Director, Coding Operations & Payor Strategy
About The Position
As a Director of Coding Operations & Payor Strategy at XiFin you will be a strategic and detail-oriented leader. This role is responsible for leading initiatives that ensure accurate and optimal application of payor reimbursement policies across our services. This includes overseeing a team of certified coders, managing payor policy tracking, supporting system configuration needs, and working directly with internal teams and customers to ensure compliance and maximize reimbursement. This position will be working onsite at our office in Charleston, SC.
Requirements
- Bachelor's degree in Healthcare Administration, Business, or a related field (Master's preferred)
- Certified Professional Coder (CPC) required
- 10+ years in healthcare regulatory affairs, payor relations, reimbursement strategy, or a related area
- At least 5 years of leadership experience managing coding or reimbursement teams
- Strong understanding of coding principles, including CPT and ICD coding, across a range of healthcare services
- Deep knowledge of healthcare regulations, reimbursement processes, and payor policy trends
- Proven ability to turn regulatory insights into practical, strategic business actions
- Excellent written and verbal communication skills, with a strong customer-facing presence
- Advanced Excel work experience
- Strong organizational and cross-functional collaboration skills, with the ability to balance multiple priorities in dynamic environments
- Must be willing to travel domestically 25%
Responsibilities
- Monitor, analyze, and interpret changes in payor policies and reimbursement guidelines, particularly across pathology, laboratory, radiology, pharmacy, and medical device services
- Collaborate with internal stakeholders to assess the operational and financial impact of payor policy changes and identify opportunities to optimize revenue
- Ensure timely communication of payor changes to customers and internal teams, positioning the organization as a leader in industry knowledge
- Manage a team responsible for assigning CPT and ICD codes to patient records, ensuring accuracy, compliance, and adherence to payor policies
- Partner with product and configuration teams to ensure systems accurately reflect evolving payor requirements and edits
- Respond to customer inquiries regarding system functionality related to claims processing and reimbursement policy application
- Lead efforts with outsourced billing teams to analyze denial trends and develop mitigation strategies to enhance revenue cycle efficiency
- Support continuous education and development of coding staff to ensure certification compliance and industry best practices
Benefits
- Comprehensive health benefits including medical, dental, vision, and telehealth
- 401(k) with company match and personalized financial coaching to support your financial future
- Health Savings Account (HSA) with company contributions
- Wellness incentives that reward your preventative healthcare activities
- Tuition assistance to support your education and growth
- Flexible time off and company-paid holidays
- Social and fun events to build community at our locations!
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What This Job Offers
Job Type
Full-time
Career Level
Director
Industry
Professional, Scientific, and Technical Services
Number of Employees
501-1,000 employees
