Director - Professional Coding (Remote)

Stanford Health Care

9d•$92 - $121•Remote

About The Position

The Director of Professional Coding oversees and provides enterprise leadership for professional billing coding, quality, audit, and education functions within the Mid Revenue Cycle Department at Stanford Health Care. The role manages professional coding operations, including ICD and CPT code assignment, pre-bill quality reviews, coding audit programs, 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 Director of Finance Administrators. The position establishes coding strategy, governance, operational standards, performance measures, and policies across Stanford Health Care and the School of Medicine. It directs coding quality, education, audit, and compliance programs; monitors coding accuracy and productivity; and supports documentation integrity, revenue capture, regulatory compliance, and financial performance. The Director also optimizes workflows and coding technology, collaborates with clinical and operational partners, leads multidisciplinary initiatives, and oversees staffing, leadership development, budget planning, and resource allocation. The role requires a bachelor's degree in a related field, at least 10 years of progressive leadership and directly related experience, including at least five years of EPIC experience covering financial billing (HB/PB) and clinical documentation (EHR). A listed health information or coding credential is required upon hire. The position is remote and is listed as a day, eight-hour schedule in the United States of America.

Requirements

Bachelor's degree in a work-related discipline or field from an accredited college or university.
At least 10 years of progressive leadership experience and directly related work experience.
At least five years of EPIC system user or experience, including financial billing (HB/PB) and clinical documentation (EHR).
Upon hire, one of the listed credentials is required: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), Non Clinical 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 healthcare providers' medical and business practices.
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.
Adopt and execute C-I-CARE standards for patient- and family-centered interactions.

Responsibilities

Provide enterprise leadership for professional coding strategy, governance, and operational standards across Stanford Health Care and the School of Medicine.
Develop and manage professional coding KPIs, productivity standards, and quality metrics.
Establish, implement, 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-wide 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 activities to mitigate risk and strengthen revenue cycle performance.
Develop and maintain dashboards and reports tracking coding accuracy, productivity, audit outcomes, error trends, provider performance, and compliance risk indicators.
Lead the Professional Coding Compliance Program and ensure adherence to HIPAA, laws, regulations, payer requirements, and organizational policies.
Serve as the primary liaison for payer, regulatory, and compliance audits related to professional coding and documentation.
Provide expert consultation 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 completion of professional coding activities through workload management and performance monitoring.
Prepare and present routine and ad hoc reports, dashboards, and business reviews to executive leadership, physicians, and operational stakeholders.
Identify and implement process improvements to optimize coding workflows, documentation practices, 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 organizational initiatives related to coding quality, compliance, and revenue integrity.
Recruit, develop, and mentor coding leaders, auditors, and staff, fostering accountability, learning, engagement, and retention.
Oversee departmental staffing, organizational structure, budget planning, and resource allocation.
Adopt and execute Stanford Health Care's C-I-CARE standards in interactions with patients, families, and colleagues.