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Medical Coding Compliance Jobs (NOW HIRING)

UNM Medical Group, Inc.

$61 - $76/hr

Oversees the daily operations of a medical coding team, ensuring compliance with Federal, State, and third-party billing regulations. Assists in the planning, organizing, staffing, and daily ...

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DaMar Staffing

Senior ER Coding Auditor

Dallas, TX · On-site

$70 - $90/hr

Certified Er Medical Coding AuditorThe Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal ...

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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 3, 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 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.
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Cities with the most Medical Coding Compliance job openings:

What states have the most Medical Coding Compliance jobs?

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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 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.

Billing And Coding Compliance Analyst

Hunterdon Health

Flemington, NJ • On-site

$28.85 - $36.06/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago

Hunterdon Health rating

6.7

Company rating: 6.7 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

Job description

 

Position Summary

  • Responsible for application and maintenance of medical necessity software, insuring compliance relating to Medicare billing requirements, conducting internal audits relating to medical necessity, analyzing medical necessity denials, communicating and updating staff on changes as they relate to HCPCS and revenue code updates, additions and deletions as it relates to medical necessity.

Primary Position Responsibilities

  1. Has strong knowledge of coding regulations and guidelines for all physician practice specialties, takes advantage of outside education to enhance specialty coding skills , shares and updates staff on coding changes and other job related information
  2. Communicates with specialists to gain coding knowledge by either shadowing them or meeting with them, keeps abreast of new or unique procedures and corresponding coding requirements
  3. Provides support and ongoing physician training by meeting with providers via one on one , email, written and/or verbal communication and answering the requested coding needs of the specialist physician practices
  4. Initiates independent efforts to keep knowledge base current , responds to CBO needs in coding outpatient services for specialist offices Actively participates in scheduling education sessions, Designs coding education curriculums to meet the needs of physician practices Promotes education for self and others by means of webinars and teleconferences offered by Medicare
  5. General & Medicare Compliance: Medicare and Coding Compliance Reviews and monitors MR for coding compliance, use of Medicare website tools, educates providers and staff on applicable billing coding and regulations and updates, Provides corrective measure plan and suggestions to Department Director and Administrative Director
  6. Responsible for maintaining ,tracking, trending and communicating audit results on monthly basis and providing education to physicians and staff on audit outcomes and improvement measures.

Qualifications

  • Minimum Education:
    • Required:
      • High School Diploma or Equivalent, Certificate and/or Advanced Specialized or Technical Training
    • Preferred:
      • None

  • Minimum Years of Experience (Amount, Type and Variation):
    • Required:
      • Three years physician billing or the equivalent required. Medicare billing experience preferred.
    • Preferred:
      • None

  • License, Registry or Certification:
    • Required:
      • Medical coding certification, one of the following CCA,CCS,CPC in good standing
    • Preferred:
      • Billing Compliance, CDM experience, CPAT, CPAM preferred

  • Knowledge, Skills and/or Abilities:
    • Required:
      • Demonstrates strong analytical skills. Demonstrates strong written and verbal communication skills (Word/Excel). Demonstrates ability to interact successfully with persons at all levels of the organization. Demonstrates ability to work independently in a productive, goal-oriented manner
    • Preferred:
      • Knowledge of managed healthcare plans, Medicare and Medicaid regulations. Knowledge of NextGen- software’s coding compliance module and charge master for insurance billing.

Hunterdon Health is committed to providing a competitive benefit package to our employees.  Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).

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