Director, Client Coding Integration

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee coding integration tasks for physician billing clients during onboarding, acquisitions, conversions, and operational transitions.

• Act as the main coding subject matter expert throughout implementation and transition processes.

• Evaluate coding workflows, policies, processes, and operational frameworks for enhancements and standardization.

• Create post-integration action plans that support quality, productivity, compliance, and financial performance.

• Aid organizational readiness through training, communication, workflow design, and stakeholder engagement.

• Offer expertise on ICD-10-CM, CPT, HCPCS, modifier application, documentation requirements, and regulatory compliance.

• Track coding quality, productivity, audit findings, and operational performance metrics.

• Formulate and execute corrective action plans addressing coding quality, documentation, and compliance issues.

• Assist with internal and external audits and ensure compliance with federal, state, payer, and regulatory mandates.

• Examine coding trends, denials, edits, and revenue cycle indicators to identify root causes and propose solutions.

• Collaborate with Revenue Cycle teams to enhance reimbursement accuracy, minimize denials, and improve operational efficiency.

• Support the redesign of coding workflows, process enhancements, operational transformation, automation, reporting, and technology solutions.

• Establish partnerships with physicians, operational leaders, coding teams, compliance departments, and client stakeholders.

• Provide guidance on physician coding operations and regulatory obligations.

• Share operational updates, implementation progress, risks, and recommendations with leadership teams.

• Facilitate communication among internal and external stakeholders during implementation activities.

⛳️ Requirements

• Bachelor’s degree or an equivalent combination of education and experience.

• At least 7 years of progressive experience in healthcare coding, physician billing, revenue cycle, or health information management.

• Minimum of 3 years in leadership, consulting, project management, or implementation roles.

• In-depth knowledge of ICD-10-CM, CPT, HCPCS, Evaluation & Management (E/M) coding, and professional fee billing and reimbursement methodologies.

• Experience in supporting physician practice operations, professional coding programs, or multispecialty physician groups.

• Strong grasp of healthcare compliance, regulatory requirements, and payer guidelines.

• Capability to lead complex projects and influence stakeholders across various departments.

• Willingness to travel up to 50% to assigned state and client locations.

• Must have one or more active coding credentials: CPC, CCS, CCS-P, RHIT, or RHIA.

• Preferred: experience with large-scale physician practice integrations, acquisitions, or implementation projects.

• Preferred: familiarity with Epic, Cerner, Meditech, Athena, eClinicalWorks, or other major healthcare platforms.

• Preferred: background in revenue integrity, coding compliance, auditing, provider education, or CDI.

• Preferred: experience in managing client-facing healthcare operations.

• Preferred: knowledge of AI-enabled tools, coding automation technologies, Power BI, Copilot, or workflow optimization solutions.

• Preferred: experience supporting multi-state or national healthcare operations.

🏝️ Benefits

• Comprehensive benefits package including healthcare, time off, retirement, and well-being programs.

• Investment in professional development.

• Each associate will obtain a professional certification relevant to their field.

• Tuition reimbursement available.

• Quarterly and annual incentive programs for all employees who exceed expectations.

• Recognition for remote work and workplace flexibility.