Director, Coding

Socket.dev; Gainesville (FL); On-site; USD 140,000 - 190,000; Full time

Job summary

Socket.dev is seeking a Director of Coding to lead enterprise coding operations for HB and PB services, ensuring accurate ICD-10-CM/PCS, CPT, and HCPCS code assignment and timely abstraction. The role focuses on governance, audit readiness, and pre-bill edit performance to reduce denials and compliance risk.

The candidate will partner with CDI, HIM, Billing, Revenue Integrity, clinical leaders, and IT to standardize workflows, optimize CAC solutions, and drive performance transparency across a

Qualifications

• Minimum of 7 years of progressively responsible experience in healthcare coding or HIM.
• Minimum of 5 years of leadership experience in coding operations or HIM leadership.
• Experience overseeing Hospital Billing (HB) and Professional Billing (PB) coding operations in a large system.
• Experience with Epic, coding quality programs, denial management, audit response processes, and regulatory compliance.

Responsibilities

• Provide enterprise coding governance leadership across HB and PB coding operations.
• Collaborate with CDI, HIM, Billing, Revenue Integrity, and IT to standardize workflows.
• Drive encoder/CAC capabilities optimization and performance transparency.
• Lead qualification, coaching, and succession planning for coding teams.
• Ensure audit readiness and implement KPI-driven performance management.

Skills

Leadership

Coaching

Performance management

Data-driven

Communication

Stakeholder management

Education

Bachelor’s degree in Health Information Management, Healthcare Administration, Business Administration, Nursing, or related field

Master’s degree

Tools

Epic

Coding software

CAC platforms

Encoder software

Job description

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.