Director – Coding, Audit, Compliance & Operational Excellence

Requirements

We are seeking an experienced Director to support the continued growth of our Coding, Audit, Compliance, and Revenue Cycle Management (RCM) consulting practice.

Key Responsibilities

• Provide strategic oversight for coding, audit, compliance, and revenue cycle engagements

• Serve as a trusted advisor to clients, delivering clear, actionable recommendations

• Ensure delivery of accurate, high-quality, and audit-defensible work products

• Lead executive-level presentations and client discussions

• Lead and advise on RCM initiatives, including coding, billing, audit, and revenue integrity

• Oversee RADV/HCC audits and documentation improvement strategies

• Evaluate provider documentation and coding accuracy to ensure compliance with CMS and payer requirements

• Identify opportunities to improve reimbursement, risk capture, and operational performance

• Lead and mentor a team of Managers, Auditors, and consulting staff

• Foster a collaborative, high-performing team environment

• Develop and maintain client relationships to support growth

• Identify and pursue new business opportunities

• Participate in proposals, presentations, and industry events

• Contribute to thought leadership, including publications and speaking engagements

Qualifications

• Experience: 8+ years of healthcare industry experience, proven experience in Revenue Cycle Management (RCM) and healthcare operations, demonstrated expertise in HCC/risk adjustment coding and documentation

• Technical Expertise: Strong knowledge of ICD-10-CM, CPT®, and HCPCS coding, E/M documentation guidelines, CMS regulations and payer requirements, revenue cycle processes (coding, billing, denials, reconciliation)

• Credentials: CPC, CPMA, CRC required

• Skills & Competencies: Strong analytical and problem-solving abilities, excellent written and verbal communication skills, executive presence and client-facing experience, ability to manage multiple complex projects simultaneously, detail-oriented with a strong focus on quality and compliance