Director, Coding & Education

AMSURG•Remote,

5h•Remote

About The Position

The Director, Coding & Education provides enterprise leadership for coding quality, audit, and education across a national ambulatory surgery center (ASC) platform. This role is responsible for ensuring accurate and compliant coding practices, mitigating reimbursement and regulatory risk, and supporting revenue cycle performance through coding oversight, audit programs, and targeted education initiatives. This leader partners closely with Revenue Cycle Operations, Revenue Integrity, Compliance, Clinical Leadership and ASC operational leaders/clinical providers to promote consistent coding practices and optimize reimbursement integrity across all centers.

Requirements

Extensive knowledge of: ASC reimbursement methodologies, CPT coding, HCPCS coding, ICD-10-CM, NCCI edits, Medicare and commercial payer regulations, Documentation requirements, Revenue cycle operations
Experience presenting complex coding and compliance findings to operational and executive leadership.
Bachelor's degree or equivalent experience may be considered.
Minimum 10 years of progressively responsible coding, compliance, revenue integrity, or coding audit experience.
Minimum 5 years of leadership experience in coding compliance, coding quality, audit, or education functions.
One or more of the following certifications required: CPC, CPMA, CCS, CCS-P, RHIA, RHIT

Nice To Haves

Multi-site ASC experience.
Experience supporting high-volume surgical specialties such as gastroenterology, orthopedics, ophthalmology, pain management, cardiovascular, ENT, urology, and spine.
Experience leading coding education and compliance programs across geographically dispersed organizations.
Experience with coding technology, computer-assisted coding, analytics, and AI tools.
Experience partnering with physician practices and surgery center operations.

Responsibilities

Lead the enterprise coding audit and compliance program for ambulatory surgery centers.
Develop annual coding audit plans based on financial risk, regulatory activity, payer trends, and organizational priorities.
Conduct and oversee coding audits focused on CPT, HCPCS, ICD-10-CM coding accuracy, documentation support, modifier usage, and reimbursement compliance.
Identify coding and documentation risks and develop corrective action plans with operational leaders.
Monitor and trend audit findings and provide regular reporting to executive leadership.
Support external audit preparedness and response activities involving CMS, Medicare Administrative Contractors, Recovery Audit Contractors (RAC), Targeted Probe and Educate (TPE), commercial payers, and other regulatory entities.
Serve as the enterprise expert on ASC reimbursement methodologies and specialty-specific coding requirements.
Develop and maintain coding standards and guidance to support consistent coding practices across all facilities.
Partner with clinical and operational leaders to evaluate coding implications of new procedures, service lines, technologies, and physician recruitment initiatives.
Interpret and communicate changes in CPT coding, Medicare rules, payer policies, and industry regulations.
Collaborate with Revenue Integrity, Managed Care, and Revenue Cycle Operations teams to identify coding-related reimbursement opportunities and risks.
Analyze denial trends and develop coding strategies to reduce preventable denials.
Evaluate payer edits, billing rules, and reimbursement patterns to ensure compliant revenue optimization.
Support initiatives designed to improve clean claim rates, coding accuracy, and reimbursement outcomes.
Develop and lead enterprise coding education programs for coders, business office teams, administrators, and operational leaders.
Create and distribute coding guidance updates, newsletters, job aids, and educational materials.
Design targeted training plans based on audit findings, regulatory updates, and coding trends.
Support coder onboarding, competency assessments, and ongoing professional development.
Foster a culture of compliance, accountability, and continuous learning.
Lead, mentor, and develop coding auditors, educators, and coding professionals.
Support standardization efforts across the ASC platform to improve coding consistency and quality.
Evaluate opportunities to leverage automation, technology, and AI-enabled solutions to enhance coding quality and audit effectiveness.
Participate in strategic revenue cycle and operational initiatives that support organizational growth and performance.