Opportunity Highlights

Join the Mount Sinai Health System as the Director of Professional Coding, where you will lead a dynamic team in ensuring coding accuracy and operational efficiency across our renowned health system. Located in the vibrant city of New York, this role offers a competitive salary and the opportunity to make a significant impact in healthcare delivery.

About This Position

The Director of Professional Coding is responsible for leading and managing professional coding operations across the health system, reporting directly to the Senior Director of Coding. This role ensures coding accuracy, regulatory compliance, revenue integrity, and operational efficiency for professional (physician and provider) services. The Director will oversee coding teams, collaborate with clinical, financial, and IT stakeholders, and drive continuous improvement in professional coding processes.

Operational Leadership:

Direct daily operations of professional coding teams for physician and provider 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 professional claims.

Compliance & Quality:

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

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

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

Technology & Process Improvement:

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.

Vendor & Stakeholder Management:

Manage relationships with outsourced professional 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.

Responsibilities

Clinical Duties

Direct daily operations of professional coding teams for physician and provider services.
Ensure timely and accurate submission of professional claims.

Administrative

Oversee coding workflows, audit response, and corrective action planning.
Monitor and manage performance metrics including DNFB, coding productivity, and denial rates.

Qualifications

Required

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

Preferred

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

Certifications

CCS-P and/or CPC required.

Experience

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

Practice Environment

Team Structure

Collaborative environment with coding teams, clinical, financial, and IT stakeholders.

Technology & EMR

Utilizes major EHR systems, including Epic, for coding operations.

Facility

Part of one of the largest academic medical systems in the New York metro area, with a commitment to innovation and excellence in patient care.

About Mount Sinai Health Systems

Mount Sinai Health System is dedicated to fostering an inclusive environment where every team member is valued and empowered. With a strong commitment to innovation and excellence, the organization encourages collaboration and continuous learning, ensuring that all employees can thrive and advance in their careers.

Director of Professional Coding - HSO Health Information Management