Director – Professional Coding

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

📋 Description

• Supervise and lead professional billing coding, Quality, Audit, and Education operations throughout the organization.

• Drive the professional coding strategy, governance, operational standards, KPIs, productivity benchmarks, and quality measures.

• Develop and uphold coding, documentation, and medical record policies, procedures, and standards.

• Spearhead initiatives aimed at improving coding performance, physician quality profiles, revenue capture, and financial results.

• Provide executive oversight for coding quality, education, audit strategies, coder development, vendor management, and ongoing quality monitoring.

• Manage the enterprise-wide professional coding audit program, involving planning, methodology, sampling, execution, reporting, corrective actions, and oversight.

• Offer audit education, performance feedback, and coaching to coding staff and healthcare providers.

• Supervise record reviews, coding validation, and quality enhancement initiatives.

• Create dashboards and reporting tools to track coding accuracy, productivity, audit results, error trends, provider performance, and compliance risks.

• Lead the Professional Coding Compliance Program and act as the liaison for payer, regulatory, and compliance audits.

• Provide guidance on documentation requirements, coding regulations, reimbursement methodologies, and compliance standards.

• Ensure efficient professional coding operations through effective workload management and performance assessment.

• Present reports, dashboards, and business reviews to executives, physicians, and operational stakeholders.

• Execute process enhancements that optimize coding workflows, documentation, operational efficiency, and financial performance.

• Collaborate with technology, EHR, and revenue cycle partners to enhance coding and audit systems.

• Partner with physicians, clinical leaders, compliance teams, revenue cycle, and operational stakeholders.

• Lead multidisciplinary committees and governance groups.

• Recruit, develop, and mentor coding leaders, auditors, and staff members.

• Oversee staffing, organizational structure, budget planning, and resource distribution.

⛳️ Requirements

• Bachelor's degree in a relevant discipline from an accredited college or university.

• A minimum of 10 years of progressive leadership experience and directly related work experience is required.

• At least 5 years of experience as an EPIC system user, including financial (billing - HB/PB) and clinical documentation (EHR).

• Capability to conduct analyses and draw conclusions.

• Ability to create long-term business plans and strategies.

• Skill in fostering effective working relationships and building consensus.

• Proficiency in mediating and resolving complex problems and issues.

• Competence in planning, organizing, developing tactical plans, and setting priorities.

• Capacity to provide leadership and influence others.

• Ability to identify solutions and solve problems.

• Knowledge of trends, operations, and best practices in electronic Health Information Management.

• Familiarity with federal and state laws, regulations, and regulatory practices affecting healthcare providers' medical and business practices.

• Awareness of local, state, and federal regulatory requirements related to functional responsibilities.

• Understanding of organizational, administrative, fiscal, and personnel management principles and practices.

• RHIA, RHIT, CCS, Non-Clinical CPC and/or CCSP, or CPC certification is required upon hire.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with employer matching.

• Generous paid time off and holiday schedule.

• Professional development opportunities and continuing education support.