Director - Professional Coding (Remote)

Stanford Health Care•Hubley Township, PA

10d•$92 - $121•Remote

About The Position

The Director of Professional Coding provides enterprise-wide leadership for professional coding operations, quality, audit, and education within the Mid Revenue Cycle Department at Stanford Health Care. The role oversees professional coding operations, including ICD and CPT code assignment, pre-bill quality reviews, the coding audit program, and coding-related billing edit work queues. The Director develops objectives and strategies that support patient care, teaching, research, and resource management, and serves as the primary coding liaison to clinical department leaders and School of Medicine Directors of Finance Administrators (DFAs). The Director establishes enterprise coding strategy, governance, operational standards, policies, procedures, key performance indicators, productivity standards, and quality metrics. The role leads professional coding quality, education, audit, and compliance programs; oversees coding validation, record review, reporting, and corrective actions; and provides guidance on documentation, coding regulations, reimbursement, and compliance. The position also oversees operational performance, staffing, organizational structure, budget planning, and resource allocation. It partners with physicians, clinical and operational leaders, compliance, technology, EHR, and revenue cycle teams to improve coding workflows, documentation integrity, financial performance, and coding systems. The Director recruits, develops, and mentors coding leaders, auditors, and staff. The position requires a bachelor's degree in a work-related discipline or field, at least 10 years of progressive leadership and directly related experience, including at least 5 years of EPIC system experience with financial (HB/PB billing) and clinical documentation (EHR). One of the listed credentials—RHIA, RHIT, CCS, CPC and/or CCSP, or CPC—is required upon hire. The role is remote in the United States and is listed as full-time, day shift, 8-hour schedule.

Requirements

Bachelor's degree in a work-related discipline or field from an accredited college or university.
At least 10 years of progressive leadership and directly related work experience.
At least 5 years of EPIC system experience, including financial (HB/PB billing) and clinical documentation (EHR).
Upon hire, one of the following is required: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC and/or CCSP (Certified Professional Coder), or CPC (Certified Professional Coder).
Ability to conduct analysis and formulate conclusions.
Ability to develop long-range business plans and strategies.
Ability to foster effective working relationships and build consensus.
Ability to mediate and resolve complex problems and issues.
Ability to plan, organize, develop tactical plans, and set priorities.
Ability to provide leadership and influence others.
Ability to solve problems and identify solutions.
Knowledge of electronic Health Information Management trends, operations, and best practices.
Knowledge of federal and state laws, regulations, and regulatory practices affecting the medical and business practices of healthcare providers.
Knowledge of local, state, and federal regulatory requirements related to areas of functional responsibility.
Knowledge of principles and practices of organization, administration, fiscal management, and personnel management.

Responsibilities

Provide enterprise leadership for professional coding strategy, governance, and operational standards across Stanford Health Care and the School of Medicine.
Develop and manage coding KPIs, productivity standards, and quality metrics.
Establish and maintain coding, documentation, and medical record policies, procedures, and standards.
Lead strategic initiatives to improve coding performance, physician quality profiles, revenue capture, and financial outcomes.
Oversee the Professional Coding Quality and Education Program, including audit strategy, coder education, performance improvement, competency standards, vendor oversight, and quality monitoring.
Maintain coder quality assurance and productivity programs.
Direct the enterprise professional coding audit program, including planning, methodology, sampling, execution, reporting, corrective action plans, and monitoring.
Provide audit education, feedback, and performance coaching to coding staff and providers.
Oversee record reviews, coding validation, and quality improvement efforts.
Develop and maintain reporting tools and dashboards for coding accuracy, productivity, audit outcomes, error trends, provider performance, and compliance risks.
Lead the Professional Coding Compliance Program and ensure adherence to HIPAA, applicable regulations, payer requirements, and organizational policies.
Serve as the primary liaison for payer, regulatory, and compliance audits related to professional coding and documentation.
Advise on medical record documentation, coding regulations, reimbursement methodologies, and compliance standards.
Partner with clinical, compliance, and operational leaders to promote documentation integrity, reduce compliance risks, and support accurate reimbursement.
Oversee timely and accurate professional coding operations, workload management, and performance monitoring.
Prepare and present routine and ad hoc reports, dashboards, and business reviews for leadership and stakeholders.
Identify and implement process improvements for coding workflows, documentation practices, operational efficiency, and financial performance.
Ensure coding teams have appropriate tools and resources and collaborate with technology, EHR, and revenue cycle partners to optimize coding and audit systems.
Partner with physicians, clinical leaders, compliance, revenue cycle, and operational stakeholders on professional coding initiatives.
Lead multidisciplinary committees, governance groups, and initiatives related to coding quality, compliance, and revenue integrity.
Recruit, develop, and mentor coding leaders, auditors, and staff.
Oversee departmental staffing, organizational structure, budget planning, and resource allocation.
Adopt and execute Stanford Health Care C-I-CARE standards to support an exceptional patient and family experience.