Director, Coding

About the role

Axia Women's Health, the nation’s largest community‑based, integrated women’s health network, is seeking a Director, Coding to lead the coding and auditing function across its extensive provider network. The Director will map policies and processes to ensure compliance with all applicable rules, regulations, and the Axia Compliance Program while delivering high‑quality, revenue‑maximizing services to providers.

Responsibilities

• Develop and oversee an effective coding function that ensures best practices, efficiencies, quality outcomes, and maximized revenue.
• Manage the external coding vendor’s staffing, processes, and supporting systems to ensure efficient operation.
• Collaborate with the Manager of Coding, the Axia Compliance Officer, and other coding professionals to design and streamline coding and compliance processes.
• Translate and communicate audit findings to educate providers and care centers, ensuring compliance with applicable rules, regulations, and the Axia Compliance Program.
• Train care centers on documentation rules and requirements.
• Stay current with CMS rules and guidelines and disseminate changes to the coding and auditing team.
• Establish and manage key performance indicator (KPI) reporting for the coding team; review KPIs daily and adjust processes to meet goals.
• Analyze reports to determine the status of outstanding accounts receivable, denials, and unbilled claims related to coding operations and work to resolve issues.
• Identify denial trends to effectively manage future denials.
• Research and analyze compliance issues using federal publications, the Federal Register, industry sources, and the internet; deliver timely reports to leadership and communicate resolutions.
• Partner with internal customers—including physicians, advanced practice providers, care center managers, RCM, regional operations, and third‑party coding/billing vendors—to maintain positive relationships.
• Address staff performance and conduct promptly, providing counseling, correction, and discipline as appropriate; conduct periodic reviews and give constructive feedback.
• Monitor and adhere to applicable federal, state, and local laws, Axia’s Integrity and Compliance Program, Code of Conduct, and other policies and procedures.

Supervisory Responsibilities

• Oversee coding personnel.

Qualifications

• Bachelor’s degree or higher preferred, or equivalent experience.
• 8–10 years of relevant experience required.
• Minimum 5 years of experience in billing/coding management.
• Certified Professional Coder (CPC) through AAPC or Certified Coding Specialist‑Physician (CCS‑P) through AHIMA required.
• Demonstrated excellent Microsoft Excel skills.

Skills

• Expertise in physician billing with in‑depth knowledge of revenue cycle management, medical coding, and compliance.
• Strong grasp of coding guidelines, CMS rules, and regulations.
• Ability to investigate compliance rules and break down requirements to educate coders, physicians, advanced practice providers, and care center personnel.
• Understanding of value‑based care and bundled codes.
• Strong leadership, delegation, and direction‑setting abilities.
• Exceptional verbal, interpersonal, and written communication skills; ability to present ideas in a business‑friendly, user‑friendly manner.
• Computer proficiency, including MS Office and electronic medical records (EMRs).