Program Director – Coding HB

Job not on LinkedIn

🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🔴 Lead

📋 Program Manager

👻 Ghost score 13%

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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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, operating models, workflows, performance standards, and implementation plans • Establish program KPIs, targets, and performance expectations • Monitor program performance and develop corrective action and improvement plans • Identify opportunities to improve coding accuracy, reimbursement, productivity, quality, and financial performance • Develop scalable processes and best practices across multiple clients • Provide subject matter expertise in hospital inpatient and outpatient coding and billing • Evaluate coding and billing workflows, operational gaps, accuracy, productivity, quality, reimbursement, and compliance trends • Evaluate documentation, coding, billing, reimbursement, denials, charge capture, claim submission, edits, billing workflows, and payer requirements • Partner with CDI, coding, utilization review, denials, and revenue cycle teams • Serve as a senior client-facing leader and trusted advisor • Lead operational assessments, client meetings, executive presentations, and performance reviews • Develop data-driven recommendations and translate complex coding and revenue cycle issues into business recommendations • Manage client escalations and identify opportunities to expand client relationships • Analyze the complete hospital revenue cycle and identify improvement opportunities, revenue leakage, and reimbursement improvements • Support clean claim, denials reduction, reimbursement acceleration, and net revenue initiatives • Review operational, coding, billing, and financial data; develop dashboards and performance reports • Establish baselines, targets, and actionable recommendations with analytics resources • Lead implementation of coding, billing, and revenue cycle programs • Develop project plans, timelines, milestones, and deliverables; coordinate cross-functional teams • Identify risks, mitigation strategies, and communicate project status to executives and clients • Ensure compliance with federal and state regulations, payer requirements, and client policies • Monitor coding quality and compliance; support audits; develop quality assurance and monitoring processes • Provide functional leadership and mentorship to coding, billing, and revenue cycle professionals • Establish performance expectations, support education programs, identify training needs, and promote continuous improvement

🎯 Requirements

• Bachelor's degree in Health Information Management, Healthcare Administration, Business, Finance, or 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 hospital inpatient and outpatient coding knowledge • Strong understanding of hospital 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 with revenue integrity • Preferred: Experience working with outsourced coding or revenue cycle organizations • Preferred: Experience managing multi-client or national healthcare programs

🏖️ Benefits

• Full-Time employment • Remote work arrangement