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Director Coding Compliance Jobs in Texas (NOW HIRING)

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Director Coding Compliance information

What is a director coding compliance?

A Director of Coding Compliance is a senior healthcare professional responsible for overseeing the accuracy and integrity of medical coding processes within an organization. They ensure that all coding practices comply with federal and state regulations, as well as organizational policies. This role often involves leading coding teams, conducting audits, implementing training programs, and staying updated on changes in coding standards. Their work helps prevent fraudulent billing and ensures proper reimbursement for healthcare services.

How does a director coding compliance typically collaborate with clinical and administrative teams to ensure accurate coding practices?

A Director of Coding Compliance works closely with both clinical staff and administrative teams to promote accurate, compliant medical coding. This collaboration often involves developing training programs for clinicians, conducting regular audits, and providing feedback on documentation practices. The Director also serves as a liaison between coding staff and healthcare providers, helping to resolve discrepancies and clarify coding requirements. By fostering open communication and ongoing education, the Director ensures all teams are aligned with regulatory standards and organizational goals.

What are the key skills and qualifications needed to thrive as a director coding compliance, and why are they important?

To thrive as a Director of Coding Compliance, you need deep knowledge of medical coding standards, healthcare regulations, and significant experience in health information management, often backed by credentials such as RHIA, RHIT, or CCS. Expertise with coding software, EHR systems, and compliance auditing tools is typically required. Strong leadership, analytical skills, and the ability to communicate complex regulations clearly are valuable soft skills in this role. These competencies are vital to ensure coding accuracy, regulatory compliance, and to minimize financial and legal risks for healthcare organizations.

What is the difference between Director Coding Compliance vs Coding Manager?

AspectDirector Coding ComplianceCoding Manager
CertificationsAHIMA or AAPC certifications, such as CCS or CPCSimilar certifications, often CPC or CCS
Work EnvironmentStrategic oversight, policy development, compliance auditingOperational management, coding team supervision
Industry UsageHealthcare organizations, hospitals, health systemsHospitals, outpatient clinics, physician practices

The main difference is that the Director Coding Compliance focuses on ensuring coding accuracy and regulatory adherence at a strategic level, while the Coding Manager handles day-to-day coding operations and team management. Both roles require similar certifications and work within healthcare settings, but their responsibilities and scope differ significantly.

What are the most commonly searched types of Coding Compliance jobs in Texas?

The most popular types of Coding Compliance jobs in Texas are:

What cities in Texas are hiring for Director Coding Compliance jobs?

Cities in Texas with the most Director Coding Compliance job openings:

Director of Coding Compliance

Richardson, TX • On-site

Health Care Service Corporation
Outpatient Health Care • 10K+ employees
Learn more about Health Care Service Corporationexternal

$121K - $225K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 21 hours ago

Posted today

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThe Director of Coding Compliance will be responsible for developing the business plan and strategy for various lines of business and working with leadership on strategies and business plans for various functions; collaborating across the enterprise to ensure that enterprise strategies align with line of business strategies; representing lines of business and completing deliverables for annual Enterprise Multiyear planning; managing matrix relationships with key enterprise areas; developing executive communication for the lines of business including communications and presentations for Board Meetings.

Required Job Qualifications:
*Bachelor's in Medical Record Administration or related healthcare field or equivalent work experience.
*10 years of Certification in Coding; Must have national certification in coding
*10 Years of Risk Adjustment experience in Medicare, Medicaid and ACA field.
*Experience in ICD-10 and HCPCS coding
*Familiar with Risk Adjustment Data Validation Audits
*Ability to effectively prioritize and execute tasks while under pressure.
*Ability to manage multiple high-priority deadlines at once.
*Ability to lead effectively and drive sustainable results in both individual and team settings.
*Strong to expert knowledge of Microsoft Excel, PowerPoint and Word
*Analytically driven approach and strong problem-solving skills
*Good listening, interpersonal, written, and oral communication skills
*Excellent interpersonal, written and oral communication skills.
*Highly self-motivated and directed
*Strong customer service orientation
*Experience working in a team-oriented, collaborative environment
*Knowledge of applicable data privacy practices and laws
*Occasional evening and weekend work to meet deadlines.
*Must be able to travel occasionally for required meetings.

* Overseeing the annual budget and allocating resources for various projects and operational needs.

* Translating needs and initiatives into compelling business cases.

* Conducting cost-benefit analyses to justify investments and ensure ROI.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$121,200.00 - $225,200.00

Exact compensation may vary based on skills, experience, and location.

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