HIM/Coding Director
About The Position
The HIM/Coding Director plays a critical leadership role in overseeing the Health Information Management and medical coding functions within a healthcare organization. This position ensures the accuracy, compliance, and integrity of patient health records and coding processes, which directly impact reimbursement, regulatory reporting, and quality metrics. The director leads a team of coding professionals and HIM staff, fostering continuous improvement and adherence to industry standards and legal requirements. They collaborate closely with clinical, billing, and compliance departments to optimize documentation and coding practices. Ultimately, the HIM/Coding Director drives operational excellence and supports the organization's financial and clinical objectives through effective management of health information systems.
Requirements
- Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field.
- Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician-based (CCS-P) credential.
- Minimum of 5 years of progressive experience in health information management and medical coding, including supervisory or management roles.
- Strong knowledge of ICD-10-CM, CPT, HCPCS coding systems, and healthcare regulatory requirements such as HIPAA and CMS guidelines.
- Proven experience with electronic health record (EHR) systems and coding software.
- Minimum of 5 years of experience in health information management and medical coding, with at least 3 years in a supervisory or management role.
- Strong knowledge of ICD-10-CM, CPT, HCPCS coding systems, and healthcare compliance regulations such as HIPAA.
- Proven experience with electronic health record (EHR) systems and coding software.
Nice To Haves
- Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification.
- Experience with revenue cycle management and clinical documentation improvement (CDI) programs.
- Master’s degree in Health Administration, Public Health, or a related discipline.
- Familiarity with data analytics tools and reporting software.
- Experience working in a multi-facility healthcare system or large hospital environment.
- Familiarity with healthcare quality reporting programs such as HEDIS and CMS initiatives.
- Advanced degree in Health Information Management, Business Administration, or related field.
Responsibilities
- Lead and manage the Health Information Management and coding departments, including recruitment, training, and performance evaluation of staff.
- Ensure compliance with all federal, state, and local regulations related to health information management and medical coding standards.
- Develop, implement, and monitor policies and procedures to maintain data accuracy, security, and confidentiality of patient records.
- Collaborate with clinical and administrative teams to improve documentation quality and coding accuracy to maximize reimbursement and reduce denials.
- Oversee coding audits, data analysis, and reporting to identify trends, risks, and opportunities for process improvement.
- Stay current with changes in coding guidelines, healthcare regulations, and technology advancements to maintain best practices.
- Manage budgets, resources, and technology systems related to HIM and coding operations.
- Lead and manage the HIM and coding departments, including hiring, training, scheduling, and performance management of staff.
- Ensure compliance with federal, state, and local regulations related to health information management and medical coding.
- Develop and maintain policies and procedures that support accurate, secure, and confidential management of patient records.
- Partner with clinical, billing, and compliance teams to improve documentation quality, coding accuracy, reimbursement, and denial prevention.
- Oversee coding audits, reporting, and data analysis to identify trends, risks, and opportunities for improvement.
- Monitor changes in coding guidelines, healthcare regulations, and industry best practices and implement necessary updates.
- Manage departmental resources, budgets, and technology systems related to HIM and coding operations.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
