Director Coding and Billing

HCA Healthcare; Nashville (TN); Hybrid; USD 140,000 - 210,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life Insurance

Flexible Spending Account

Job summary

HCA Healthcare is seeking a Director of Billing and Coding Compliance based in Nashville to lead regulatory compliance for freestanding Ambulatory Surgery Center (ASC) billing and coding across SVG. You will oversee policy development, education, and training, partnering with operational and clinical leaders to ensure compliant coding and documentation.

The role involves collaborating with corporate leadership and Legal on regulatory reviews and leading a team to implement guidance and training

Qualifications

• Bachelor’s degree required.
• Seven years’ experience in health care industry regulatory compliance, coding, billing, internal audit and/or financial management.
• A working knowledge of health care compliance matters including laws and regulations by various agencies is preferred.
• Knowledge of health care revenue cycle operations is preferred.

Responsibilities

• Develop, implement, conduct and/or coordinate guidance that promotes coding/billing compliance with applicable federal / state laws and regulations, and support Corporate / SVG compliance initiatives.
• Review concerns or questions relative to regulatory or compliance issues and provide guidance and support to centers and SVG leadership.
• Coordinate the delivery of required training curriculums, including but not limited to: Coding and Billing quarterly and annual code updates.
• Develop and/or provide compliance-focused educational seminars for SVG personnel including Billers, Coders, Business Office Managers and Ethics and Compliance Officers.
• Assist in investigating Ethics Line cases.
• Organize and maintain government payer reimbursement information, including coverage guidelines, payment calculators, and audit efforts.
• Assist in assessing compliance of key revenue cycle processes as requested by Divisional leadership.
• Provide assistance to center staff and SVG leadership regarding major issues and recommendations from Corporate internal audit and/or internal compliance efforts.
• Perform other duties as assigned.
• Practice and follow the philosophy of the ‘Code of Conduct' and ‘Mission and Value Statement'.

Skills

Healthcare regulatory compliance

Coding & Billing

Internal audit

Financial management

Training & education

Education

Bachelor’s degree

Job description

This position is incentive eligible.

Introduction

Do you want to join an organization that invests in you as a Director Billing/Coding Compliance? At HCA, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

At HCA, we want to ensure your needs are met. We offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including:

• Medical, Dental, Vision, Life Insurance and Flexible Spending
• Paid Time Off (PTO) and Personal Leave
• 401K(100% annual match - 3% to 9% of pay based on years of service)
• Academic AssistanceandReimbursementsfor Tuition and Student Loans
• Employee Discountsincluding Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc.
• Home,Auto, andPet Insurance
• Employee Stock Purchase Program (ESPP)
• Short Term&Long Term Disabilitycoverage
• AdoptionAssistance
• Legal Benefitsand lots more!

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Director, Billing and Coding Compliance like you to be a part of our team.

Job Summary and Qualifications

The Director provides strategic leadership for the regulatory compliance program supporting freestanding Ambulatory Surgery Center (ASC) billing and coding. This role oversees coding and billing compliance across Surgery Ventures Group (SVG), ensuring adherence to regulatory requirements and authoritative guidance.

The Director leads a team that will be responsible for the development of compliant coding and billing policies, education, and training; partners with operational and clinical leaders to promote accurate documentation that supports compliant coding and billing; and collaborates with corporate leadership and Legal on regulatory and operational reviews.

Based in Nashville (preferred), this position reports to the Managing Assistant Vice President, Coding and Clinical Documentation and regularly engages with executives across HCA and SVG.

What you will do in this role:

• Develop, implement, conduct and/or coordinate guidance that promotes coding/billing compliance with applicable federal / state laws and regulations, and support Corporate / SVG compliance initiatives.
• Review concerns or questions relative to regulatory or compliance issues and provide guidance and support to centers and SVG leadership.
• Coordinate the delivery of required training curriculums, including but not limited to: Coding and Billing quarterly and annual code updates.
• Develop and/or provide compliance-focused educational seminars for SVG personnel including Billers, Coders, Business Office Managers and Ethics and Compliance Officers.
• Assist in investigating Ethics Line cases.
• Organize and maintain government payer reimbursement information, including coverage guidelines, payment calculators, and audit efforts.
• Assist in assessing compliance of key revenue cycle processes as requested by Divisional leadership.
• Provide assistance to center staff and SVG leadership regarding major issues and recommendations from Corporate internal audit and/or internal compliance efforts.
• Perform other duties as assigned.
• Practice and follow the philosophy of the ‘Code of Conduct' and ‘Mission and Value Statement'.

What qualifications you will need:

Bachelor’s degree required

Seven years’ experience in health care industry regulatory compliance, coding, billing, internal audit and/or financial management.

A working knowledge of health care compliance matters including laws and regulations by various agencies is preferred.

Knowledge of health care revenue cycle operations is preferred.

Role is On-site with Hybrid work enviroment

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.