Director, Coding

UF Health; Arkansas; On-site; USD 140,000 - 190,000; Full time

Job summary

UF Health in Gainesville, FL seeks a Director of Coding to lead enterprise coding operations across HB and PB services, driving accuracy of ICD-10-CM/PCS, CPT, and HCPCS coding and QA. You will oversee audit readiness and pre-bill edits, reducing DNFC/DNFB risks and improving claim quality.

The role partners with CDI, HIM, Revenue Integrity, Billing, IT, and clinical leaders to standardize workflows, optimize encoder/CAC capabilities, and ensure performance transparency across the organization.

Qualifications

• Bachelors in HIM/related field is required.
• Master's degree preferred.
• 7+ years in healthcare coding/HIM/revenue cycle.
• 5+ years in leadership roles.
• Experience with HB and PB coding in large health systems.

Responsibilities

• Lead enterprise coding operations across HB and PB services.
• Ensure accurate and timely ICD-10-CM/PCS, CPT, HCPCS coding and abstraction.
• Drive coding quality governance, audit readiness, and pre-bill hold management.
• Collaborate with CDI, HIM, Billing, Revenue Integrity, IT and clinical leaders to standardize workflows.
• Optimize encoder/CAC capabilities and drive performance transparency.

Skills

Leadership

Strategic thinking

Collaboration

Communication

Quality governance

Performance management

Regulatory knowledge

Data-driven decision making

Project management

Education

Bachelor's degree in HIM/Health Admin

Master's degree (preferred)

Certifications: RHIA/RHIT/CCS/CCS-P/CPC/COC/CIC/CPMA or equivalent

Tools

Epic

Encoder software

CAC platforms

NCCI edits

Revenue cycle systems

Job description

Locations: Gainesville, Florida

Categories: Professional-NonClinical

Req ID: 67768

Overview

The Director of Coding leads enterprise coding operations across HB and PB services, including PBB coding, quality assurance (QA), and training/education. This leader is accountable for accurate, timely ICD-10-CM/PCS, CPT, and HCPCS code assignment and abstracting, strong coding quality governance, audit readiness, and pre-bill edit/hold performance that reduces discharged not final coded (DNFC) and discharged not final billed (DNFB), improves claim quality, and minimizes coding-related denials and compliance risk. The Director partners with Clinical Documentation Integrity (CDI), Health Information Management (HIM), Billing/Patient Financial Services, Revenue Integrity, clinical leaders, and IT to standardize workflows, optimize encoder/computer-assisted coding (CAC) capabilities, and drive performance transparency.

Qualifications

Education: Bachelor’s degree in Health Information Management, Healthcare Administration, Business Administration, Nursing, or a related field required.

• Master’s degree preferred.
• Experience: Minimum of 7 years of progressively responsible experience in healthcare coding, Health Information Management (HIM), revenue cycle, or a related field.
• Minimum of 5 years of leadership experience required.
• Experience overseeing Hospital Billing (HB) and Professional Billing (PB) coding operations in an academic medical center, health system, or large integrated delivery network strongly preferred.
• Experience with:
  • Provider-based billing
  • Epic
  • Coding quality programs
  • Denial management
  • Audit response processes
  • Regulatory compliance initiatives
• License/Certification/Registration: One of the following nationally recognized coding certifications is required and must be maintained in good standing:
  • RHIA (Registered Health Information Administrator)
  • RHIT (Registered Health Information Technician)
  • CCS (Certified Coding Specialist)
  • CCS-P (Certified Coding Specialist - Physician-based)
  • CPC (Certified Professional Coder)
  • COC (Certified Outpatient Coder)
  • CIC (Certified Inpatient Coder)
  • CPMA (Certified Professional Medical Auditor)
  • Equivalent nationally recognized coding certification
• Additional leadership, auditing, compliance, or revenue cycle certifications preferred.
• Demonstrated expertise in:
  • Team leadership and talent development
  • Staff coaching and succession planning
  • Performance management and accountability
• Proven ability to collaborate effectively with:
  • Clinical Documentation Integrity (CDI)
  • Health Information Management (HIM)
  • Revenue Integrity
  • Billing Operations
  • Information Technology (IT)
• Executive-ready communication skills, including:
  • Written communication
  • Verbal communication
  • Facilitation and presentation skills
• Strong change leadership and continuous improvement mindset driven by data and performance outcomes.
• Demonstrated performance management discipline, including:
  • Key Performance Indicators (KPIs)
  • Operational cadence
  • Accountability frameworks
• Experience providing enterprise coding governance leadership across complex healthcare organizations.
• Strong operational discipline balancing:
  • Productivity
  • Coding quality
  • Compliance risk management
• Deep knowledge of:
  • ICD-10-CM
  • ICD-10-PCS
  • CPT coding
  • HCPCS coding
  • Modifier assignment guidelines
• Strong command of:
  • Official coding guidelines
  • Government and commercial payer policies
  • Regulatory coding requirements
• Expertise in:
  • MS-DRG reimbursement methodologies
  • APC/OPPS reimbursement logic
  • Facility coding requirements
  • Professional coding conventions
• Extensive knowledge of:
  • Coding quality assurance programs
  • Coding audit practices
  • Audit defense preparation
  • Coding-related denial prevention and resolution
• Working knowledge of:
  • National Correct Coding Initiative (NCCI) edits
  • Claim edit processes
  • Pre-bill hold concepts
  • Revenue cycle claim validation workflows
• Proficiency with:
  • Encoder software
  • Computer-Assisted Coding (CAC) platforms
  • Work queue management systems
  • Coding analytics tools
  • Reporting platforms
• Strong analytical, organizational, compliance, and leadership skills with a focus on operational excellence, coding accuracy, and regulatory integrity.