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Medical Coding Compliance Jobs (NOW HIRING)

Lee Obstetrics & Gynecology

Medical Coder

Auburn, AL

$16 - $21.50/hr

Analyze operative reports, delivery logs, and office visit notes to ensure full coding compliance ... Active medical coding certificate or Associates degree along with passing a national certification ...

CarePerks LLC

Medical Coding specialist

Tucker, GA

Join Our Team as a Medical Coding Specialist CarePerks LLC, a leading healthcare organization in ... Ensuring compliance with all coding guidelines and regulations * Communicating with healthcare ...

Advanced Pain Care

Coding Manager

Austin, TX · On-site

$70K - $75K/yr

Extensive knowledge of Federal, State, and third party payer rules and regulations regarding medical coding compliance. * Ability to interpret, adapt, and apply Federal, State, and third party payer ...

Advanced Pain Care

Coding Manager

Austin, TX

$70K - $75K/yr

Ensures all medical coding analysts comply with Federal, State, and third party billing rules and regulations. Identifies and coordinates compliance/coding questions to Federal, State and third party ...

Advanced Pain Care

Coding Manager

Austin, TX · On-site

$70K - $75K/yr

Extensive knowledge of Federal, State, and third party payer rules and regulations regarding medical coding compliance. * Ability to interpret, adapt, and apply Federal, State, and third party payer ...

Graham Technologies

Medical Coding SME

Falls Church, VA · On-site

Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting ...

Graham Technologies

Medical Coding SME

Falls Church, VA · On-site

Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting ...

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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 20, 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 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.
More about Medical Coding Compliance jobs
What cities are hiring for Medical Coding Compliance jobs? Cities with the most Medical Coding Compliance job openings:
What states have the most Medical Coding Compliance jobs? States with the most job openings for Medical Coding Compliance jobs include:
What job categories do people searching Medical Coding Compliance jobs look for? The top searched job categories for Medical Coding Compliance jobs are:
Medical Coding Compliance jobs near you
Infographic showing various Medical Coding Compliance job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 79% Physical, 4% Hybrid, and 17% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.
Client Success- Coding Manager

Client Success- Coding Manager

Plutus Health

Addison, TX • On-site

Full-time

Posted 12 days ago

Job description

About Plutus Health Inc.:

Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and recognized among the Inc. 5000 fastest-growing private companies. We specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. Our commitment to innovation and excellence has earned us recognition as a 2024 EY Entrepreneur Of The Year finalist and one of the top 100 fastest-growing companies in Dallas.


Job Description:

We are seeking an experienced Client Success- Coding Manager with expertise in medical coding, auditing, and compliance to oversee client relationships, coding operations, and revenue cycle optimization. This role requires a deep understanding of CPT, ICD-10, HCPCS, payer policies, and denial management, ensuring that clients receive best-in-class coding services and compliance support.

The ideal candidate will have a strong background in medical coding, compliance audits, RCM workflow optimization, and payer regulations, along with exceptional client relationship management skills.

Key Responsibilities:

Client Success & Relationship Management:

  • Serve as the primary point of contact for clients, ensuring smooth communication and resolution of coding-related concerns.
  • Develop and implement client engagement strategies to maximize satisfaction, retention, and revenue growth.
  • Conduct Quarterly Business Reviews (QBRs) and compliance audits to drive process improvements.
  • Identify upsell and cross-sell opportunities within client accounts to expand coding service offerings.

Medical Coding & Compliance Oversight:

  • Ensure adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines across multiple specialties.
  • Conduct coding audits, documentation reviews, and risk assessments to improve coding accuracy and compliance.
  • Monitor denial trends, coding discrepancies, and revenue leakage, implementing corrective actions as needed.
  • Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory compliance.
  • Provide training and education to clients and internal teams on evolving coding guidelines and best practices.

Revenue Cycle & Denial Management:

  • Optimize coding workflows, ensuring efficient charge capture and clean claim submission.
  • Collaborate with billing, AR, and denial management teams to reduce denials, enhance revenue recovery, and improve coding accuracy.
  • Track key performance indicators (KPIs) such as clean claim rates, denial rates, coding accuracy, and compliance scores.
  • Drive coding automation initiatives to improve operational efficiency and minimize manual errors.

Cross-Functional Collaboration & Leadership:

  • Work closely with operations, compliance, and technology teams to refine and enhance coding service offerings.
  • Lead and mentor onshore and offshore coding teams, ensuring high performance and adherence to compliance standards.
  • Partner with business development teams to support client onboarding, process improvement initiatives, and contract renewals.
  • Act as an RCM Subject Matter Expert (SME) in internal strategy discussions and client engagements.

Required Qualifications:

  • Bachelor's degree in Healthcare Administration, Business, or a related field (Master's preferred).
  • 7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role.
  • Certification required: CPC, CCS, or equivalent (AHIMA or AAPC certification preferred).
  • Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies.
  • Experience in coding audits, denial resolution, and revenue integrity initiatives.
  • Proficiency in RCM platforms, EHR/EMR systems (Epic, Meditech, Paragon, etc.).
  • Experience managing onshore/offshore coding teams and handling multi-client engagements.
  • Strong analytical, problem-solving, and negotiation skills with the ability to translate data into actionable insights.
  • Willingness to travel as needed(30-50%).

Why Join Plutus Health Inc.?

  • Work for a fast-growing, innovative company recognized for excellence in healthcare.
  • Collaborate with a dynamic, supportive team that values professional development.
  • Make a meaningful impact on patient care and operational success.

Apply