Director, Coding & Education

AmSurg Corp; Northern (KY); Hybrid; USD 120,000 - 170,000; Full time

Job summary

AMSURG seeks a Director of Coding & Education to provide enterprise leadership for coding quality, audit, and education across a national ASC platform. You will drive accurate coding practices, support revenue cycle performance, and mitigate regulatory risk by overseeing audits and education initiatives.

You will partner with Revenue Cycle Operations and ASC leadership to standardize CPT/HCPCS/ICD-10-CM coding, develop annual audit plans, and implement training programs.

Qualifications

• Bachelor's degree or equivalent experience may be considered.
• Minimum 10 years of progressively responsible coding, compliance, revenue integrity, or coding audit experience.
• Minimum 5 years of leadership experience in coding compliance, coding quality, audit, or education functions.
• Certifications required: CPC, CPMA, CCS, CCS-P, RHIA, RHIT

Responsibilities

• Lead the enterprise coding audit and compliance program for ambulatory surgery centers.
• Develop annual coding audit plans based on financial risk, regulatory activity, payer trends, and organizational priorities.
• Conduct and oversee coding audits focused on CPT, HCPCS, ICD-10-CM coding accuracy, documentation support, modifier usage, and reimbursement compliance.
• Identify coding and documentation risks and develop corrective action plans with operational leaders.
• Monitor and trend audit findings and provide regular reporting to executive leadership.
• Support external audit preparedness and response activities involving CMS, MACs, RACs, TPE, payers, and regulators.
• Serve as the enterprise expert on ASC reimbursement methodologies and specialty-specific coding requirements.
• Develop and maintain coding standards and guidance for consistent practices across facilities.
• Partner with clinical/operational leaders to evaluate coding implications of new procedures and technology.
• Interpret and communicate changes in CPT coding, Medicare rules, payer policies, and industry regulations.

Skills

Leadership

Coding knowledge

Auditing

Education

Bachelor's degree or equivalent experience

CPC/CPMA/CCS/CCS-P/RHIA/RHIT certifications

Tools

Automation tools

AI-enabled solutions

Analytics

Job description

Company Overview:

AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.

POSITION SUMMARY:

The Director, Coding & Education provides enterprise leadership for coding quality, audit, and education across a national ambulatory surgery center (ASC) platform. This role is responsible for ensuring accurate and compliant coding practices, mitigating reimbursement and regulatory risk, and supporting revenue cycle performance through coding oversight, audit programs, and targeted education initiatives.

This leader partners closely with Revenue Cycle Operations, Revenue Integrity, Compliance, Clinical Leadership and ASC operational leaders/clinical providers to promote consistent coding practices and optimize reimbursement integrity across all centers.

Work Schedule:

Remote First

ESSENTIAL RESPONSIBILITIES:

Coding & Audit Oversight

• Lead the enterprise coding audit and compliance program for ambulatory surgery centers.
• Develop annual coding audit plans based on financial risk, regulatory activity, payer trends, and organizational priorities.
• Conduct and oversee coding audits focused on CPT, HCPCS, ICD-10-CM coding accuracy, documentation support, modifier usage, and reimbursement compliance.
• Identify coding and documentation risks and develop corrective action plans with operational leaders.
• Monitor and trend audit findings and provide regular reporting to executive leadership.
• Support external audit preparedness and response activities involving CMS, Medicare Administrative Contractors, Recovery Audit Contractors (RAC), Targeted Probe and Educate (TPE), commercial payers, and other regulatory entities.
• Serve as the enterprise expert on ASC reimbursement methodologies and specialty-specific coding requirements.
• Develop and maintain coding standards and guidance to support consistent coding practices across all facilities.
• Partner with clinical and operational leaders to evaluate coding implications of new procedures, service lines, technologies, and physician recruitment initiatives.
• Interpret and communicate changes in CPT coding, Medicare rules, payer policies, and industry regulations.

Revenue Integrity & Denial Prevention

• Collaborate with Revenue Integrity, Managed Care, and Revenue Cycle Operations teams to identify coding-related reimbursement opportunities and risks.
• Analyze denial trends and develop coding strategies to reduce preventable denials.
• Evaluate payer edits, billing rules, and reimbursement patterns to ensure compliant revenue optimization.
• Support initiatives designed to improve clean claim rates, coding accuracy, and reimbursement outcomes.

Education & Development

• Develop and lead enterprise coding education programs for coders, business office teams, administrators, and operational leaders.
• Create and distribute coding guidance updates, newsletters, job aids, and educational materials.
• Design targeted training plans based on audit findings, regulatory updates, and coding trends.
• Support coder onboarding, competency assessments, and ongoing professional development.
• Foster a culture of compliance, accountability, and continuous learning.
• Lead, mentor, and develop coding auditors, educators, and coding professionals.
• Support standardization efforts across the ASC platform to improve coding consistency and quality.
• Evaluate opportunities to leverage automation, technology, and AI-enabled solutions to enhance coding quality and audit effectiveness.
• Participate in strategic revenue cycle and operational initiatives that support organizational growth and performance.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.

• Extensive knowledge of:
  • ASC reimbursement methodologies
  • CPT coding
  • HCPCS coding
  • ICD-10-CM
  • NCCI edits
  • Medicare and commercial payer regulations
  • Documentation requirements
  • Revenue cycle operations
• Experience presenting complex coding and compliance findings to operational and executive leadership.

Education/Experience:

• Bachelor's degree or equivalent experience may be considered.
• Minimum 10 years of progressively responsible coding, compliance, revenue integrity, or coding audit experience.
• Minimum 5 years of leadership experience in coding compliance, coding quality, audit, or education functions.

Certifications:

• One or more of the following certifications required: CPC, CPMA, CCS, CCS-P, RHIA, RHIT

Preferred Qualifications:

• Multi-site ASC experience.
• Experience supporting high-volume surgical specialties such as gastroenterology, orthopedics, ophthalmology, pain management, cardiovascular, ENT, urology, and spine.
• Experience leading coding education and compliance programs across geographically dispersed organizations.
• Experience with coding technology, computer-assisted coding, analytics, and AI tools.
• Experience partnering with physician practices and surgery center operations.

Employment at AMSURG:

Living Our Values Every Day

At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care. These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.

• Care Deeply for those around us.
• Cultivate Integrity to build trust.
• Champion Excellence for continuous improvement
• Celebrate Teamwork every step to the way.

To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off:

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

EOE Statement:

AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: [e-mail]. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.

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Equal Opportunity Employer
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