Director, Coding and Billing Compliance

ChristianaCare

. Develop and maintain an enterprise-wide Coding and Billing Compliance Program aligned with organizational compliance objectives and regulatory expectations .

Posted 10/26/2026full-timeWilmington • United StatesLead💰 $167,232 - $284,294 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing and maintaining Coding and Billing Compliance Programs, conducting risk assessments, and leading compliance auditing and monitoring activities. Proficient in managing compliance education initiatives and collaborating with cross-functional teams to enhance revenue cycle integrity.

Highest-signal resume keywords

Coding And Billing ComplianceRisk AssessmentCompliance AuditingLeadership ExperienceEpic EHR Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding ComplianceBilling ComplianceRevenue Cycle ComplianceAudit PlanningCorrective Action PlanningRoot-Cause AnalysisCompliance ReportingMonitoring ActivitiesHealthcare ComplianceInternal Audit

Soft Skills

CommunicationLeadershipCollaborationTrainingPerformance Management

Tools & Technologies

Epic EHR Systems

Certifications & Qualifications

Certified In Healthcare Compliance (CHC)Certified Professional Medical Auditor (CPMA)Certified Professional Coder (CPC)Certified Coding Specialist (CCS/CCS-P)Registered Health Information Administrator (RHIA)Certified Healthcare Financial Professional (CHFP)Certified Revenue Cycle Representative (CRCR)

Industry Keywords

Healthcare ExperienceRevenue IntegrityHealthcare Financial OperationsIntegrated Delivery NetworksMedicareMedicaidCommercial PayerCompliance RisksDocumentationMedical Necessity

About the role

Key responsibilities & impact

Develop and maintain an enterprise-wide Coding and Billing Compliance Program aligned with organizational compliance objectives and regulatory expectations
Conduct ongoing coding and billing compliance risk assessments and develop annual risk-based audit and monitoring plans
Monitor regulatory and enforcement developments and provide guidance on reimbursement, billing, coding, documentation, medical necessity, and revenue cycle compliance risks
Design and oversee auditing and monitoring activities for Medicare, Medicaid, commercial payer, and organizational requirements
Direct investigations involving billing, coding, reimbursement, charging, documentation, or other revenue cycle compliance concerns
Lead root-cause analysis and corrective action planning related to audit findings, investigations, overpayments, repayment obligations, and compliance vulnerabilities
Develop compliance reporting and dashboards covering revenue integrity risks, trends, audit outcomes, corrective actions, and program effectiveness
Partner with Revenue Cycle, Finance, HIMS, CDI, and operational leaders to strengthen internal controls and mitigate compliance risks
Oversee compliance education and communication initiatives, including targeted training for leadership, providers, and revenue cycle personnel
Prepare reports and presentations for executive leadership, management committees, and governance bodies
Manage and develop Coding and Billing Compliance staff, including performance management, professional development, and workload prioritization

Requirements

What you’ll need

Bachelor's degree required; Master's degree preferred
Minimum ten (10) years of healthcare experience in revenue cycle, revenue integrity, reimbursement, coding and billing compliance, healthcare compliance, internal audit, or related healthcare financial operations
Minimum five (5) years of progressive leadership experience
Demonstrated experience developing or overseeing compliance auditing, monitoring, investigations, risk assessments, and corrective action processes
Experience within large hospitals, health systems, or integrated delivery networks preferred
Preferred experience with Epic electronic health record (EHR) systems in a hospital environment
One or more of the following certifications preferred: Certified in Healthcare Compliance (CHC), Certified Professional Medical Auditor (CPMA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS/CCS-P), Registered Health Information Administrator (RHIA), Certified Healthcare Financial Professional (CHFP), Certified Revenue Cycle Representative (CRCR)

Benefits

Comp & perks

Full Medical, Dental, Vision, Life Insurance, etc.
Two retirement planning offerings, including 403(b) with company contributions
Generous paid time off with annual roll-over and opportunities to cash out
12-week paid parental leave
Annual membership to care.com
Access to backup care services for dependents through Care@Work
Retirement planning services
Financial coaching
Fitness and wellness reimbursement
Discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more
Employee assistance program