Hybrid Director of Billing & Coding Compliance

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

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life Insurance

Flexible Spending Account

Job summary

HCA Healthcare is seeking a Director of Billing and Coding Compliance based in Nashville to lead regulatory compliance for freestanding Ambulatory Surgery Center (ASC) billing and coding across SVG. You will oversee policy development, education, and training, partnering with operational and clinical leaders to ensure compliant coding and documentation.

The role involves collaborating with corporate leadership and Legal on regulatory reviews and leading a team to implement guidance and training

Qualifications

• 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.

Responsibilities

• 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'.

Skills

Healthcare regulatory compliance

Coding & Billing

Internal audit

Financial management

Training & education

Education

Bachelor’s degree

Job description

HCA Healthcare is seeking a Director of Billing and Coding Compliance based in Nashville to lead regulatory compliance for freestanding Ambulatory Surgery Center (ASC) billing and coding across SVG. You will oversee policy development, education, and training, partnering with operational and clinical leaders to ensure compliant coding and documentation.

The role involves collaborating with corporate leadership and Legal on regulatory reviews and leading a team to implement guidance and training