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HomeCompanies1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001Coding and Compliance Analyst

Coding and Compliance Analyst

1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001 · Marshfield, WI, US, Marshfield, WI · Remote · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
Company1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001
TitleCoding and Compliance Analyst
Normalized title-
Department / team-
LocationMarshfield, WI, United States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-05-29 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from 1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Marshfield.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001
Source19747cbe-01cb-40d7-b526-d1d4ccbab035
ATS providerADP Workforce Now Recruiting

Description

*Remote/Hybrid Position - Regular travel required. Must live within one-hour of Marshfield, WI* JOB SUMMARY The Coding and Billing Compliance Analyst plays a critical role in safeguarding the accuracy, integrity, and regulatory compliance of coding and billing operations across all service lines. This position supports the organization’s revenue cycle and compliance initiatives by conducting detailed coding and billing reviews, identifying areas of risk, and contributing to the development of corrective action plans and educational programs. The analyst ensures adherence to federal and state billing regulations, including Medicaid/Medicare guidelines, HRSA program requirements, and Office of Inspector General (OIG) guidance specific to Federally Qualified Health Centers (FQHCs). The Analyst collaborates with providers, billing teams, compliance officers, and revenue cycle leadership, to improve clinical documentation, optimize reimbursement, and maintain full compliance with all applicable standards and payer requirements. ESSENTIAL JOB FUNCTIONS Reviews provider documentation, medical records, and associated charges to ensure correct assignment of ICD-10, CPT, HCPCS codes, and modifiers according to payer, CMS, HRSA, and FQHC-specific guidelines. Conducts regular audits of coding, billing, and claims to ensure accuracy, completeness, and compliance with CPT, CDT, HCPCS, ICD-10, and payer-specific guidelines. Monitors claims submissions, pre-bill edits, denials, and payor feedback and identify coding and billing errors or trends and recommend corrective actions and coordinate follow-up audits as needed. Assists in developing, updating, and maintaining coding and billing compliance policies, procedures, training materials as guidelines or payor rules change. Collaborates proactively with providers, clinical teams, and billing staff to ensure accurate documentation, compliant coding practices, and adherence to Medicaid coverage and reimbursement requirements. Analyzes denied or underpaid claims to identify root causes, including coding errors, documentation gaps, or payer-specific policy issues, and collaborate with interdepartmental teams to implement targeted process improvements that strengthen billing compliance and optimize revenue integrity. Monitors and interprets payer updates, coding changes, and reimbursement policy revisions from CMS, HRSA, Medicaid, and commercial payers; evaluates their impact on FQHC operations and communicates relevant updates, guidance, and action steps to affected departments to ensure compliance and optimized reimbursement. Monitors coding practices for compliance with FQHC Prospective Payment System (PPS) and encounter-based billing guidelines. Performs charge reviews comparing itemized bills to medical record documents to ensure appropriate charges. Conducts regular staff training sessions for providers, billers, and clinical staff on documentation, coding updates, and compliance best practices. Prepares audit reports and presents findings to leadership and compliance officer. Maintains strict adherence to scheduled work hours with regular and reliable attendance. Performs other duties as assigned. EDUCATION AND EXPERIENCE Minimum of 3-5 years of experience in medical billing, coding, and/or compliance within a healthcare setting is required; FQHC experience preferred. Proficiency with EHR and practice management systems (e.g., Epic Systems, NextGen Healthcare, eClinicalWorks). Associate’s or degree in Health Information Management, Healthcare Administration, or related field preferred. CERTIFICATIONS / LICENSES Certified Professional Coder (CPC), awarded by American Academy Professional Coders (AAPC) required. Additional credentials such as Certified Compliance Professional (CCP) preferred. Valid Wisconsin Driver’s License required with an acceptable motor vehicle record (MVR), per FHC guidelines. Equal Employment Opportunity

