At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

• The Director of Physician Auditing & Education leads the strategic direction, implementation, and management of coding education and auditing programs for hospital-employed physician groups across the organization
• This role is accountable for ensuring accurate, compliant, and consistent coding practices and serves as a key liaison with physician leadership, coders, and compliance teams
• The Director ensures that provider documentation supports appropriate code selection and drives education based on trends and audit findings
• This role is accountable and auditing and educating physicians and APPs of all specialties

Essential Functions

• Develop and implement a standardized enterprise-wide physician coding education and auditing program
• Conduct and supervise coding audits to ensure adherence to federal and state regulations and payer guidelines
• Partner with compliance and legal teams to assess risk areas and address findings from internal or external audits
• Analyze coding data, identify trends, and create targeted education and action plans for improvement
• Collaborate with coding team, medical directors, department chairs, practice managers, and executive leadership to ensure coding and documentation alignment with clinical workflows
• Maintain current knowledge of CPT, HCPCS, ICD-10-CM, CMS, and payer-specific rules and guidelines
• Provide regular reporting to executive leadership on audit results, education initiatives, and compliance performance
• Coordinate development and delivery of provider training sessions, coding newsletters, tip sheets, and ongoing education programs
• Serve as a subject matter expert for physician coding, acting as a resource for field leaders and support teams

Knowledge/Skills/Abilities/Expectations

• Expert knowledge of professional fee coding, billing regulations, and audit methodology
• Strong analytical skills and proficiency in auditing tools and systems
• Excellent communication, training, and interpersonal skills with the ability to interact effectively with physicians and executive leadership
• Demonstrated leadership and project management capabilities
• Proficiency with EHR and coding platforms (e.g., Athena, Epic, Cerner, 3M)
• Ability to provide recorded trainings, training via web (Teams), as well as face to face training
• Sedentary work with extensive use of computers
• Occasional travel required to physician practice sites and corporate meetings
• Remote work environment with periodic onsite presence at facilities or physician practices

Education

• Bachelor's degree in Health Information Management, Health Administration, Nursing, or related field required (or years’ experience in lieu of)
• Master’s degree preferred

Licenses/Certifications

• Current coding certification required (e.g., CPC)
• Additional certification in auditing or compliance preferred (e.g., CHC, CEMC)

Experience

• Minimum 7 years of progressive experience in physician coding and auditing within a large healthcare organization
• Minimum 3 years in a leadership or management role overseeing coding teams and/or education programs
• Experience working with hospital-owned physician practices across multiple states strongly preferred
• Personal experiencing with providing one on one and group education sessions with physicians and physician extenders (i.e. residents, APP’s)