Director of Coding Compliance & Audit

Panoramic Health; United States, Northern America, Americas; Hybrid; USD 180,000 - 280,000; Full time

Job summary

Panoramic Health is seeking an experienced Director, Coding to lead enterprise coding compliance, audits, provider education, and related operations across nephrology, dialysis, ESRD, hospital, and professional services.

The role directs internal and external audits, escalates issues, and drives corrective action with cross-functional teams including Revenue Cycle Management, Compliance, Medical Records, and practice leadership. Strong athenaOne experience is required.

Qualifications

• Bachelor’s degree in health information management, healthcare administration, business, finance, or related field.
• Professional coding certification (CPC or CCS-P) in good standing.
• 7+ years in coding/compliance/audit with 3+ years in leadership.
• Direct nephrology, dialysis, ESRD coding experience preferred.

Responsibilities

• Provide enterprise leadership for physician coding compliance, audits, and revenue integrity.
• Develop and execute annual risk-based coding audit plan with standards.
• Direct CMS and external audits from notice to final resolution, including education and remediation.
• Maintain nephrology, dialysis, ESRD coding expertise and payer-specific requirements.
• Identify systemic risks, quantify exposure, and coordinate corrective action.
• Lead provider coding education based on audits and regulatory changes.
• Oversee claim holds, queues, SLAs, and handoffs to AR or records.
• Build provider coding profiles to monitor patterns and trends.
• Lead technology implementation for coding, audits, and workflows.
• Create policies and SOPs for coding audits and provider education.

Skills

Leadership

Auditing

Provider education

Revenue integrity

CMS/payer audits

Coding compliance

Vendor management

Cross-functional collaboration

Data analytics

Process improvement

Education

Bachelor's degree in Health Information Management or related

CPC or CCS-P certification

Tools

athenaOne

Job description

Panoramic Health is seeking an experienced Director, Coding to lead enterprise coding compliance, audits, provider education, and related operations across nephrology, dialysis, ESRD, hospital, and professional services.

The role directs internal and external audits, escalates issues, and drives corrective action with cross-functional teams including Revenue Cycle Management, Compliance, Medical Records, and practice leadership. Strong athenaOne experience is required.