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.

Equal Employment Opportunity

Trillium Health promotes Equal Employment Opportunity for all, respecting diverse backgrounds, cultures, races, ages, experiences, and opinions. Employees are expected to meet departmental performance standards and participate in compliance audits, process improvement initiatives, and quality improvement plans