Director – Coding, Audit, Compliance, Operational Excellence

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VMG Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1995

🏥 Healthcare

💼 Consulting

☁️ SaaS

💰 Private equity on 2020-04

Healthcare • Consulting • SaaS

VMG Health is a healthcare-focused consulting firm with three decades of experience that provides advisory, operational, compliance, valuation, and transaction services to healthcare organizations. The firm offers M&A and transaction advisory, valuation advisory, coding audit and compliance, strategy and operational performance consulting, physician enterprise solutions, litigation and dispute resolution support, and specialized expertise in ophthalmology and eyecare. VMG also develops software and analytics products (e. g. , Compliance Risk Analyzer®, FMV-MD®, Intellimarker®) and membership programs to support client performance. The company serves clients across all 50 states, employs 300+ professionals, and recently acquired Community Link Consulting.

📋 Description

• Provide strategic oversight for coding, audit, compliance, and revenue cycle engagements • Serve as a trusted advisor to clients, delivering clear, actionable recommendations • Ensure delivery of accurate, high-quality, and audit-defensible work products • Lead executive-level presentations and client discussions • Lead and advise on RCM initiatives, including coding, billing, audit, and revenue integrity • Oversee RADV/HCC audits and documentation improvement strategies • Evaluate provider documentation and coding accuracy to ensure compliance with CMS and payer requirements • Identify opportunities to improve reimbursement, risk capture, and operational performance • Mentor and develop Managers, Auditors, and consulting staff • Provide guidance on engagement execution, quality standards, and client communication • Foster a collaborative, high-performing team environment • Develop and maintain client relationships to support growth • Identify and pursue new business opportunities • Participate in proposals, presentations, and industry events • Contribute to thought leadership, including publications and speaking engagements

🎯 Requirements

• 8+ years of healthcare industry experience • Proven experience in Revenue Cycle Management (RCM) and healthcare operations • Demonstrated expertise in HCC/risk adjustment coding and documentation • Strong knowledge of ICD-10-CM, CPT®, and HCPCS coding • E/M documentation guidelines • CMS regulations and payer requirements • Revenue cycle processes (coding, billing, denials, reconciliation) • CPC, CPMA, CRC required • Bachelor’s degree preferred

🏖️ Benefits

• Professional development opportunities