Director, Outpatient Facility Coding

Job not on LinkedIn

🔥 11 hours ago

🐊 Florida – Remote

infoinfo

💵 $100k - $130k / year

⏰ Full Time

🔴 Lead

👔 Director

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Logo of Superlanet

Superlanet

51 - 200 employees

Founded 2017

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Superlanet is a healthcare-focused advisory and staffing firm specializing in providing Employer of Record services and multi-state workforce solutions. The company is committed to delivering expert recruiting and staffing solutions tailored to the healthcare sector, ensuring its clients have access to qualified professionals in a timely manner. Superlanet emphasizes its unique values and commitment to quality service, making it a trusted partner in the healthcare workforce management.

📋 Description

• Provide strategic and operational leadership for a sizeable outpatient facility coding organization • Oversee day-to-day Outpatient Facility Coding department operations through managers, supervisors, and coding leads • Lead, mentor, and develop coding leadership while promoting accountability, consistency, and operational performance • Develop, implement, and maintain medical record coding and reimbursement compliance plans • Establish and monitor coding quality, productivity, accuracy, turnaround time, and reimbursement performance standards • Ensure accurate and compliant assignment of ICD-10-CM, CPT, HCPCS, and APC-related coding across outpatient facility services • Drive consistency and efficiency in outpatient claims processing, coding workflows, and data collection • Improve reimbursement, reduce coding-related denials, strengthen data quality, and optimize revenue cycle performance • Oversee coding audits, quality reviews, compliance initiatives, and corrective action plans • Partner with Central Business Office, Revenue Integrity, HIM, Informatics, Compliance, and Quality Documentation Improvement leadership • Provide feedback and recommendations regarding documentation improvement and provider education needs • Ensure compliance with CMS regulations, official coding guidelines, payer requirements, and organizational standards • Evaluate coding technology, information systems, reporting tools, and databases • Lead coding-related projects, system initiatives, process improvements, and organizational changes • Analyze coding and reimbursement data to identify trends, risks, and improvement opportunities • Support alignment between outpatient facility coding and related professional coding functions, including ED professional coding • Serve as a subject matter expert and senior leader for facility coding operations across the organization

🎯 Requirements

• Associate degree in Health Information Management or a related field required; five years of relevant experience may be considered in lieu of an Associate degree • Bachelor's degree in Health Information Management or a related field preferred • Minimum 5 years of facility coding experience required • Minimum 3 years of supervisory or management experience required • Strong experience leading hospital or health system coding operations • Experience managing managers, supervisors, leads, and/or sizeable coding teams strongly preferred • Demonstrated experience with coding quality, compliance, reimbursement, productivity, and data integrity • Experience with HIM operations, project management, information systems, and coding-related databases • Strong understanding of outpatient facility coding and reimbursement methodologies • Experience partnering cross-functionally with Revenue Cycle, HIM, Revenue Integrity, Compliance, Informatics, and clinical documentation teams • Minimum of one active coding certification through AHIMA or AAPC required • Relevant certifications may include RHIA, RHIT, CCS, CPC, COC, or equivalent credentials

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