Lead Director, Coding Audit & Compliance

Ladders; United States; À distance; USD 100 000 - 232 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits

Paid time off

Retirement plan

Wellness programs

Résumé du poste

Ladders, a leader in the healthcare space, seeks a Lead Director, Coding Audit & Compliance to shape strategic direction across the organization’s coding and compliance program. This remote-US based role partners with cross-functional teams to strengthen standards and align with CMS requirements and risk adjustment expectations.

You will establish quality measures, oversee an enterprise audit program, and drive corrective actions to ensure accurate, compliant coding outcomes.

Qualifications

• Bachelor’s degree in Health Information Management or related field.
• 8+ years in medical coding, audit, compliance, or risk adjustment.
• 5+ years of leadership in coding and compliance.
• Experience managing audit and compliance programs.
• Knowledge of Medicare risk adjustment and CMS requirements.
• Active CPC, CCS, or equivalent credential.
• CRC certification required.
• Advanced ICD-10-CM coding and audit methodologies.

Responsabilités

• Provide strategic direction for coding audit and compliance.
• Develop and oversee a comprehensive coding audit program.
• Establish coding quality and compliance standards.
• Identify systemic coding risks and direct corrective actions.
• Monitor CMS guidance and coding practices for compliance.
• Serve as senior escalation point for complex coding issues.
• Leverage analytics to identify trends and areas for improvement.

Connaissances

Leadership

Regulatory knowledge

Coding expertise

CMS knowledge

Analytics

Formation

Bachelor’s degree in Health Information Management

Description du poste

For our client, we are seeking a Lead Director, Coding Audit & Compliance to join the team of a leader in the Healthcare space.

This leader will shape the strategic direction of coding audit and compliance efforts across the organization’s healthcare operations. The role will establish quality standards, strengthen oversight of coding practices, and help ensure alignment with regulatory expectations and risk adjustment requirements. This position will also partner with cross-functional stakeholders to identify systemic issues, drive corrective actions, and support accurate, compliant coding outcomes.

Location: Remote - US based candidates only, no visa sponsorship available

Compensation: $100,000 – $231,540 annually

Responsibilities

• Provide strategic direction for coding audit and compliance functions
• Develop and oversee a comprehensive coding audit program
• Establish coding quality and compliance standards
• Identify systemic coding risks and direct corrective actions
• Monitor compliance with CMS guidance and coding practices
• Serve as the senior escalation point for complex coding issues
• Leverage analytics to identify trends and areas for coding improvement

Qualifications

• Bachelor’s degree in Health Information Management or a related field; relevant experience considered
• 8+ years of experience in medical coding, audit, compliance, or risk adjustment
• 5+ years of leadership experience related to coding and compliance
• Demonstrated experience managing audit and compliance programs
• Significant knowledge of Medicare risk adjustment and CMS requirements
• Active CPC, CCS, or equivalent coding credential required
• Certified Risk Adjustment Coder (CRC) required
• Advanced proficiency in ICD-10-CM coding and audit methodologies

Benefits

• Comprehensive medical, dental, and vision coverage
• Paid time off for work-life balance
• Retirement savings options
• Wellness programs to support overall health
• Additional resources based on eligibility

Our client is an equal opportunity employer.