Director Coding and Billing

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

Benefits offered by this job

On-site with hybrid work environment

Employee benefits package

Job summary

HCA Healthcare, Inc. in Nashville is seeking a Director of Billing and Coding Compliance to lead regulatory compliance for freestanding ASC billing and coding.

The role oversees coding/billing policies, education, and training, partnering with operational and clinical leaders to ensure accurate documentation that supports compliant coding and billing. The Director will collaborate with corporate leadership and Legal on regulatory reviews, guide a team, and report to senior executives across HCA

Qualifications

• Bachelor’s degree required and seven years of healthcare regulatory compliance experience.
• Experience in coding, billing, internal audit or financial management.
• Working knowledge of healthcare regulatory laws and regulations.
• Role is On-site with Hybrid work environment.

Responsibilities

• Provide strategic leadership for regulatory compliance across ASC billing and coding.
• Develop compliant coding and billing policies, education and training.
• Partner with operational and clinical leaders to promote accurate documentation.
• Collaborate with corporate leadership on regulatory and operational reviews.
• Lead and mentor the SVG compliance team and respond to regulatory inquiries.
• Coordinate training curriculums including quarterly and annual code updates.
• Assist in investigations and ethics line cases as needed.
• Maintain government payer reimbursement information and audit activities.
• Support revenue cycle process reviews and remediation efforts.
• Engage with executives across HCA and SVG to drive continuous improvement.

Skills

Regulatory compliance

Healthcare industry experience

Internal audit

Billing and coding compliance

Education

Bachelor’s degree

Job description

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 Assistance and Reimbursements for Tuition and Student Loans
• Employee Discounts including Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc.
• Home, Auto, and Pet Insurance
• Employee Stock Purchase Program (ESPP)
• Short Term & Long Term Disability coverage
• Adoption Assistance
• Legal Benefits and lots more!

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 Assistance and Reimbursements for Tuition and Student Loans
• Employee Discounts including Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc.
• Home, Auto, and Pet Insurance
• Employee Stock Purchase Program (ESPP)
• Short Term & Long Term Disability coverage
• Adoption Assistance
• Legal Benefits and lots more!

This position is incentive eligible.

Learn More About Employee Benefits

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.