DIRECTOR OF CLINIC SUPPORT

South Central Regional Medical Center•Laurel, MS

1d•Hybrid

About The Position

The Director of Clinic Support provides tactical and operational leadership for the clinic billing and coding teams within the Revenue Cycle Management department at South Central Regional Medical Center. This position is accountable for the accuracy, compliance, productivity, and performance of clinic billing and coding operations and serves as a key partner to clinical and administrative leadership in optimizing revenue cycle outcomes for clinic operations. The Director leads, develops, and manages a team of billing and coding professionals and ensures that all functions are carried out in accordance with applicable regulatory requirements, payer guidelines, and SCRMC policies and standards.

Requirements

Bachelor's degree in Business Administration, Health Information Management, Healthcare Administration, Finance, or a related field required
Minimum of 3–5 years of progressive experience in healthcare billing, coding, or revenue cycle management required
Minimum of 3 years of experience in billing and coding in a clinic or ambulatory care setting required
Demonstrated supervisory or management experience leading billing and/or coding teams required
Working knowledge of ICD-10-CM, CPT, and HCPCS coding systems and their application in a clinic setting
Familiarity with payer billing requirements, CMS guidelines, and ambulatory revenue cycle regulations
Proven ability to lead, motivate, and develop teams in a fast-paced healthcare environment
Strong oral and written communication skills, including the ability to present data and operational findings clearly to leadership and clinical stakeholders
Analytical ability to interpret billing and coding performance data and drive data-informed decisions
Proficiency with electronic health records (EHR) and practice management systems

Nice To Haves

Certified Professional Coder (CPC) credential issued by the American Academy of Professional Coders (AAPC) strongly preferred
Experience with Epic EHR or comparable enterprise practice management and billing platform
Familiarity with denial management, appeals processes, and payer contract terms in a multi-specialty clinic environment
Prior experience managing coding compliance programs or supporting external coding audits
Knowledge of CMS Evaluation and Management (E/M) documentation and coding guidelines
Demonstrated ability to work collaboratively across clinical and administrative departments in a health system environment

Responsibilities

Provide direct leadership, supervision, and daily management of the clinic billing and coding teams, including hiring, performance management, coaching, and professional development
Establish and monitor key performance indicators (KPIs) for billing and coding operations including coding accuracy rates, claim denial rates, days in accounts receivable, clean claim rates, and coder productivity
Ensure all clinic billing and coding activities are performed in compliance with applicable federal and state regulations, payer-specific requirements, and SCRMC policies including HIPAA and OIG guidelines
Oversee the accuracy and completeness of clinical documentation coding, ensuring appropriate ICD-10-CM, CPT, and HCPCS code assignment across all clinic service lines
Partner with clinic physicians, advanced practice providers, and clinical leadership to identify and address documentation gaps that affect coding accuracy and reimbursement
Lead and coordinate responses to payer audits, coding queries, claim denials, and appeals related to clinic billing and coding activities
Develop, implement, and maintain billing and coding policies, procedures, and compliance protocols specific to clinic operations
Collaborate with the Director of Revenue Cycle Management and other revenue cycle leaders on departmental strategy, system initiatives, and performance improvement efforts
Analyze billing and coding data to identify trends, root causes of denials or underpayments, and opportunities for operational and financial improvement
Ensure timely and accurate submission of claims, management of work queues, and resolution of billing edits and rejections
Support the implementation, optimization, and use of billing, coding, and practice management software systems used in clinic revenue cycle operations
Stay current on changes to billing regulations, coding guidelines, and payer policies and communicate relevant updates to the team in a timely manner
Prepare and present operational and performance reports to the Director of Revenue Cycle Management and senior leadership as required
Participate in and support revenue cycle-related projects, system conversions, and interdepartmental initiatives as assigned
Perform other duties as assigned by the Director of Revenue Cycle Management