Program Director – Coding

🕒 September 9

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🔴 Lead

📋 Program Manager

👻 Ghost score 38%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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HURC Healthcare Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

🎯 Recruiter

Healthcare • Healthcare Insurance • Recruitment

HURC Healthcare Solutions is a B2B healthcare services firm that partners with hospitals and provider organizations to manage utilization review, clinical revenue cycle operations, and population health outreach. The company provides centralized Utilization Review (CŪR), revenue cycle management that combines domestic oversight with offshore resources, and staff augmentation and automation services to maximize net patient revenue and reduce operational burdens. HURC emphasizes people-powered, customizable services that integrate with clients' existing systems and bridge the payer-provider gap so clinicians can focus on patient care.

📋 Description

• Provide strategic and operational leadership for hospital coding and billing programs • Develop program strategies, workflows, performance standards, KPIs, and implementation plans • Monitor performance, identify improvement opportunities, and implement corrective action plans • Develop scalable processes and best practices across multiple clients • Drive improvements in coding accuracy, reimbursement, productivity, quality, and financial performance • Serve as a subject matter expert in inpatient and outpatient hospital coding and billing • Evaluate workflows, identify operational gaps, and recommend process improvements • Analyze coding accuracy, productivity, quality, reimbursement, compliance, operational, and financial trends • Assess the impact of clinical documentation, coding, billing, denials, utilization, and payer behavior on financial performance • Identify opportunities to reduce denials, prevent revenue leakage, improve charge capture, and improve claim submission • Partner with CDI, coding, utilization review, denials, revenue cycle, analytics, and cross-functional teams • Lead operational assessments, client meetings, executive presentations, and performance reviews • Translate complex revenue cycle challenges and data into clear, actionable recommendations • Build relationships with hospital executives, HIM and coding leaders, revenue cycle executives, finance teams, physicians, and other stakeholders • Manage client escalations and ensure timely resolution • Identify opportunities to expand client relationships through additional HURC solutions • Establish performance benchmarks and improvement targets with clients • Lead implementation of coding, billing, and revenue cycle programs • Develop project plans, timelines, milestones, and deliverables • Coordinate cross-functional teams, manage implementation risks, and communicate project status • Ensure projects remain on schedule and achieve defined outcomes • Ensure programs align with applicable federal and state regulations, payer requirements, and client policies • Monitor coding quality and compliance; support internal and external audits • Identify compliance risks and recommend corrective action • Develop quality assurance, monitoring, documentation, and audit-trail processes • Provide functional leadership and mentorship to coding, billing, and revenue cycle professionals • Establish performance expectations and accountability • Support coding and billing education and training initiatives • Identify development needs and promote continuous improvement, quality, and client service

🎯 Requirements

• Bachelor's degree in Health Information Management, Healthcare Administration, Business, Finance, or a related field; equivalent experience may be considered • 7+ years of progressive experience in hospital coding, billing, HIM, revenue cycle, or healthcare financial operations • 3+ years of leadership or program management experience • Strong knowledge of inpatient and outpatient hospital coding, billing, and revenue cycle operations • Experience working with healthcare clients, hospitals, health systems, or physician organizations • Demonstrated experience analyzing operational and financial performance • Experience leading process improvement or revenue cycle initiatives • Strong understanding of payer requirements and reimbursement methodologies • Excellent written, verbal, presentation, and executive communication skills • Demonstrated ability to lead complex projects and cross-functional teams • Preferred: RHIA, RHIT, CCS, CPC, COC, or other relevant HIM/coding certification • Preferred: Experience with EPIC or other major EHR platforms • Preferred: Experience with encoder, CAC, CDI, billing, or revenue cycle technology • Preferred: Experience with Power BI or other healthcare analytics platforms • Preferred: Experience with hospital denials and appeals • Preferred: Experience in revenue integrity • Preferred: Experience working with outsourced coding or revenue cycle organizations • Preferred: Experience managing multi-client or national healthcare programs