Director of Hospital Coding - HSO Health Information Management

• Direct daily operations of hospital coding teams for inpatient and outpatient services.

• Oversee coding workflows, audit response, and corrective action planning.

• Monitor and manage performance metrics including DNFB (Discharged Not Final Billed), coding productivity, and denial rates.

• Ensure timely and accurate submission of hospital claims.

• Ensure adherence to payer-specific guidelines, CMS, OIG, and other regulatory requirements.

• Maintain up-to-date knowledge of coding regulations and requirements.

• Lead internal and external coding audits and implement quality improvement plans.

• Support implementation and optimization of coding technology solutions, including EHR integration.

• Collaborate with IT and coding teams to enhance documentation and coding integration.

• Evaluate and deploy automation solutions to improve coding efficiency.

• Manage relationships with outsourced coding vendors and ensure SLA compliance.

• Partner with CDI, compliance, revenue cycle, and clinical departments to align coding practices.

• Provide regular updates to the Senior Director of Coding and executive leadership on coding performance and strategic initiatives.

Clinical Duties

• Direct daily operations of hospital coding teams for inpatient and outpatient services.
• Ensure timely and accurate submission of hospital claims.

Administrative

• Monitor and manage performance metrics including DNFB, coding productivity, and denial rates.
• Manage relationships with outsourced coding vendors and ensure SLA compliance.

Required

• Bachelor’s degree in Health Information Management, Healthcare Administration, or related field (Master’s preferred).
• CCS and/or CPC required.
• Minimum 5–7 years of progressive leadership experience in hospital coding operations.

Preferred

• Experience leading coding operations in a multi-entity or academic health system.
• Familiarity with risk adjustment, HCC coding and value-based care models.

Certifications

• CCS and/or CPC required.

Experience

5–7 years of progressive leadership experience in hospital coding operations.