Director – Professional Coding

🔥 14 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $91 - $121 / hour

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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Stanford Health Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1885

🏥 Healthcare

⚕️ Healthcare Insurance

📚 Education

Healthcare • Healthcare Insurance • Education

Stanford Health Care is a major academic medical center affiliated with Stanford Medicine. It provides world-renowned patient care, emphasizes innovation and research, and offers a wide range of clinical services and career opportunities across nursing, advanced practice, allied health, laboratory, technology, administration, and other areas. The organization promotes values such as C-I-CARE (respect, courtesy, personal connection), sustainability, dedication, and community collaboration across physicians, researchers, professors, and students to advance health, healing, and knowledge globally.

📋 Description

• Provide enterprise leadership for professional coding strategy, governance, and operational standards across Stanford Health Care and the School of Medicine • Develop and manage professional coding KPIs, productivity standards, and quality metrics • Establish, implement, and maintain coding, documentation, and medical record policies, procedures, and standards • Lead strategic initiatives enhancing coding performance, physician quality profiles, revenue capture, and financial outcomes • Provide executive oversight of the Professional Coding Quality and Education Program • Direct the enterprise-wide professional coding audit program, including planning, methodology, sampling, execution, reporting, corrective action plans, and monitoring • Provide audit education, feedback, and performance coaching to coding staff and providers • Oversee record reviews, coding validation, and quality improvement efforts • Develop and maintain dashboards and reporting tools monitoring coding accuracy, productivity, audit outcomes, error trends, provider performance, and compliance risks • Lead the Professional Coding Compliance Program and serve as liaison for payer, regulatory, and compliance audits • Provide expert consultation on documentation requirements, coding regulations, reimbursement methodologies, and compliance standards • Partner with clinical, compliance, and operational leaders to promote documentation integrity and accurate reimbursement • Ensure accurate and timely completion of professional coding activities through operational oversight, workload management, and performance monitoring • Direct routine and ad hoc reports, dashboards, and business reviews for executive leadership, physicians, and operational stakeholders • Identify and implement process improvements optimizing coding workflows, documentation practices, operational efficiency, and financial performance • Ensure coding teams have necessary tools and resources and collaborate with technology, EHR, and revenue cycle partners • Serve as strategic partner to physicians, clinical leaders, compliance, revenue cycle, and operational stakeholders • Provide leadership for multidisciplinary committees, governance groups, and organizational initiatives • Recruit, develop, and mentor coding leaders, auditors, and staff • Oversee departmental staffing, organizational structure, budget planning, and resource allocation

🎯 Requirements

• Bachelor's degree in a work-related discipline/field from an accredited college or university • 10+ years progressive leadership experience and directly related work experience required • 5+ years EPIC system user/experience including financial (billing - HB/PB) and clinical documentation (EHR) • Ability to conduct analysis and formulate conclusions • Ability to develop long-range business plans and strategies • Ability to foster effective working relationships and build consensus • Ability to mediate and resolve complex problems and issues • Ability to plan, organize, develop tactical plans and set priorities • Ability to provide leadership and influence others • Ability to solve problems and identify solutions • Knowledge of electronic Health Information Management trends, operations, and best practices • Knowledge of federal and state laws, regulations and regulatory practices affecting the medical and business practices of healthcare providers • Knowledge of local, state and federal regulatory requirements related to areas of functional responsibility • Knowledge of principles and practices of organization, administration, fiscal and personnel management • RHIA, RHIT, CCS, Non Clinical CPC and/or CCSP, or CPC certification required upon hire

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