Director of Professional Coding HSO Health Information Management Mount Sinai Hospital Full-Time M-F 9AM-5PM
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Job Location:
New York City, NY - USA
Monthly Salary:
Not Disclosed
Posted on:
15 hours ago
Vacancies:
1 Vacancy
Department:
Job Summary
The Director of Professional Coding is responsible for leading and managing professional coding operations across the health system reporting directly to the Senior Director of Coding. This role ensures coding accuracy regulatory compliance revenue integrity and operational efficiency for professional (physician and provider) services. The Director will oversee coding teams collaborate with clinical financial and IT stakeholders and drive continuous improvement in professional coding processes.
Responsibilities
Operational Leadership
Direct daily operations of professional coding teams for physician and provider services.
Oversee coding workflows audit response and corrective action planning.
Monitor and manage performance metrics including DNFB (Discharged Not Final Billed) coding productivity and denial rates.
Ensure timely and accurate submission of professional claims.
Compliance & QualityEnsure adherence to payer-specific guidelines CMS OIG and other regulatory requirements.
Maintain up-to-date knowledge of professional coding regulations and requirements.
Lead internal and external coding audits and implement quality improvement plans.
Technology & Process ImprovementSupport implementation and optimization of coding technology solutions including EHR integration.
Collaborate with IT and coding teams to enhance documentation and coding integration.
Evaluate and deploy automation solutions to improve coding efficiency.
Vendor & Stakeholder ManagementManage relationships with outsourced professional coding vendors and ensure SLA compliance.
Partner with CDI compliance revenue cycle and clinical departments to align coding practices.
Provide regular updates to the Senior Director of Coding and executive leadership on coding performance and strategic initiatives.
Qualifications
Bachelors degree in Health Information Management Healthcare Administration or related field (Masters preferred).
- CCS-P and/or CPC required
Minimum 57 years of progressive leadership experience in professional coding operations.
Deep understanding of professional coding and coding workflows regulations and technologies.
Experience with Epic or other major EHR systems preferred.
Strong analytical communication and change management skills.
Preferred SkillsExperience leading professional coding operations in a multi-entity or academic health system.
Familiarity with risk adjustment HCC coding and value-based care models.
Proven success in implementing coding automation platforms.
Ability to synthesize data and present actionable insights to senior leadership.
Required Experience:
Director
Key Skills
- Abinitio
- Administration And Accounting
- Android
- Bid Management
- Inventory Management
- Embedded C
About Company
Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled ... View more
