[Remote] Director of Coding Operations Education

Note: The job is a remote job and is open to candidates in USA. HCA Healthcare is a leading provider of healthcare services, and they are seeking a Director of Coding Operations Education to lead the design, development, and delivery of coding education components for HCA Physician Services. This role involves overseeing compliance and quality initiatives, developing education strategies, and collaborating with cross-functional teams to ensure ethical coding practices and regulatory adherence.

Responsibilities

• Oversight of Quality Assessment Program: Develop, implement, and monitor a robust Coding Quality Assessment Program that ensures compliance with:
• National coding guidelines (e.g., ICD-10, CPT, HCPCS)
• CSG and Company coding policies
• Federal and state regulations (e.g., CMS, HIPAA)
• Audit Readiness and Risk Mitigation: Ensure internal reviews and education programs for all lines of business, address findings from audits and quality assessments, reducing compliance risk and supporting accurate reimbursement and data integrity
• Policy Enforcement: Maintain and enforce coding standards and documentation requirements to minimize variation in coding practices and uphold regulatory compliance
• Develop and deploy compliance-focused education strategies for coding staff, providers, and stakeholders to improve documentation quality and support accurate code assignment
• Collaborate with cross-functional teams—including Central Coding Support, practice leadership, the Physician Service Center, IT&S, Regulatory Compliance, and division coding staff to implement compliance-driven initiatives and resolve coding disputes
• Develop strategic coding and HIM compliance communication and education plans for all lines of business and represented specialties. This includes the Coding Quality Workplan, regulatory audit requirements, code appeal process, training needs, approved training methods, implementation, and evaluation for CSG in alignment with federal and state regulations
• Manage the development of coding and HIM content, ensuring all materials are competency-based, operationally sound, and aligned with national coding guidelines, CMS regulations, and organizational compliance policies
• Deliver compliance-focused training and communication to leadership teams and end-users using approved methodologies (e.g., instructor-led, train-the-trainer, virtual classroom, webcast, or web-based), ensuring consistent understanding of coding guidelines and documentation requirements
• Define and implement the Coding Operations Appeals process with strict adherence to payer filing guidelines and provide timely feedback to operations business partners to mitigate compliance risk
• Escalate significant compliance-related issues (e.g., education gaps, payer regulatory changes, vendor compliance concerns) to AVP promptly
• Communicate regulatory updates and payer-specific documentation requirements to AVP and cross-functional teams, ensuring timely integration into coding practices and education programs
• Maintain accurate and auditable records of all coding training activities, ensuring compliance with internal policies and external regulatory standards
• Identify and implement process improvements to reduce risk, lower costs, and enhance service quality
• Champion innovation and knowledge sharing across coding operations workflows to promote best practices and regulatory integrity across the enterprise encompassing all lines of business
• Monitor and stay current on all coding/billing regulatory requirements (e.g., CMS, OIG, HIPAA) and company policies, ensuring timely staff education and adherence
• Provide authoritative coding guidance to resolve coding related issues for internal customers and other departments for all lines of business and all specialties
• Apply principles of Education and Organizational Development to design focused learning programs that support regulatory adherence
• Maintain a strong understanding of Revenue Cycle operations and technologies currently in place to support regulatory objectives
• Ensure confidentiality of all company and regulated information in accordance with HIPAA and organizational policies
• Adhere to the organizations Code of Conduct and Mission and Value Statement
• Other duties as assigned

Skills

• Bachelors Degree Required
• Minimum 7 years' health care management/leadership experience required
• Superior interpersonal skills at the executive level and the ability to work within a highly matrixed environment required
• Excellent communication skills, both written and verbal required
• Leadership skills in individual and group settings to reach identified outcomes, achieve high performance standards and deliver quality services
• Possess critical thinking, analytical, and problem skills required
• Effective operational decision-making aligned with organizational values
• Initiates steps independently toward problem resolution and operational improvements
• Effectively manages antagonistic, crucial encounters to diffuse tension and reach understanding and alignment as much as possible
• Must hold one of the following AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders) Certifications: Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), Certified Professional Coder (CPC®), Certified Outpatient Coder (COC®), Certified Documentation Expert Outpatient (CDEO®), Certified Professional Medical Auditor (CPMA®)
• Minimum 10 years' professional fee coding and revenue cycle operations experience strongly preferred
• Proven work experience in areas of process reengineering and project management strongly preferred
• Experience leading large organizations preferred
• Positive change management experience
• Proven success in building and maintaining strategic working relationships

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Company Overview