Director, Coding Services
Posted Updated
Description
Position Summary The Director of Coding Services provides strategic leadership for UI Health's Coding Services in support of the organization's quality, revenue integrity, regulatory compliance, and performance improvement goals. Engages in strategic planning with the CQO to establish coding priorities, improve coding quality operational performance, support organizational initiatives related to clinical documentation, reimbursement, quality reporting, and regulatory compliance. Collaborates with CDI, HIM, Revenue Cycle, Finance, Information Services, Quality Performance and Improvement, Risk Management, physician leadership, and external vendors to optimize coding accuracy, data integrity, operational efficiency, and financial performance. Leads the strategic and operational oversight of inpatient and outpatient hospital facility coding services while ensuring compliance with applicable federal, state, payer, and accreditation requirements. Responsible for the leadership of inpatient outpatient coding services. Duties Responsibilities Provides the strategic direction and leadership for Coding Services in alignment with UI Health's organizational quality, financial, and operational goals. Engages in strategic planning with the Chief Quality Officer to establish coding priorities, develop operational roadmaps, and support enterprise clinical documentation and coding initiatives. Develops departmental goals, key performance indicators, and performance improvement plans that support organizational objectives. Serves as the organizational subject matter expert for hospital coding, coding compliance, documentation requirements, reimbursement methodologies, payer requirements, and applicable federal and state regulations. Provides executive oversight of inpatient and outpatient hospital facility coding operations, ensuring timely, accurate, and compliant code assignment. Oversees coding productivity, quality, turnaround time, coding compliance, and coding audit programs. Develops, monitors, and reports coding performance metrics, operational dashboards, and departmental performance indicators. Collaborates with the Director of Clinical Documentation Improvement to improve documentation quality, coding accuracy, and clinical data integrity. Partners with Quality Performance and Improvement, Risk Management, Revenue Cycle, Finance, and physician leadership to support accurate quality reporting, regulatory reporting, reimbursement, and revenue integrity. Collaborates with Information Services and external vendors to optimize Epic coding workflows, computer-assisted coding (CAC), encoder applications, and other coding technologies. Evaluates and implements new technologies and process improvements that enhance coding accuracy, operational efficiency, and clinical data integrity. Oversees internal and external coding audits and ensures implementation of appropriate corrective actions to maintain coding quality and regulatory compliance. Develops and maintains departmental coding policies, procedures, and quality standards consistent with federal regulations, payer requirements, and industry best practices. Directs a high-performing Coding Services team by establishing employee goals, conducting annual performance evaluations, supporting professional development, and fostering employee engagement. Conducts operating and capital fiscal planning, ensures financial performance per established budget plan. Manages coding-related contracts, vendors, and outsourced coding services. Participates in organizational committees and multidisciplinary initiatives supporting quality, patient safety, clinical documentation, and revenue integrity. Other duties as assigned. Perform other related duties and participate in special projects as assigned.