Director, Coding

UF Health • Gainesville, FL

2d

About The Position

The Director of Coding leads enterprise coding operations across HB and PB services, including PBB coding, quality assurance (QA), and training/education. This leader is accountable for accurate, timely ICD-10-CM/PCS, CPT, and HCPCS code assignment and abstracting, strong coding quality governance, audit readiness, and pre-bill edit/hold performance that reduces discharged not final coded (DNFC) and discharged not final billed (DNFB), improves claim quality, and minimizes coding-related denials and compliance risk. The Director partners with Clinical Documentation Integrity (CDI), Health Information Management (HIM), Billing/Patient Financial Services, Revenue Integrity, clinical leaders, and IT to standardize workflows, optimize encoder/computer-assisted coding (CAC) capabilities, and drive performance transparency.

Requirements

• Bachelor’s degree in Health Information Management, Healthcare Administration, Business Administration, Nursing, or a related field required.
• Minimum of 7 years of progressively responsible experience in healthcare coding, Health Information Management (HIM), revenue cycle, or a related field.
• Minimum of 5 years of leadership experience required.
• Experience overseeing Hospital Billing (HB) and Professional Billing (PB) coding operations in an academic medical center, health system, or large integrated delivery network strongly preferred.
• Experience with Provider-based billing.
• Experience with Epic.
• Experience with Coding quality programs.
• Experience with Denial management.
• Experience with Audit response processes.
• Experience with Regulatory compliance initiatives.
• One of the following nationally recognized coding certifications is required and must be maintained in good standing: RHIA, RHIT, CCS, CCS-P, CPC, COC, CIC, CPMA, or equivalent.
• Demonstrated expertise in Team leadership and talent development.
• Demonstrated expertise in Staff coaching and succession planning.
• Demonstrated expertise in Performance management and accountability.
• Proven ability to collaborate effectively with Clinical Documentation Integrity (CDI).
• Proven ability to collaborate effectively with Health Information Management (HIM).
• Proven ability to collaborate effectively with Revenue Integrity.
• Proven ability to collaborate effectively with Billing Operations.
• Proven ability to collaborate effectively with Information Technology (IT).
• Executive-ready communication skills, including written communication, verbal communication, facilitation and presentation skills.
• Strong change leadership and continuous improvement mindset driven by data and performance outcomes.
• Demonstrated performance management discipline, including Key Performance Indicators (KPIs), Operational cadence, and Accountability frameworks.
• Experience providing enterprise coding governance leadership across complex healthcare organizations.
• Strong operational discipline balancing Productivity, Coding quality, and Compliance risk management.
• Deep knowledge of ICD-10-CM.
• Deep knowledge of ICD-10-PCS.
• Deep knowledge of CPT coding.
• Deep knowledge of HCPCS coding.
• Deep knowledge of Modifier assignment guidelines.
• Strong command of Official coding guidelines.
• Strong command of Government and commercial payer policies.
• Strong command of Regulatory coding requirements.
• Expertise in MS-DRG reimbursement methodologies.
• Expertise in APC/OPPS reimbursement logic.
• Expertise in Facility coding requirements.
• Expertise in Professional coding conventions.
• Extensive knowledge of Coding quality assurance programs.
• Extensive knowledge of Coding audit practices.
• Extensive knowledge of Audit defense preparation.
• Extensive knowledge of Coding-related denial prevention and resolution.
• Working knowledge of National Correct Coding Initiative (NCCI) edits.
• Working knowledge of Claim edit processes.
• Working knowledge of Pre-bill hold concepts.
• Working knowledge of Revenue cycle claim validation workflows.
• Proficiency with Encoder software.
• Proficiency with Computer-Assisted Coding (CAC) platforms.
• Proficiency with Work queue management systems.
• Proficiency with Coding analytics tools.
• Proficiency with Reporting platforms.
• Strong analytical, organizational, compliance, and leadership skills with a focus on operational excellence, coding accuracy, and regulatory integrity.

Nice To Haves

• Master’s degree preferred.
• Additional leadership, auditing, compliance, or revenue cycle certifications preferred.

Responsibilities

• Lead enterprise coding operations across HB and PB services, including PBB coding, quality assurance (QA), and training/education.
• Ensure accurate, timely ICD-10-CM/PCS, CPT, and HCPCS code assignment and abstracting.
• Maintain strong coding quality governance and audit readiness.
• Optimize pre-bill edit/hold performance to reduce DNFC and DNFB.
• Improve claim quality and minimize coding-related denials and compliance risk.
• Partner with CDI, HIM, Billing/Patient Financial Services, Revenue Integrity, clinical leaders, and IT to standardize workflows.
• Optimize encoder/computer-assisted coding (CAC) capabilities.
• Drive performance transparency.

What This Job Offers

• Job Type: Full-time
• Career Level: Director