[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.ResponsibilitiesOversight 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 policiesFederal 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 integrityPolicy Enforcement: Maintain and enforce coding standards and documentation requirements to minimize variation in coding practices and uphold regulatory complianceDevelop and deploy compliance-focused education strategies for coding staff, providers, and stakeholders to improve documentation quality and support accurate code assignmentCollaborate 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 disputesDevelop 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 regulationsManage 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 policiesDeliver 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 requirementsDefine 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 riskEscalate significant compliance-related issues (e.g., education gaps, payer regulatory changes, vendor compliance concerns) to AVP promptlyCommunicate regulatory updates and payer-specific documentation requirements to AVP and cross-functional teams, ensuring timely integration into coding practices and education programsMaintain accurate and auditable records of all coding training activities, ensuring compliance with internal policies and external regulatory standardsIdentify and implement process improvements to reduce risk, lower costs, and enhance service qualityChampion innovation and knowledge sharing across coding operations workflows to promote best practices and regulatory integrity across the enterprise encompassing all lines of businessMonitor and stay current on all coding/billing regulatory requirements (e.g., CMS, OIG, HIPAA) and company policies, ensuring timely staff education and adherenceProvide authoritative coding guidance to resolve coding related issues for internal customers and other departments for all lines of business and all specialtiesApply principles of Education and Organizational Development to design focused learning programs that support regulatory adherenceMaintain a strong understanding of Revenue Cycle operations and technologies currently in place to support regulatory objectivesEnsure confidentiality of all company and regulated information in accordance with HIPAA and organizational policiesAdhere to the organizations Code of Conduct and Mission and Value StatementOther duties as assignedSkillsBachelors Degree RequiredMinimum 7 years' health care management/leadership experience requiredSuperior interpersonal skills at the executive level and the ability to work within a highly matrixed environment requiredExcellent communication skills, both written and verbal requiredLeadership skills in individual and group settings to reach identified outcomes, achieve high performance standards and deliver quality servicesPossess critical thinking, analytical, and problem skills requiredEffective operational decision-making aligned with organizational valuesInitiates steps independently toward problem resolution and operational improvementsEffectively manages antagonistic, crucial encounters to diffuse tension and reach understanding and alignment as much as possibleMust 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 preferredProven work experience in areas of process reengineering and project management strongly preferredExperience leading large organizations preferredPositive change management experienceProven success in building and maintaining strategic working relationshipsBenefitsComprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine servicesWellbeing support, including free counseling and referral servicesTime away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absenceSavings 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 counselingEducation support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of NursingAdditional 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 discountsCompany OverviewHCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center. It was founded in 1968, and is headquartered in Nashville, Tennessee, USA, with a workforce of 10001+ employees. Its website is https://hcahealthcare.com/.