Senior Director, Coding Services

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

📋 Description

• Lead and execute strategic initiatives within Risk Adjustment coding operations.

• Ensure that training, production, and quality/audit strategies align with client deadlines.

• Recognize operational risks and formulate strategies for mitigation.

• Collaborate with executive and operational teams regarding client contracts and service-level agreements.

• Evaluate quality reports, metrics, and SLAs to pinpoint trends and opportunities for process enhancements.

• Create and implement process redesigns.

• Supervise both onshore and offshore coding production, ensuring coding accuracy, effective staff management, and vendor performance.

• Track productivity and address performance issues within client teams.

• Review and relay internal system reports concerning production and quality accuracy.

• Engage in production meetings and devise coding and quality production strategies, including targeted audits.

• Convey production strategies and project priorities to managers for client-product onboarding and scheduling.

• Assess coding accuracy trends and implement auditing, mentoring, and focused training initiatives.

• Work collaboratively with IT, Data Operations, Data Analytics, Training, and Human Resources to address production challenges.

• Attend client meetings with Client Services to discuss production and quality matters.

• Report findings of coding-standard noncompliance and facilitate communication with senior leadership and managers.

• Recruit, develop, coach, and retain talent.

• Fulfill performance-plan obligations and undertake assigned special projects.

⛳️ Requirements

• Required coding certification: RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H, nationally certified by AAPC or AHIMA.

• CRC certification is advantageous.

• A bachelor’s degree is preferred.

• Over 10 years of experience in medical coding or record abstraction may replace the preferred bachelor’s degree.

• A minimum of 10 years of experience in HCC or Risk Adjustment.

• At least 5 years of experience managing coding production and quality/audit staff.

• A minimum of 3 years in a leadership position with formal direct reports.

• At least 5 years in a client-facing role.

• In-depth understanding of client business requirements, challenges, and industry trends.

• Ability to convert client needs into actionable initiatives and business proposals.

• Capacity to establish, oversee, and enforce staffing and production timelines.

• Proficient in utilizing data to identify trends in production and quality and develop corrective measures.

• Expert knowledge of coding standards for Medicare, Medicaid, and Commercial Risk Adjustment coding guidelines.

• Exceptional written, communication, coaching, interpersonal, and client engagement skills.

• Strong analytical and critical-thinking abilities.

• High proficiency in computer applications and technology, including advanced Excel capabilities.

• Ability to manage multiple client deliverables and meet competing deadlines.

• Knowledge of and compliance with HIPAA privacy and security regulations.

• Flexibility to engage in an international organization's work processes and participate in global-time-zone conference calls.

• Minimal travel is necessary.

• After-hours or weekend work may be required for significant deliverables or deadlines.

• Must be capable of performing duties with or without reasonable accommodation.

• Must provide a dedicated, secure workspace.

• Must ensure high-speed internet access/connectivity and maintain an appropriate office setup.

🏝️ Benefits

• Coverage for medical, dental, vision, disability, and life insurance.

• 401(k) savings plans.

• Paid family leave.

• 9 paid holidays annually.

• 17–27 days of Paid Time Off (PTO) each year, based on specific level and length of service.

• Minimal travel requirements.

• Remote work flexibility.

• Commitment to equal employment opportunities.