Director of Medical Coding

Florida Cancer Specialists • FL

94d

About The Position

The Director of Medical Coding is responsible for overseeing the accuracy, compliance, and efficiency of medical coding operations across the organization. This role includes multi-specialty coding related to oncology care, including but not limited to the following coding specialties: medical oncology/hematology, radiology, radiation oncology, pathology, gynecology, and risk adjustment/value-based care. Reviews coding metrics to identify trends, discrepancies, and areas for improvement. Develops and implements action plans to address coding-related issues, ensuring alignment with regulatory standards and payer requirements. Serves as a liaison between coding teams, clinical staff, and revenue cycle leadership to resolve coding-related denials and optimize reimbursement.

Requirements

• Bachelor’s degree in Health Information Management, Healthcare Administration, or related field (Master’s preferred).
• RHIA, RHIT, CCS, CPC, or equivalent coding certification required.
• Minimum 7–10 years of progressive experience in medical coding, with at least 5 years in a coding leadership role.
• Strong knowledge of healthcare reimbursement methodologies, coding systems, and regulatory compliance.
• Proven ability to lead and develop high-performing teams across remote and onsite environments.
• Excellent communication, analytical, and leadership skills.
• Ability to create S.M.A.R.T. goals, team planning, and budgeting.
• Hands-on experience with EMR/EHR systems (e.g., Epic, Cerner), coding software (e.g., 3M, Optum), and analytics/reporting tools.
• Proven success in improving reimbursement through coding optimization and documentation improvement.
• Proven ability to analyze and resolve complex issues related to coding workflows, reimbursement processes, and payer requirements.
• Experience developing and delivering coding education programs for staff.
• Ability to interpret and communicate complex coding guidelines to non-coding personnel.

Nice To Haves

• Medical Oncology, Radiology, Radiation, Laboratory, or Pathology experience preferred.
• Demonstrated experience collaborating with risk adjustment program teams to support accurate coding and documentation for value-based care initiatives.
• Strong understanding of how clinical and coding data impacts risk adjustment scoring, RAF calculations, and overall program performance.
• Skilled in identifying, documenting, and escalating operational or compliance issues, while driving timely resolution through cross-functional collaboration.
• Experience developing and executing coding and risk adjustment strategies aligned with organizational goals and regulatory standards.

Responsibilities

• Lead and mentor a team of coding managers, supervisors, and coders across multiple specialties.
• Build and maintain a high-performing team.
• Foster communication within and across departments.
• Present to senior leadership and provide strategic direction.
• Manage daily operations of the coding department, including staffing, workflow, and technology utilization.
• Support financial goals through responsible staffing and purchasing.
• Oversee coding team audits for in-house and offshore teams; develop corrective action plans as needed.
• Resolve AR and revenue cycle issues across departments related to medical coding.
• Develop and implement coding policies, procedures, and standards aligned with regulatory requirements and industry best practices.
• Ensure coding practices comply with CMS guidelines, payer requirements, and internal audit standards.
• Partner with Compliance, IT, and EHR teams to optimize coding tools, templates, and automation opportunities.
• Ensure accurate and compliant coding for Risk Adjustment programs, including HCC capture and documentation integrity.
• Maintain compliance with Value-Based Care coding requirements, including quality measure reporting and encounter data accuracy.
• Monitor performance metrics and KPIs to drive continuous improvement in coding accuracy, productivity, and compliance.
• Analyze coding trends and denial patterns to identify root causes and implement process improvements.
• Analyze system reports to validate metrics and identify trends.
• Collaborate with Operations, Revenue Cycle, Compliance, and Clinical Documentation Improvement (CDI) teams to support accurate documentation and coding.
• Serve as a subject matter expert and resource for coding-related questions and escalations.
• Work closely with Managed Care and Value-Based Care teams to ensure coding supports risk stratification and care management initiatives.
• Stay current with changes in ICD-10, CPT, HCPCS, and other coding systems, and ensure timely education and implementation.
• Develop and deliver ongoing training programs for coding staff to maintain certifications and enhance skills.
• Provide specialized education on Risk Adjustment and Value-Based Care coding to ensure accurate capture of chronic conditions and quality indicators.

Benefits

• Medical and Prescription Drug Coverage
• Vision & Dental Insurance
• Employee Assistance Program (EAP)
• Health Savings Account (HSA) & Flexible Spending Accounts
• Paid Time Off (PTO)
• 401(k) Retirement Plan
• Life Insurance
• Tuition Reimbursement
• Disability Insurance
• Accident Insurance
• Critical Illness
• Hospital Indemnity
• Pet Insurance
• Identity Theft
• Legal Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree