Vice President - HIM Services
About The Position
The Associate Vice President – US HIM Services is responsible for the senior-level oversight and management of US-based HIM coding operations, including direct leadership of US coding managers and their coding teams. This role ensures operational excellence, coding quality, compliance, and scalable service delivery across all US HIM coding functions. In addition to coding oversight, AVP leads utilization review (UR) program management, vendor management, and HubSpot-driven client onboarding, serving as a key strategic partner to the VP, HIM Services. This role drives improved client outcomes and financial results while fostering a collaborative, high-performing team culture. This position role-models all Coronis values of Excellence, Commitment, Partnership & Integrity.
Requirements
- Bachelor’s degree in Health Information Administration, Healthcare Management, or equivalent; Master’s preferred.
- Professional Credentials: CCS, CPC, CIC, RHIA, or RHIT required; CDI (CDIP/CCDS) or UR (ACM/CCM) credentials.
- 7+ years of progressive HIM experience, including 3+ years in a senior leadership role with direct oversight of coding managers and teams.
- Experience with utilization review, vendor management, and HubSpot CRM in a healthcare services or revenue cycle environment.
- Strong business acumen, analytical skills, and communication ability; track record of driving productivity improvements through process improvement and automation.
- Working knowledge of ICD-11 structure and anticipated US transition requirements.
Nice To Haves
- Master’s degree
Responsibilities
- With guidance from the VP, HIM Services, set the operational direction for US HIM coding operations; provide direct oversight of US coding managers and their teams to ensure consistent, high-quality, compliant service delivery.
- Develop and manage staffing budgets; drive gross margin improvement through process simplification, role standardization, automation, and productivity & utilization gains.
- Improve client retention by driving outcomes against key metrics including TAT, SLA compliance, coding quality, and denial rates; build trusted relationships with clients and internal stakeholders.
- Oversee UR programs for compliance, clinical rigor, and payer alignment; integrate UR with coding and CDI teams to optimize level-of-care designation and denial prevention.
- Monitor UR KPIs (authorization rates, denial rates, appeal success) and ensure workflows reflect current CMS, InterQual/Milliman, and payer guidelines.
- Manage HIM-related vendors and technology partners; oversee contract performance, SLA compliance, scorecards, and renewals; evaluate and onboard new vendors as needed.
- Own the client onboarding process in HubSpot CRM, ensuring accurate setup, pipeline tracking, and timely sales-to-operations handoff for all new US HIM accounts.
- Maintain onboarding workflows and data integrity; serve as the primary operational contact during go-live, coordinating across coding, credentialing, IT, and compliance teams.
- Maintain standardized processes, QA protocols, and KPI reporting across US HIM coding operations; drive continuous improvement to maximize efficiency and minimize errors.
- Optimize DRG and HCC capture; analyze denial trends and implement root-cause corrective actions; ensure compliance with ICD-10-CM/PCS, CPT, HCPCS, HIPAA, and CMS billing guidelines.
- Build a high-performing team through talent development, succession planning, and strong engagement; foster a unified One Team culture across US HIM coding functions.
- Support client escalations and collaborate cross-functionally to enable rapid onboarding of new employees and new client business.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
