About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
This role should be leading the strategic development, execution, and continuous improvement of the educational programs. This role is responsible for ensuring that all coding staff are highly proficient, compliant, and up-to-date with international coding standards. The Director oversees a team of coding educators, collaborates with operational leaders, creates more self-sufficient and engaging videos to promote self-learning.
Key Responsibilities
1. Strategic Leadership & Program Development
Design Curriculum: Create, implement, and maintain structured training programs for ICD-10-CM/PCS, CPT, HCPCS, etc.
Scale Operations: Standardize training methodologies across global delivery centers
Career Pathways: Establish clear professional growth and onboarding tracks for newly hired coders, cross-training programs for existing staff, and leadership tracks for senior coders.
2. Team Management & Mentorship
Direct Supervision: Support in Recruitment of Medical Coding Instructors, Subject Matter Experts (SMEs), and Coders.
Performance Metrics: Define, monitor, and report on trainer performance, training completion rates, and post-training coder proficiency scores.
3. Quality, Compliance & Audit Support
Compliance Alignment: Align all educational materials with the latest updates from CMS, AMA, AHIMA, AAPC, and OIG guidelines.
Remediation Training: Partner with the Quality Assurance (QA) team to analyze audit error trends and rapidly deploy targeted root-cause training to correct accuracy gaps.
Technology Integration: Lead training initiatives for internal software updates, Electronic Health Record (EHR) migrations, and AI-assisted computer-assisted coding (CAC) tools.
Required Qualifications
Education & Certifications
Degree: Bachelor’s degree in Health Information Management (HIM), Healthcare Administration, Business, or a related field (Master’s degree preferred).
Core Credentials: Must hold at least one active, premier credential from AAPC or AHIMA:CPC (Certified Professional Coder)CCS (Certified Coding Specialist)RHIA / RHIT (Registered Health Information Administrator / Technician)
Preferred Credential: Certified Professional Coding Instructor (CPC-I) or equivalent credential demonstrating instructional expertise.
Experience & Skills
Domain Expertise: Minimum of 12–15 years of progressive experience in medical coding operations, with at least 5 years dedicated strictly to healthcare training, instructional design, or academic leadership.
Analytical Skills: Strong capability to interpret complex clinical documentation, medical necessity criteria, and coding audit metrics to turn data trends into actionable lesson plans.
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
