The Director of Hospital Coding is responsible for leading and managing hospital coding operations within the health system, reporting directly to the Senior Director of Coding. This role ensures coding accuracy, regulatory compliance, revenue integrity, and operational efficiency for inpatient and outpatient hospital services. The Director will oversee coding teams, collaborate with clinical, financial, and IT stakeholders, and drive continuous improvement in coding processes.

Qualifications

? 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.

? Deep understanding of hospital coding and coding workflows, regulations, and technologies.

? Experience with Epic or other major EHR systems preferred.

? Strong analytical, communication, and change management skills.

Preferred Skills

? Experience leading coding operations in a multi-entity or academic health system.

? Familiarity with risk adjustment, HCC coding and value-based care models.

? Proven success in implementing coding automation platforms.

? Ability to synthesize data and present actionable insights to senior leadership.

Operational Leadership

• 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.

Compliance & Quality

• 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.

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 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.