Senior Director, Coding & Billing Compliance

Christiana Care Health Services, Inc.; United States; On-site; USD 167,000 - 284,000; Full time

Benefits offered by this job

Full medical, dental, vision benefits

Retirement plan with 403(b) employer/2

Paid time off and parental leave

Care@Work backup care and employee-dis

Job summary

ChristianaCare is seeking a Director of Coding and Billing Compliance to lead our revenue cycle compliance program across the organization. You will develop policies, oversee audits, and guide investigations to ensure adherence to federal and state requirements.

You will mentor a team, partner with Finance, HIMS, CDI, and operations, and present findings to leadership. This role emphasizes training, governance, and continuous process improvement.

Qualifications

• Bachelor's degree required; Master’s degree preferred.
• Minimum ten (10) years of healthcare experience in revenue cycle, revenue integrity, reimbursement, coding and billing compliance, healthcare compliance, internal audit, or related healthcare financial operations.
• Minimum five (5) years of progressive leadership experience.
• Preferred experience with Epic electronic health record (EHR) systems in a hospital environment.

Responsibilities

• Develop and maintain an enterprise-wide Coding and Billing Compliance Program aligned with organizational compliance objectives and regulatory expectations.
• Conduct ongoing coding and billing compliance risk assessments and develop annual risk-based audit and monitoring plans.
• Monitor regulatory and enforcement developments to identify emerging reimbursement, billing, coding, documentation, medical necessity, and revenue cycle compliance risks.
• Design and oversee auditing and monitoring activities to evaluate compliance with Medicare, Medicaid, commercial payer, and organizational requirements.
• Direct investigations involving billing, coding, reimbursement, charging, documentation, or other revenue cycle compliance concerns.
• Lead root-cause analysis and corrective action planning related to audit findings, investigations, overpayments, repayment obligations, and identified compliance vulnerabilities.
• Develop compliance reporting and dashboards that provide meaningful insights into revenue integrity risks, trends, audit outcomes, corrective actions, and program effectiveness.
• Partner with Revenue Cycle, Finance, HIMS, CDI, and operational leaders to strengthen internal controls and mitigate compliance risks.
• Oversee compliance education and communication initiatives, including targeted training for leadership, providers, and revenue cycle personnel.
• Prepare reports and presentations for executive leadership, management committees, and other governance bodies regarding significant compliance risks, trends, and program activities.
• Manage and develop Coding and Billing Compliance staff, including performance management, professional development, and workload prioritization.

Skills

Leadership

Regulatory knowledge

Communication

Training & development

Auditing

Education

Bachelor's degree

Master's degree

Tools

Epic EHR

Job description

ChristianaCare is seeking a Director of Coding and Billing Compliance to lead our revenue cycle compliance program across the organization. You will develop policies, oversee audits, and guide investigations to ensure adherence to federal and state requirements.

You will mentor a team, partner with Finance, HIMS, CDI, and operations, and present findings to leadership. This role emphasizes training, governance, and continuous process improvement.