Enterprise Director, Ambulatory Surgery Coding (Facility & Professional Services)

Mass General Brigham•Somerville, MA

5d•Remote

About The Position

MGB is a leader in delivering exceptional outpatient surgical care. We are committed to clinical excellence, operational efficiency, and compliance integrity. We are seeking a highly skilled and visionary Director of Ambulatory Surgery Coding to lead our coding operations for both facility and professional services. The Director of Ambulatory Surgery Coding will oversee all coding functions for our outpatient surgery business, ensuring accuracy, compliance, and optimal reimbursement. This role requires deep expertise in coding guidelines, CPT/HCPCS, ICD-10-CM, and payer-specific requirements for both facility and professional billing.

Requirements

Bachelor's Degree in Health Information Management or related field of study required
8+ years of experience in healthcare coding, with a proven track record of leadership and team management required
RHIA, RHIT, CPC, COC, or CCS certification required; advanced credentials preferred.
3+ years of experience in a leadership role
Strong knowledge of outpatient facility and professional surgical coding guidelines.
Proven track record in team leadership, process improvement, and compliance oversight.
Thorough knowledge of ICD-10, CPT, HCPCS, and other coding systems, as well as current coding guidelines and regulations.
Familiarity with coding software and electronic health record (EHR) systems.
Strong analytical and problem-solving skills, with the ability to interpret coding data and trends to drive decision-making.
Excellent communication and interpersonal skills, with the ability to work effectively with various stakeholders.
Proven ability to lead and inspire a team to achieve coding accuracy and performance targets.
In-depth understanding of healthcare compliance and risk management principles.

Responsibilities

Lead, mentor, and manage a team of coders for facility and professional services.
Ensure coding accuracy, compliance with federal/state regulations, and adherence to payer guidelines.
Oversee coding audits, quality assurance processes, and ongoing staff education.
Collaborate with clinical, billing, and compliance teams to resolve coding-related issues.
Monitor KPIs, productivity, and denial trends to optimize revenue cycle performance.
Stay current with regulatory changes, coding updates, and industry best practices.