Director, Coding – Education

Job not on LinkedIn

🔥 59 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 10%

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AMSURG

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

🏢 Enterprise

Healthcare • B2B • Enterprise

AMSURG is the nationally recognized leader in the strategic and operational management of ambulatory surgery centers (ASCs), providing high-quality, high-value same-day surgical services and a superior patient experience. The company partners with physician groups and health systems to form joint ventures and manages ASC operations, including anesthesia services and specialty centers for gastrointestinal, ophthalmology and orthopedic procedures. AMSURG emphasizes quality, consensus management with physician partners, and scalable operational expertise across the U. S.

📋 Description

• Lead the enterprise coding audit and compliance program for ambulatory surgery centers • Develop annual coding audit plans based on financial risk, regulatory activity, payer trends, and organizational priorities • Conduct and oversee audits focused on CPT, HCPCS, ICD-10-CM coding accuracy, documentation support, modifier usage, and reimbursement compliance • Identify coding and documentation risks and develop corrective action plans with operational leaders • Monitor and trend audit findings and provide regular reporting to executive leadership • Support external audit preparedness and response involving CMS, Medicare Administrative Contractors, Recovery Audit Contractors, Targeted Probe and Educate, commercial payers, and other regulatory entities • Serve as the enterprise expert on ASC reimbursement methodologies and specialty-specific coding requirements • Develop and maintain coding standards and guidance across facilities • Evaluate coding implications of new procedures, service lines, technologies, and physician recruitment initiatives • Interpret and communicate changes in CPT coding, Medicare rules, payer policies, and industry regulations • Identify coding-related reimbursement opportunities and risks with Revenue Integrity, Managed Care, and Revenue Cycle Operations teams • Analyze denial trends and develop coding strategies to reduce preventable denials • Evaluate payer edits, billing rules, and reimbursement patterns for compliant revenue optimization • Support clean claim rates, coding accuracy, and reimbursement outcomes • Develop and lead enterprise coding education programs • Create and distribute coding guidance updates, newsletters, job aids, and educational materials • Design targeted training plans based on audit findings, regulatory updates, and coding trends • Support coder onboarding, competency assessments, and ongoing professional development • Lead, mentor, and develop coding auditors, educators, and coding professionals • Support coding standardization across the ASC platform • Evaluate automation, technology, and AI-enabled solutions to improve coding quality and audit effectiveness • Participate in strategic revenue cycle and operational initiatives supporting organizational growth and performance

🎯 Requirements

• Bachelor's degree or equivalent experience may be considered • Minimum 10 years of progressively responsible coding, compliance, revenue integrity, or coding audit experience • Minimum 5 years of leadership experience in coding compliance, coding quality, audit, or education functions • One or more required certifications: CPC, CPMA, CCS, CCS-P, RHIA, or RHIT • Extensive knowledge of ASC reimbursement methodologies • Extensive knowledge of CPT coding • Extensive knowledge of HCPCS coding • Extensive knowledge of ICD-10-CM • Extensive knowledge of NCCI edits • Extensive knowledge of Medicare and commercial payer regulations • Extensive knowledge of documentation requirements • Extensive knowledge of revenue cycle operations • Experience presenting complex coding and compliance findings to operational and executive leadership • Multi-site ASC experience preferred • Experience supporting high-volume surgical specialties preferred • Experience leading coding education and compliance programs across geographically dispersed organizations preferred • Experience with coding technology, computer-assisted coding, analytics, and AI tools preferred • Experience partnering with physician practices and surgery center operations preferred

🏖️ Benefits

• Paid Time Off • 9 observed holidays • Paid family leave • Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Healthcare FSA • Dependent Care FSA • Limited Healthcare FSA • Transportation and parking FSAs • Health Savings Account (HSA) • Matching 401(k) plan • Training and professional growth opportunities • Recognition opportunities