Aptarro (Alpha II + RCxRules) is a rapidly growing, acquisitive, private-equity-backed software company that is revolutionizing precision across the healthcare revenue cycle for healthcare professionals, clearinghouses, and government entities.
We are looking for a driven candidate to join our team, bringing extensive experience in private equity, including M&A integrations, and buy-side and sell-side due diligence. This is an exciting opportunity to roll up your sleeves, work on innovative solutions, collaborate directly with the Executive Team and Board of Directors, and play a key role in shaping our platform for growth.
If you’re passionate about driving change and innovation, we want to hear from you!
Position Overview:
The Sr. Director of Content Management, Healthcare Coding & Billing Compliance will lead the development, organization, and strategic oversight of content related to coding compliance, billing requirements, and other payer policies/regulations. This role is critical in ensuring that our solutions remain compliant with evolving healthcare laws and guidelines while producing high-quality, accurate, and timely content that supports our clients' operational needs.
The ideal candidate will possess a deep understanding of healthcare coding, billing processes, and Medicare regulations. They will have a strong leadership background, with experience managing cross-functional teams, driving content strategy, and implementing best practices in a dynamic and highly regulated environment.
Key Responsibilities:
Strategic Leadership:
- Develop and execute the content management strategy for all related product offerings.
- Stay updated on industry trends, regulatory changes, and best practices to ensure content relevance and accuracy.
- Lead and mentor a team of content creators, analysts, and subject matter experts to produce high-quality content.
- Prioritize competing content management/creation initiatives to ensure that resources are focused on the highest value projects from a compliance and revenue impact perspective.
- Identify opportunities for new content development to expand the value delivered to clients within our solutions and drive revenue growth.
Content Development & Management:
- Oversee the creation, curation, and maintenance of all business rules and code sets (ICD-10, CPT, HCPCS, etc.) related to coding compliance, billing requirements, and other payer policies/regulations.
- Ensure all content is compliant with current healthcare regulations and is updated regularly to reflect changes.
- Collaborate with internal teams, including Operations, Legal, and Product, to align content with organizational goals and client needs.
- Optimize all content management processes to maintain the highest quality output while maximizing resource utilization
Regulatory Compliance:
- Monitor changes in CMS regulations, payer guidelines, and healthcare laws, ensuring content is updated to maintain compliance.
- Ensure that all published content meets regulatory standards.
- Ensure all third-party material (e.g. AMA, AHA content) is acquired in a manner that complies with any applicable licensing restrictions and that applicable fees are paid in a timely manner.
Team Development & Leadership:
- Build, manage, and develop a high-performing content team with expertise in healthcare coding and billing.
- Provide continuous feedback, coaching, and development opportunities to enhance team performance.
- Foster a culture of innovation, accountability, and collaboration within the team.
Stakeholder Collaboration:
- Work closely with leadership to align content strategy with business objectives.
- Collaborate with product and technology teams to integrate content into digital platforms and tools.
- Engage with clients and industry experts to understand their needs and ensure content meets or exceeds market expectations.
Performance Metrics & Reporting:
- Establish key performance indicators (KPIs) to measure the effectiveness of content strategies and initiatives.
- Regularly report on content performance, compliance status, and strategic goals to senior leadership.
- Use data-driven insights to continuously improve content quality, relevance, and user engagement.
Qualifications:
Education:
- Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field; Master’s degree preferred.
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), RHIT + CPB or CPPM or Provider Revenue Integrity experience.
Certifications:
Experience:
- Minimum of 10 years of experience in healthcare content and/or revenue cycle management, with a focus on coding, billing, CMS regulations, and denial prevention.
- Proven experience in a leadership role, managing large teams and complex projects in a healthcare setting.
- Extensive knowledge of healthcare coding systems (ICD-10, CPT, HCPCS) and billing requirements for both commercial and government payers. In-depth expertise in standard healthcare EDI protocols and billing/remittance formats (ANSI 837/835, NUCC, NUBC).
- Familiarity with Agile/Scrum product development methodology highly desirable.
Skills & Competencies:
- Strong strategic thinking, with the ability to develop and implement content strategies that align with business goals.
- Excellent communication and collaboration skills, with the ability to influence and work effectively across all levels of the organization.
- High attention to detail and commitment to accuracy in content related to healthcare regulations.
- Ability to manage multiple projects simultaneously, with a focus on delivering high-quality content on time and within budget.
Physical Requirements:
Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.