Director of Coding Compliance

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

The Director of Coding Compliance will be responsible for developing the business plan and strategy for various lines of business and working with leadership on strategies and business plans for various functions; collaborating across the enterprise to ensure that enterprise strategies align with line of business strategies; representing lines of business and completing deliverables for annual Enterprise Multiyear planning; managing matrix relationships with key enterprise areas; developing executive communication for the lines of business including communications and presentations for Board Meetings.

Required Job Qualifications:

• Bachelor's in Medical Record Administration or related healthcare field or equivalent work experience.
• 10 years of Certification in Coding; Must have national certification in coding
• 10 Years of Risk Adjustment experience in Medicare, Medicaid and ACA field.
• Experience in ICD-10 and HCPCS coding
• Familiar with Risk Adjustment Data Validation Audits
• Ability to effectively prioritize and execute tasks while under pressure.
• Ability to manage multiple high-priority deadlines at once.
• Ability to lead effectively and drive sustainable results in both individual and team settings.
• Strong to expert knowledge of Microsoft Excel, PowerPoint and Word
• Analytically driven approach and strong problem-solving skills
• Good listening, interpersonal, written, and oral communication skills
• Excellent interpersonal, written and oral communication skills.
• Highly self-motivated and directed
• Strong customer service orientation
• Experience working in a team-oriented, collaborative environment
• Knowledge of applicable data privacy practices and laws
• Occasional evening and weekend work to meet deadlines.
• Must be able to travel occasionally for required meetings.
• Overseeing the annual budget and allocating resources for various projects and operational needs.
• Translating needs and initiatives into compelling business cases.
• Conducting cost-benefit analyses to justify investments and ensure ROI.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$121,200.00 - $225,200.00

Exact compensation may vary based on skills, experience, and location.