Director of Coding Operations - Remote/Nationwide

This is a remote based position. Applicants can be located nationwide Director of Coding Operations #2849 United States Position Description About You You are a person who enjoys translating coding operations into measurable revenue cycle outcomes. We need someone who has a strong understanding of how documentation, charge capture, coding, claims generation, reimbursement methodology, payer edits, and denial management collectively impact organizations financial performance. In the role of Director of Coding Operations, you will be responsible for ensuring coding practices support claims generation, clean claim submission, optimal reimbursement, and appropriate revenue recognition. - Tell us about your experience with Medical Coding Operations Leadership. - Are you a team player and a self-motivator? - What is your experience with conducting business in a way that is credit to a company? - We are counting on you to manage multiple projects using your problem-solving skills. - We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position - Maintain expert knowledge of healthcare revenue cycle operations and the impact of coding on reimbursement, revenue integrity, claims adjudication, and denial prevention. - Ensure accurate application of revenue codes, bill types, condition codes, occurrence codes, occurrence span codes, value codes, discharge dispositions, and other claim elements impacting reimbursement. - Partner with Revenue Integrity, Patient Financial Services, CDI, Case Management, and Client Operations teams to improve revenue cycle performance. - Analyze coding-related denials, edits, underpayments, and reimbursement variances and implement corrective action plans. - Support optimization of clean claim rates, DNFB reduction, charge capture effectiveness, and accounts receivable performance. - Monitor changes in Medicare, Medicaid, commercial payer, and managed care reimbursement methodologies. - Collaborate in the development of revenue cycle workflows that support accurate charge capture, coding, billing, and payment processes. - Serve as a subject matter expert regarding the relationship between clinical documentation, coding, revenue codes, bill types, APCs, DRGs, HCPCS/CPT codes, and payer reimbursement methodologies. - Review claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implement processes, such as educational programs, or revamp current processes to prevent similar denials and rejections from recurring. - Guide performance from strategy through to frontline operations by giving the front-line information they need to know. - This position is primarily remote; however, travel up to monthly may be required for client site visits, operational reviews, leadership meetings, onboarding activities, business development support, and industry conferences. Minimum Requirements: Education Associate's degree in Health Information Management or other healthcare-related field required Bachelor's degree preferred Experience 10 years' knowledge and experience in healthcare leadership required. 10 years knowledge and experience in coding, information privacy, laws, access, security, release of information and access control technology required. Extensive knowledge of inpatient, outpatient, professional fee, and specialty coding operations, including ICD-10-CM/PCS, CPT, HCPCS, MS-DRGs, APR-DRGs, APCs, revenue codes, bill types, modifiers, condition codes