Executive Director, Coding Quality & Education

WVU Medicine; United States; Remote; USD 180,000 - 240,000; Full time

Job summary

SYSTEM West Virginia University Health System seeks a Director of Coding Quality Assurance and Education to provide strategic leadership across Hospital Billing and Professional Billing. You will drive enterprise governance, audit strategy, and education initiatives, partnering with Compliance, IT, andFinance to advance accuracy and regulatory compliance.

The role leads Coding Auditor/Educator staff and senior stakeholders, shaping validation for emerging coding technologies while delivering

Qualifications

• Bachelor’s degree in Health Information Management, Health Information Administration, Healthcare Administration, Business Administration, or related field and five (5) years progressive experience in medical coding, coding auditing, coding quality assurance, coding education, compliance, or related revenue cycle function.
• Associate’s Degree in Health Information Technology with seven (7) years progressive experience in medical coding, coding auditing, coding quality assurance, coding education, compliance, or related revenue cycle function.
• High school diploma and ten (10) years progressive experience in medical coding, coding auditing, coding quality assurance, coding education, compliance, or related revenue cycle function and active coding certification from AHIMA or AAPC.

Responsibilities

• Establishes and directs the enterprise strategy, governance framework, and operating model for coding quality assurance, audit, education, and validation across Hospital Billing and Professional Billing.
• Provides executive oversight of routine, focused, compliance-directed, and risk-based coding audit programs to evaluate coding accuracy, documentation support, regulatory compliance, reimbursement integrity, and adherence to organizational standards.
• Approves and maintains enterprise audit methodologies, sampling standards, scoring protocols, quality thresholds, escalation criteria, and remediation expectations.

Skills

ICD-10-CM

ICD-10-PCS

CPT & HCPCS

Regulatory compliance

Leadership

Analytics

Executive communication

Vendor management

Education

Master’s degree in Healthcare Administration

AHIMA/AAPC certification

Bachelor’s degree in HIM/related

Tools

Epic Systems

Job description

SYSTEM West Virginia University Health System seeks a Director of Coding Quality Assurance and Education to provide strategic leadership across Hospital Billing and Professional Billing. You will drive enterprise governance, audit strategy, and education initiatives, partnering with Compliance, IT, andFinance to advance accuracy and regulatory compliance.

The role leads Coding Auditor/Educator staff and senior stakeholders, shaping validation for emerging coding technologies while delivering