Director – Coding, Audit, Compliance & Operational Excellence

Description

VMG Health supports a nationwide network of clients with over 70,000 engagements, exclusively in the healthcare industry. Our national client base ranges from large health systems to small practices and everything in between, including investors and private equity firms. VMG Health provides a solutions-oriented approach to client needs through our strong market position, extensive contacts, unparalleled tools and solutions, and expert insights. We are proud to serve as the single source for all our clients’ valuation, strategic, and compliance needs.

Requirements

We are seeking an experienced Director to support the continued growth of our Coding, Audit, Compliance, and Revenue Cycle Management (RCM) consulting practice. This role will provide strategic leadership across client engagements, with a particular focus on coding compliance, revenue cycle operations, and risk adjustment (RADV/HCC).

The Director will play a key role in designing and delivering provider-focused education and training programs across multiple specialties, supporting documentation improvement, coding accuracy, and overall compliance.

This individual will lead complex engagements, guide high-performing teams, and partner with clients to develop actionable, compliant, and operationally effective solutions. This is a highly visible, client-facing role with opportunities to contribute to service line innovation and business development.

Key Responsibilities

Client Engagement & Leadership

• •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

Revenue Cycle & Risk Adjustment Expertise

• •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

Team Leadership & Development

• •Mentor and develop Managers, Auditors, and consulting staff
• •Provide guidance on engagement execution, quality standards, and client communication
• •Foster a collaborative, high-performing team environment

Business Development

• •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
• •Bachelor’s degree preferred

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