Director, Coding

This is a fully remote position, open to applicants in New Jersey, +1 more state.

📋 Description

• Oversee the coding and auditing operations at Axia Women’s Health.

• Create and manage coding processes that enhance provider support, best practices, efficiency, quality outcomes, and revenue maximization.

• Ensure that the external coding vendor operates both efficiently and effectively, including aspects such as staffing, processes, and support systems.

• Collaborate with the Manager of Coding, Axia Compliance Officer, and other coding professionals to design and refine coding and compliance processes.

• Translate audit findings and communicate them to educate providers and care centers.

• Provide training to care centers regarding documentation rules and requirements.

• Keep abreast of CMS rules and guidelines, relaying any changes to the coding and auditing team.

• Establish and oversee KPI reporting for the coding team, reviewing KPIs on a daily basis.

• Analyze outstanding accounts receivable, denials, and unbilled claims related to coding operations, resolving any issues that arise.

• Identify trends in denials and manage future occurrences.

• Investigate and analyze compliance issues using industry publications, online resources, and the Federal Register.

• Prepare reports for leadership and communicate resolutions and responses to issues.

• Collaborate with physicians, advanced practice providers, care center managers, RCM, regional operations, and third-party coding/billing vendors.

• Address staff performance and conduct, providing counseling, correction, and disciplinary actions as needed.

• Mentor staff and offer constructive feedback on performance.

• Ensure compliance with applicable federal, state, and local laws, as well as Axia’s Integrity and Compliance Program, Code of Conduct, and other policies.

• Supervise coding personnel.

⛳️ Requirements

• 8–10 years of relevant experience is required.

• A minimum of 5 years of experience in billing/coding management is necessary.

• CPC certification through AAPC or CCS-P certification through AHIMA is required.

• Extensive knowledge of physician billing, revenue cycle management, medical coding, and compliance is essential.

• Strong understanding of coding guidelines as well as CMS guidelines, rules, and regulations.

• Capability to investigate compliance rules.

• Proficiency in explaining rules and requirements to coders, physicians, advanced practice providers, and care center personnel.

• Knowledge of value-based care and bundled codes.

• Proven leadership skills with the ability to delegate and provide direction.

• Exceptional verbal, interpersonal, and written communication abilities.

• Proficient in computer applications, including Microsoft Office and EMRs.

• Demonstrated advanced skills in Microsoft Excel.

• A Bachelor’s degree or higher is preferred, or equivalent experience may be considered.

• Applicants must be authorized to work in the United States on a full-time basis.

• Employment eligibility verification must be completed upon hire.

🏝️ Benefits

• Recognized as a Great Place to Work.

• An equal opportunity and inclusive workplace.

• A community committed to empowering colleagues and patients to be their full, authentic selves.