Director, Outpatient Facility Coding

This is a fully remote position, open to applicants in Florida.

📋 Description

• Provide strategic and operational oversight for a large outpatient facility coding organization.

• Supervise daily operations of the Outpatient Facility Coding department through managers, supervisors, and coding leads.

• Lead, mentor, and cultivate coding leadership while fostering accountability, consistency, and operational excellence.

• Develop, implement, and uphold medical record coding and reimbursement compliance strategies.

• Establish and monitor standards for coding quality, productivity, accuracy, turnaround time, and reimbursement performance.

• Ensure precise and compliant assignment of ICD-10-CM, CPT, HCPCS, and APC-related coding across outpatient facility services.

• Promote consistency and efficiency in outpatient claims processing, coding workflows, and data collection.

• Enhance reimbursement, minimize coding-related denials, improve data quality, and optimize revenue cycle performance.

• Oversee coding audits, quality assessments, compliance initiatives, and corrective action plans.

• Collaborate with Central Business Office, Revenue Integrity, HIM, Informatics, Compliance, and Quality Documentation Improvement leadership.

• Provide insights and recommendations regarding documentation enhancement and provider education needs.

• Ensure adherence to CMS regulations, official coding guidelines, payer requirements, and organizational standards.

• Assess coding technology, information systems, reporting tools, and databases.

• Lead coding-related projects, system initiatives, process enhancements, and organizational transformations.

• Analyze coding and reimbursement data to pinpoint trends, risks, and areas for improvement.

• Support alignment between outpatient facility coding and associated professional coding functions, including ED professional coding.

• Act as a subject matter expert and senior leader for facility coding operations throughout the organization.

⛳️ Requirements

• An associate degree in Health Information Management or a related field is required; five years of relevant experience may substitute for an associate degree.

• A bachelor's degree in Health Information Management or a related field is preferred.

• A minimum of 5 years of facility coding experience is required.

• At least 3 years of supervisory or management experience is necessary.

• Strong experience in leading coding operations within hospitals or health systems is essential.

• Experience in managing managers, supervisors, leads, and/or large coding teams is highly preferred.

• Demonstrated expertise in coding quality, compliance, reimbursement, productivity, and data integrity.

• Experience with HIM operations, project management, information systems, and coding-related databases.

• A robust understanding of outpatient facility coding and reimbursement methodologies is required.

• Experience in cross-functional collaboration with Revenue Cycle, HIM, Revenue Integrity, Compliance, Informatics, and clinical documentation teams is essential.

• A minimum of one active coding certification through AHIMA or AAPC is required.

• Relevant certifications may include RHIA, RHIT, CCS, CPC, COC, or equivalent credentials.

🏝️ Benefits

• Competitive salary package.

• Comprehensive health benefits including medical, dental, and vision coverage.

• Opportunities for professional development and continuing education.

• A supportive and inclusive work environment.

• Generous paid time off and flexible work arrangements.