Billing & Coding Compliance Director — Hybrid Leadership

Conselium Compliance Search; United States; Hybrid; USD 150,000 - 210,000; Full time

Job summary

Conselium Compliance Search is assisting a large award-winning healthcare company in Dallas, TX, in searching for a Director of Billing & Coding Compliance. The role leads a team and oversees provider coding, billing compliance, audits, and regulatory guidance to ensure adherence to healthcare laws and coding standards.

The successful candidate will report to the VP of Ethics and Compliance, manage a ten-person team, implement strategic programs, and present findings to physicians and

Qualifications

• Bachelor's degree required.
• CHC and CPC certifications desirable.
• Extensive experience in healthcare billing and coding compliance.
• Proven people-management skills.

Responsibilities

• Planning, developing and enforcing compliance programs across billing, coding and related areas.
• Directs billing, regulatory and provider coding compliance for the assigned area.
• Sets strategic and operational plans for compliance programs aligned to business objectives.
• Identifies emerging regulatory risks using regulatory guidance and data analytics.
• Leads resolution of compliance issues for physicians and practice staff.
• Plans and directs compliance audits and communicates findings and recommendations.
• Provides regulatory guidance and interpretive updates on billing concerns.
• Prepares progress reports and presentations for physicians and executives.
• Ensures consistency in provider coding audit and education processes.
• Leads cross-functional team to address regulatory requests, audits and denials.

Skills

Leadership

Healthcare compliance

Billing & Coding

Data analytics

Education

Bachelor's degree

Healthcare Compliance Certification (CHC)

Coding Certification (CPC)

Job description

Conselium Compliance Search is assisting a large award-winning healthcare company in Dallas, TX, in searching for a Director of Billing & Coding Compliance. The role leads a team and oversees provider coding, billing compliance, audits, and regulatory guidance to ensure adherence to healthcare laws and coding standards.

The successful candidate will report to the VP of Ethics and Compliance, manage a ten-person team, implement strategic programs, and present findings to physicians and