Home › Companies › 1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001 › Coding 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
| Field | Value |
|---|---|
| Company | 1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001 |
| Title | Coding and Compliance Analyst |
| Normalized title | - |
| Department / team | - |
| Location | Marshfield, WI, United States |
| Work model | Remote / Remote |
| Employment type | Full Time |
| Salary | - |
| Status | active |
| ATS provider | ADP Workforce Now Recruiting |
| Posted / first seen | 2026-05-29 / 2026-05-31 |
| Changed / last seen | 2026-06-06 / 2026-06-06 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from 1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through ADP Workforce Now Recruiting. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Marshfield. | Open |
| Work model jobs | Active Remote postings. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | 1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001 |
| Source | 19747cbe-01cb-40d7-b526-d1d4ccbab035 |
| ATS provider | ADP 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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| Board ID | 19747cbe-01cb-40d7-b526-d1d4ccbab035 |
| Provider | adp_workforcenow |
| Provider Job Key | 547039 |
| Title | Coding and Compliance Analyst |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Marshfield, WI, US, Marshfield, WI |
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| Employment Type | full_time |
| Workplace Type | remote |
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| Country | United States |
| Region | WI |
| City | Marshfield |
| Salary Raw | — |
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| Apply URL | https://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 At | 2026-05-31 18:21:23Z |
| Last Seen At | 2026-06-06 12:11:34Z |
| Last Checked At | 2026-06-06 12:11:34Z |
| Last Changed At | 2026-06-06 12:11:34Z |
| Inactive At | — |
| Source Posted At | 2026-05-29 13:39:00Z |
| Source Updated At | — |
| Raw Payload Uri | s3://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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"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. 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. 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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;\"> </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. </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;\"> </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; 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