Director, Coding
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Job Description
Director leading coding, auditing, and compliance for Axia Women’s Health, a multi-state women’s healthcare network. Optimizing physician billing, revenue cycle performance, provider education, and coding operations.
Responsibilities:
- Lead Axia Women’s Health’s coding and auditing function
- Develop and oversee coding processes that support providers, best practices, efficiency, quality outcomes, and maximized revenue
- Ensure the external coding vendor operates efficiently and effectively, including staffing, processes, and supporting systems
- Design and streamline coding and compliance processes with the Manager of Coding, Axia Compliance Officer, and other coding professionals
- Translate and communicate audit findings to educate providers and care centers
- Train care centers on documentation rules and requirements
- Monitor CMS rules and guidelines and communicate changes to the coding and auditing team
- Establish and manage KPI reporting for the coding team and review KPIs daily
- Analyze outstanding accounts receivable, denials, and unbilled claims related to coding operations and resolve issues
- Identify denial trends and manage future denials
- Research and analyze compliance issues using industry publications, the internet, and the Federal Register
- Deliver reports to leadership and communicate issue resolutions and responses
- Partner with physicians, advanced practice providers, care center managers, RCM, regional operations, and third-party coding/billing vendors
- Address staff performance and conduct, including counseling, correction, and discipline as appropriate
- Mentor staff and provide constructive performance feedback
- Monitor compliance with applicable federal, state, and local laws, Axia’s Integrity and Compliance Program, Code of Conduct, and other policies
- Oversee coding personnel
Requirements:
- 8–10 years of relevant experience required
- Minimum 5 years’ experience in billing/coding management
- CPC through AAPC or CCS-P through AHIMA required
- Expert knowledge of physician billing, revenue cycle management, medical coding, and compliance
- Strong knowledge of coding guidelines and CMS guidelines, rules, and regulations
- Ability to investigate compliance rules
- Ability to explain rules and requirements to coders, physicians, advanced practice providers, and care center personnel
- Understanding of value-based care and bundled codes
- Strong leadership and ability to delegate and provide direction
- Exceptional verbal, interpersonal, and written communication skills
- Computer proficiency, including Microsoft Office and EMRs
- Demonstrated excellent Microsoft Excel skills
- Bachelor’s degree or higher preferred, or equivalent experience
- Applicants must be currently authorized to work in the United States on a full-time basis
- Must complete employment eligibility verification upon hire
Benefits:
- Great Place to Work recognition
- Equal opportunity and inclusive workplace
- Community focused on empowering colleagues and patients to be their full, authentic selves
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