Manager - H.I.M. Operations and Coding

Episcopal Health Services•Garden City, NY

13h•Hybrid

About The Position

The Manager, HIM Operations & Coding is responsible for the day-to-day leadership of Health Information Management (HIM) Operations and Hospital Coding services. This position oversees coding operations, chart completion, release of information, document imaging, record integrity activities, productivity, quality, vendor performance, and regulatory compliance while supporting organizational revenue cycle goals. The Manager serves as a key operational leader within Revenue Cycle and partners closely with CDI, Revenue Integrity, Patient Financial Services, Patient Access, Compliance, Information Technology, Medical Staff Services, and clinical departments to ensure timely, accurate, and compliant documentation, coding, billing, and record management practices. This role plays a critical role in maintaining DNFB performance, supporting Meditech Expanse readiness activities, improving operational efficiency, and reducing revenue leakage.

Requirements

Bachelor’s Degree required
CPC and CCS or CIC certification required
Minimum five (5) years progressive experience in hospital coding, HIM operations, or revenue cycle leadership
Demonstrated leadership experience managing teams, productivity, quality, and operational performance
Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and hospital reimbursement methodologies
Excellent communication, organizational, and problem-solving skills
RHIA or RHIT certification

Nice To Haves

Experience with Meditech and/or Meditech Expanse preferred
Experience managing HIM operational functions including chart completion, ROI, and document imaging preferred
Experience supporting revenue cycle transformation initiatives preferred

Responsibilities

Provide operational leadership for HIM and Coding functions.
Manage day-to-day department operations, staffing, productivity, scheduling, payroll, and performance management.
Develop and maintain departmental policies, procedures, and workflows.
Identify operational risks and implement process improvement initiatives.
Oversee inpatient and outpatient coding operations.
Monitor coding productivity, quality, and turnaround times.
Ensure compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, Medicare, Medicaid, and commercial payer requirements.
Coordinate coding audits and quality reviews.
Review coding-related denials and implement corrective action plans.
Oversee chart completion, deficiency management, release of information, document imaging, and record integrity functions.
Monitor compliance with regulatory, accreditation, and organizational standards.
Support record retention and medical record management processes.
Ensure timely completion of physician documentation requirements.
Monitor DNFB performance and coordinate efforts to reduce discharge-to-bill delays.
Partner with CDI, Revenue Integrity, PFS, and Patient Access to resolve documentation and coding issues impacting reimbursement.
Participate in denial prevention and revenue optimization initiatives.
Support implementation of coding edits and workflow enhancements.
Manage coding and HIM vendor relationships and performance expectations.
Coordinate internal and external audit activities.
Develop and monitor corrective action plans related to coding and documentation compliance.
Maintain readiness for regulatory and accreditation reviews.
Participate in workflow design, testing, training, and implementation activities related to Meditech Expanse.
Identify operational gaps and support future-state workflow development.
Assist with transition planning and post-go-live stabilization efforts.