Director of Medical Coding

Your Health Organization•Columbia, SC

About The Position

We are seeking an experienced and certified professional to join our team as the Director of Medical Coding. The ideal candidate will have 3-5 years of experience in medical coding, with a proven track record of leadership and providing education to staff coders and providers. This individual will possess comprehensive knowledge of Hierarchical Condition Categories (HCC)/Risk Adjustment and medical coding practices.

Requirements

Professional certification in medical coding (e.g., CPC, CCS, or equivalent).
3-5 years of experience in medical coding, with a minimum of 2 years in a leadership role.
In-depth knowledge of medical coding guidelines, including ICD-10, CPT, and HCC/Risk Adjustment.
Proven experience in providing education and training to staff coders and healthcare providers.
Strong leadership, communication, and interpersonal skills.
Ability to work collaboratively with multidisciplinary teams and manage multiple priorities effectively.
Detail-oriented with a strong commitment to accuracy and compliance.

Nice To Haves

Bachelor's degree in Health Information Management, Healthcare Administration, or a related field.
Experience with electronic health records (EHR) and coding software systems.
Advanced certifications in medical coding or healthcare management.

Responsibilities

Lead and manage the medical coding team, ensuring efficient and accurate coding practices.
Provide ongoing education and training to staff coders and healthcare providers to maintain high coding standards.
Develop and implement coding policies and procedures to ensure compliance with industry regulations and guidelines.
Oversee the accuracy and integrity of coding processes, ensuring compliance with all relevant regulations and standards.
Conduct regular audits and quality assurance reviews to identify areas for improvement and implement corrective actions as needed.
Stay updated on the latest coding guidelines, industry trends, and regulatory changes, and communicate these updates to the coding team and providers.
Design and deliver educational programs and training sessions for coders and healthcare providers to enhance their knowledge and skills in medical coding.
Develop training materials, manuals, and resources to support continuous learning and professional development.
Ensure accurate coding and documentation for HCC/Risk Adjustment to optimize reimbursement and support value-based care initiatives.
Collaborate with clinical and administrative teams to improve documentation practices and capture all relevant diagnoses and conditions.
Contribute to the development and execution of strategic plans to enhance the efficiency and effectiveness of the medical coding department.
Work closely with senior leadership to align coding practices with organizational goals and objectives.