Medical Coding Compliance Specialist

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Medical Coding Compliance Specialist in United States.

In this role, you will ensure the organization’s medical coding and billing practices meet all federal, state, and payer compliance requirements. You will conduct audits, provide training, and act as a subject matter expert on coding and documentation standards. The role combines analytical rigor with strong communication skills, requiring collaboration across clinical, billing, and revenue cycle teams. You will identify compliance risks, recommend corrective actions, and support continuous improvement initiatives. This position offers the opportunity to contribute to the integrity of healthcare operations in a remote, supportive, and growth-oriented environment.

• Conduct thorough audits of medical records and coding practices to ensure compliance with ICD-10-CM, CPT, HCPCS, and other guidelines.
• Identify trends, potential compliance risks, and gaps in coding practices, recommending and implementing corrective actions.
• Develop and deliver educational programs, presentations, and one-on-one training for staff on coding best practices and regulatory compliance.
• Maintain current knowledge of federal and state regulations, CMS guidelines, and industry coding standards.
• Serve as a resource for internal and external inquiries regarding coding, billing, and documentation compliance.
• Prepare clear, concise reports summarizing audit findings and compliance issues for management review.
• Investigate potential non-compliant activities or billing discrepancies and recommend solutions.
• Collaborate with billing, clinical, and revenue cycle teams to ensure compliant and efficient workflows.

• Relevant coding certification such as CPC, CCS, CPMA, or equivalent.
• Associate or bachelor’s degree in health information management or related field preferred.
• Minimum of 5 years of experience in medical coding and auditing, including professional services for Evaluation and Management coding, Chronic Care Management, and Risk Adjustment coding.
• Strong knowledge of CPT, ICD-10-CM, HCPCS coding systems, and Medicare/Medicaid regulations.
• Analytical skills to perform root cause analysis, identify trends, and evaluate complex information.
• Excellent verbal, written, and presentation skills to communicate coding and compliance concepts effectively.
• Proactive problem-solving skills with the ability to gain acceptance of recommended solutions.
• High degree of integrity and ability to maintain confidentiality with sensitive patient information.

• Competitive annual compensation up to $85,000 USD, based on experience and qualifications.
• Fully remote work with flexible Monday to Friday schedule.
• Comprehensive training programs to enhance skills and knowledge.
• Paid time off and recognized holidays for work-life balance.
• Employer-paid life insurance coverage.
• Supportive, collaborative, and inclusive work environment.
• Career growth opportunities and potential for advancement.

Why Apply Through Jobgether?

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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