Director of Coding Operations Education

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. The Director of Coding Operations Education is responsible for leading the design, development, and delivery of all Coding Operations education components for HCA Physician Services – Clinical Service Group (CSG) to include all lines of business. This includes coding and Health Information Management (HIM) initiatives aligned with national standards, company policies, and applicable laws.

This role serves as a key advocate for compliant coding practices and sets the tone for Coding Operations as a service organization committed to ethical standards, regulatory adherence, and continuous improvement to meet and exceed customer expectations.

Compliance and Quality Responsibilities:

• Oversight of Quality Assessment Program: Develop, implement, and monitor a robust Coding Quality Assessment Program that ensures compliance with:
• National coding guidelines (e.g., ICD-10, CPT, HCPCS)
• CSG and Company coding policies
• Federal and state regulations (e.g., CMS, HIPAA)
• Audit Readiness and Risk Mitigation: Ensure internal reviews and education programs for all lines of business, address findings from audits and quality assessments, reducing compliance risk and supporting accurate reimbursement and data integrity.
• Policy Enforcement: Maintain and enforce coding standards and documentation requirements to minimize variation in coding practices and uphold regulatory compliance.

Education and Stakeholder Collaboration:

• Develop and deploy compliance-focused education strategies for coding staff, providers, and stakeholders to improve documentation quality and support accurate code assignment.
• Collaborate with cross-functional teams—including Central Coding Support, practice leadership, the Physician Service Center, IT&S, Regulatory Compliance, and division coding staff to implement compliance-driven initiatives and resolve coding disputes.

Leadership and Strategic Compliance Role:

As a strategic leader, the Director demonstrates strong project management skills and promotes a culture of compliance, ethical coding practices, and continuous quality improvement across all education and operational initiatives.

DUTIES INCLUDE BUT NOT LIMITED TO:

• Develop strategic coding and HIM compliance communication and education plans for all lines of business and represented specialties. This includes the Coding Quality Workplan, regulatory audit requirements, code appeal process, training needs, approved training methods, implementation, and evaluation for CSG in alignment with federal and state regulations.
• Manage the development of coding and HIM content, ensuring all materials are competency-based, operationally sound, and aligned with national coding guidelines, CMS regulations, and organizational compliance policies.
• Deliver compliance-focused training and communication to leadership teams and end-users using approved methodologies (e.g., instructor-led, train-the-trainer, virtual classroom, webcast, or web-based), ensuring consistent understanding of coding guidelines and documentation requirements.
• Define and implement the Coding Operations Appeals process with strict adherence to payer filing guidelines and provide timely feedback to operations business partners to mitigate compliance risk.
• Escalate significant compliance-related issues (e.g., education gaps, payer regulatory changes, vendor compliance concerns) to AVP promptly.
• Communicate regulatory updates and payer-specific documentation requirements to AVP and cross-functional teams, ensuring timely integration into coding practices and education programs.
• Maintain accurate and auditable records of all coding training activities, ensuring compliance with internal policies and external regulatory standards.
• Identify and implement process improvements to reduce risk, lower costs, and enhance service quality.
• Champion innovation and knowledge sharing across coding operations workflows to promote best practices and regulatory integrity across the enterprise encompassing all lines of business.
• Monitor and stay current on all coding/billing regulatory requirements (e.g., CMS, OIG, HIPAA) and company policies, ensuring timely staff education and adherence.
• Provide authoritative coding guidance to resolve coding related issues for internal customers and other departments for all lines of business and all specialties.
• Apply principles of Education and Organizational Development to design focused learning programs that support regulatory adherence.
• Maintain a strong understanding of Revenue Cycle operations and technologies currently in place to support regulatory objectives.
• Ensure confidentiality of all company and regulated information in accordance with HIPAA and organizational policies.
• Adhere to the organization's Code of Conduct and Mission and Value Statement.
• Other duties as assigned.

EDUCATION:

• Bachelor's Degree Required

EXPERIENCE:

• Minimum 10 years’ professional fee coding and revenue cycle operations experience strongly preferred
• Minimum 7 years’ health care management/leadership experience required
• Proven work experience in areas of process reengineering and project management strongly preferred
• Superior interpersonal skills at the executive level and the ability to work within a highly matrixed environment required
• Experience leading large organizations preferred
• Excellent communication skills, both written and verbal required
• Leadership skills in individual and group settings to reach identified outcomes, achieve high performance standards and deliver quality services
• Positive change management experience
• Possess critical thinking, analytical, and problem skills required
• Proven success in building and maintaining strategic working relationships
• Effective operational decision-making aligned with organizational values
• Initiates steps independently toward problem resolution and operational improvements
• Effectively manages antagonistic, crucial encounters to diffuse tension and reach understanding and alignment as much as possible

CERTIFICATION/LICENSE:

Must hold one of the following AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders) Certifications:

• Certified Coding Specialist (CCS)
• Certified Coding Specialist – Physician (CCS-P)
• RHIT (Registered Health Information Technician)
• RHIA (Registered Health Information Administrator)
• Certified Professional Coder (CPC®)
• Certified Outpatient Coder (COC®)
• Certified Documentation Expert Outpatient (CDEO®)
• Certified Professional Medical Auditor (CPMA®)

Benefits

Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Director of Coding Operations Education opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.