Director – Professional Coding

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $91 - $121 / hour

⏰ Full Time

🔴 Lead

👔 Director

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Stanford Health Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1991

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Stanford Health Care is a leading healthcare provider affiliated with Stanford University, offering a wide range of medical services, including primary, specialty, and emergency care. Known for its cutting-edge research and innovation in medicine, the facility also partners with Stanford Medicine and Stanford School of Medicine to provide top-tier medical education and research opportunities. Patient care is enhanced through their MyHealth online and mobile platforms, allowing easy access to medical records, appointment scheduling, and bill payments. Stanford Health Care is dedicated to improving health outcomes through advanced technology, personalized care, and comprehensive health services.

📋 Description

• Oversee and provide leadership for professional billing coding, Quality, Audit, and Education functions across the enterprise • Lead professional coding strategy, governance, operational standards, KPIs, productivity standards, and quality metrics • Establish and maintain coding, documentation, and medical record policies, procedures, and standards • Lead initiatives enhancing coding performance, physician quality profiles, revenue capture, and financial outcomes • Provide executive oversight of coding quality, education, audit strategy, coder development, vendor oversight, and continuous quality monitoring • Direct the enterprise-wide professional coding audit program, including planning, methodology, sampling, execution, reporting, corrective actions, and monitoring • Provide audit education, feedback, and performance coaching to coding staff and providers • Oversee record reviews, coding validation, and quality improvement efforts • Develop 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 • Advise on documentation requirements, coding regulations, reimbursement methodologies, and compliance standards • Ensure timely professional coding operations through workload management and performance monitoring • Present reports, dashboards, and business reviews to executives, physicians, and operational stakeholders • Implement process improvements optimizing coding workflows, documentation, operational efficiency, and financial performance • Collaborate with technology, EHR, and revenue cycle partners to optimize coding and audit systems • Partner with physicians, clinical leaders, compliance, revenue cycle, and operational stakeholders • Lead multidisciplinary committees and governance groups • Recruit, develop, and mentor coding leaders, auditors, and staff • Oversee 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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