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Medical Coding Compliance Jobs (NOW HIRING)

Quartz

Medical Coding Systems Analyst

Madison, WI · Remote

$72K - $90K/yr

Within these recommendations, this role will outline financial impacts, compliance with regulatory guidelines, provider contracts, and alignment with the industry. The Medical Coding System Analyst ...

Unavailable

Medical Coding Systems Analyst

Madison, WI · On-site

$72K - $90K/yr

Within these recommendations, this role will outline financial impacts, compliance with regulatory guidelines, provider contracts, and alignment with the industry. The Medical Coding System Analyst ...

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Medical Coding Compliance information

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How much do medical coding compliance jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for medical coding compliance in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 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 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 compliance with legal requirements, and implement policies to prevent fraud and errors, often using coding software and staying updated on coding guidelines.

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.
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Medical Coding Compliance jobs near you
Infographic showing various Medical Coding Compliance job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.

Coding & Compliance Specialist

UR Medicine Thompson Health

Canandaigua, NY • On-site

$20 - $25/hr

Other

Posted 6 days ago

Job description

Job Posting

Schedule: Monday - Friday 8am - 4:30pm

Required Job Specific Competencies:
  • Demonstrates skills in customer service, communication, team building and problem solving.
  • Demonstrates competency in all areas of hospital third party insurance billing including federal and state regulations.
  • Demonstrates skill in proactively resolving problems, recommending, and implementing process changes.
  • Demonstrates skill in communicating with patients, payer representatives and associates throughout the Health System.
  • Coordinates and conducts periodic medical record audits for providers to assess compliance with coding (over/under coding, trends), billing, documentation, and payer regulations. Develops reports as directed. Reports findings to management and providers.
  • Electronic Medical Record experience preferred
  • Highly organized and detail oriented
Qualifications:
  • CPC-A required, CPC or CPC-H preferred
  • Excellent communication skills and ability to form collaborative partnerships across all service settings.
  • Proficient in the use of Electronic Medical Records (EMR); ability to create reports on own and interface with EMR vendor to develop reports where none currently exist
  • Extensive knowledge RBRVS and federal, state, and other payer regulations pertaining to documentation, coding (E&M, modifiers, critical care) and billing.
  • Ability to analyze coding and actively question and guide providers and/or Billing staff as appropriate.
  • Strong medical terminology background
  • Competent in Microsoft Office products (Word, Excel, Outlook, PowerPoint). Self-directed, self-starter and able to implement new program
  • Accepts responsibility and follows through on projects and activities.
  • Ability to assimilate new information and technologies into daily work.
Education:
  • CPC-A required
  • CPC or CPC-H preferred
  • Associates degree, preferred
Experience:
  • 3-5 years of healthcare experience, preferred
  • Billing Experience preferred
  • Excellent public/patient relations and communication skills.
  • Skills in using computers including Excel and Word required.

Pay Range: $20.00 - $25.00/hour

Starting Pay: Based on Experience

Thompson Health is an EOE encouraging individuals with disabilities, and veterans to apply.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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