Full job record

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Org IDe0dd2d29-af8b-49b9-83bc-bceb0689205f
Source ID19747cbe-01cb-40d7-b526-d1d4ccbab035
Board ID19747cbe-01cb-40d7-b526-d1d4ccbab035
Provideradp_workforcenow
Provider Job Key547039
TitleCoding and Compliance Analyst
Normalized Title
Statusactive
Activeyes
Location TextMarshfield, WI, US, Marshfield, WI
Department
Team
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
RegionWI
CityMarshfield
Salary Raw
Salary Min
Salary Max
Salary Currency
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Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1c3b0140-d78f-4fbd-a557-eff5c30226e6&ccId=19000101_000001&lang=en_US&type=JS&jobId=547039&jwId=9200931080924_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1c3b0140-d78f-4fbd-a557-eff5c30226e6&ccId=19000101_000001&lang=en_US&type=JS&jobId=547039&jwId=9200931080924_1
First Seen At2026-05-31 18:21:23Z
Last Seen At2026-06-06 12:11:34Z
Last Checked At2026-06-06 12:11:34Z
Last Changed At2026-06-06 12:11:34Z
Inactive At
Source Posted At2026-05-29 13:39:00Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=1c3b0140-d78f-4fbd-a557-eff5c30226e6|19000101_000001/date=2026-06-06/2026-06-06T12-11-28-285Z-ec938c5ce6916e6f4040143c052575a11699d884fd7fc5e192091ea42b20b93a.json
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Extensions
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    "requisitionDescription": "<div><div><div><div><div><div><p style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;text-align:justify;' data-pasted=\"true\"><strong><span style=\"font-family: arial, sans-serif;\">*Remote/Hybrid Position - Regular travel required. Must live within one-hour of Marshfield, WI*</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:#BFBFBF;' data-pasted=\"true\"><strong><span style=\"font-size: 12px; font-family: arial, sans-serif; color: black;\">JOB SUMMARY</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;'><span style=\"font-size: 12px; font-family: arial, sans-serif; color: black;\">The Coding and Billing Compliance Analyst plays a critical role in safeguarding the accuracy, integrity, and regulatory compliance of coding and billing operations across all service lines. &nbsp;This position supports the organization&rsquo;s revenue cycle and compliance initiatives by conducting detailed coding and billing reviews, identifying areas of risk, and contributing to the development of corrective action plans and educational programs. &nbsp;The analyst ensures adherence to federal and state billing regulations, including Medicaid/Medicare guidelines, HRSA program requirements, and Office of Inspector General (OIG) guidance specific to Federally Qualified Health Centers (FQHCs). &nbsp;The Analyst collaborates with providers, billing teams, compliance officers, and revenue cycle leadership, to improve clinical documentation, optimize reimbursement, and maintain full compliance with all applicable standards and payer requirements.</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;'><span style=\"font-size: 12px; font-family: arial, sans-serif;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:#BFBFBF;'><span style=\"font-family: arial, sans-serif; font-size: 12px;\"><strong><span style=\"color: black;\">ESSENTIAL JOB FUNCTIONS</span></strong></span></p><div style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;'><ol style=\"margin-bottom:0in;list-style-type: decimal;margin-left: -0.25in;\"><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: black;\">Reviews provider documentation, medical records, and associated charges to ensure correct assignment of ICD-10, CPT, HCPCS codes, and modifiers according to payer, CMS, HRSA, and FQHC-specific guidelines.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: black;\">Conducts regular audits of coding, billing, and claims to ensure accuracy, completeness, and compliance with CPT, CDT, HCPCS, ICD-10, and payer-specific guidelines.&nbsp;</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: black;\">Monitors claims submissions, pre-bill edits, denials, and payor feedback and identify coding and billing errors or trends and recommend corrective actions and coordinate follow-up audits as needed.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: black;\">Assists in developing, updating, and maintaining coding and billing compliance policies, procedures, training materials as guidelines or payor rules change.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: windowtext;\">Collaborates proactively with providers, clinical teams, and billing staff to ensure accurate documentation, compliant coding practices, and adherence to Medicaid coverage and reimbursement requirements.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: windowtext;\">Analyzes denied or underpaid claims to identify root causes, including coding errors, documentation gaps, or payer-specific policy issues, and collaborate with interdepartmental teams to implement targeted process improvements that strengthen billing compliance and optimize revenue integrity.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: windowtext;\">Monitors and interprets payer updates, coding changes, and reimbursement policy revisions from CMS, HRSA, Medicaid, and commercial payers; evaluates their impact on FQHC operations and communicates relevant updates, guidance, and action steps to affected departments to ensure compliance and optimized reimbursement.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: windowtext;\">Monitors coding practices for compliance with FQHC Prospective Payment System (PPS) and encounter-based billing guidelines.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: black;\">Performs charge reviews comparing itemized bills to medical record documents to ensure appropriate charges.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: windowtext;\">Conducts regular staff training sessions for providers, billers, and clinical staff on documentation, coding updates, and compliance best practices.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: windowtext;\">Prepares audit reports and presents findings to leadership and compliance officer.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\">Maintains strict adherence to scheduled work hours with regular and reliable attendance.</li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: windowtext;\">Performs other duties as assigned.</span></li></ol></div><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Calibri\",sans-serif;margin:0in;color:black;margin-bottom:1.1pt;text-align:justify;'><span style=\"font-size: 12px; color: windowtext; font-family: arial, sans-serif;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:#BFBFBF;'><span style=\"font-family: arial, sans-serif; font-size: 12px;\"><strong><span style=\"color: black;\">EDUCATION AND EXPERIENCE</span></strong></span></p><div style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;'><ol style=\"margin-bottom:0in;list-style-type: decimal;margin-left: -0.25in;\"><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: black;\">Minimum of 3-5 years of experience in medical billing, coding, and/or compliance within a healthcare setting is required; FQHC experience preferred.</span></li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\">Proficiency with EHR and practice management systems (e.g., Epic Systems, NextGen Healthcare, eClinicalWorks).</li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\"><span style=\"color: black;\">Associate&rsquo;s or degree in Health Information Management, Healthcare Administration, or related field preferred.</span></li></ol></div><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;'><span style=\"font-size: 12px; font-family: arial, sans-serif;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:#BFBFBF;'><span style=\"font-family: arial, sans-serif; font-size: 12px;\"><strong><span style=\"color: black;\">CERTIFICATIONS / LICENSES</span></strong></span></p><div style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;'><ol style=\"margin-bottom:0in;list-style-type: decimal;margin-left: -0.25in;\"><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\">Certified Professional Coder (CPC), awarded by American Academy Professional Coders (AAPC) required.</li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\">Additional credentials such as Certified Compliance Professional (CCP) preferred.</li><li style=\"margin: 0in; font-size: 12px; font-family: arial, sans-serif;\">Valid Wisconsin Driver&rsquo;s License required with an acceptable motor vehicle record (MVR), per FHC guidelines.</li></ol><p><br></p><p><span style=\"font-family: arial, sans-serif; font-size: 12px;\" data-pasted=\"true\"><span data-teams=\"true\" data-pasted=\"true\">Equal Employment Opportunity</span></span></p></div></div></div></div></div></div></div>\n",
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