Director of Medical Coding & Compliance Leadership

Axia Women's Health; Voorhees Township (NJ); On-site; USD 150,000 - 180,000; Full time

Job summary

Axia Women's Health in the United States is seeking a Director of Coding to lead the coding and auditing functions across our expansive network. You will shape policies, drive compliant processes, and partner with providers, centers, and vendors to maximize quality and revenue.

The role requires deep expertise in physician billing, CMS guidelines, and leadership to educate teams, monitor KPIs, and ensure adherence to federal and state regulations within Axia’s Compliance Program.

Qualifications

• Bachelor’s degree or higher preferred or equivalent 8-10 years relevant experience.
• Minimum 5 years’ experience in billing/coding management.
• CPC through AAPC or CCS-P through AHIMA required.
• Demonstrated excellent Microsoft Excel skills.

Responsibilities

• Develops and oversees an effective coding function within the organization that provides the ideal service to our providers, ensuring best practices, efficiencies, quality outcomes and maximized revenue.
• Ensures external coding vendor operates efficiently and effectively including staffing, processes and supporting systems.
• Works with Manager of Coding and the Axia Compliance Officer and other coding professionals to design and streamline coding and compliance processes.
• Ensures professional translation and communication of audit findings to educate providers and care centers to ensure compliance with applicable rules/regulations and Axia Compliance Program.
• Communicates and trains care centers on documentation rules and requirements.
• Keeps abreast of CMS rules and guidelines and communicates changes to coding and auditing team.
• Establishes and manages key performance indicator (KPI) reporting for the coding team. Reviews KPIs daily and take an active role in making appropriate adjustments to ensure goals are met.
• Analyzes reports to determine status of outstanding AR, denials, and unbilled claims related to coding operations and works to resolve issues. Identify denial trends to effectively manage future denials
• At the direction of the Axia Compliance Officer, researches and analyzes compliance issues utilizing various publications including extensive use of the internet, the Federal Register and other industry publications.
• Delivers timely reports to leadership, initiates, and communicates the resolution of issues and timely responses to questions and concerns.
• Partners with and maintain positive relationships with internal customers, including physicians, advanced practice providers, care center managers, RCM, regional operations, and third-party coding/billing vendor.
• Analyzes and addresses staff performance and conduct in a timely and professional manner, offering counseling, correction, and discipline as appropriate. Performs periodic reviews to mentor and gives constructive performance feedback.
• Monitors and adheres to applicable Federal, State, and Local laws and regulations, Axia’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures.

Skills

Physician billing

Revenue cycle management

CMS guidelines

Education & training

Value Based Care

Leadership

Communication

MS Office & EMRs

Education

Bachelor's degree

CPC or CCS-P certification

5-10 years billing/coding management

Tools

MS Excel

EMRs

Job description

Axia Women's Health in the United States is seeking a Director of Coding to lead the coding and auditing functions across our expansive network. You will shape policies, drive compliant processes, and partner with providers, centers, and vendors to maximize quality and revenue.

The role requires deep expertise in physician billing, CMS guidelines, and leadership to educate teams, monitor KPIs, and ensure adherence to federal and state regulations within Axia’s Compliance Program.