Director, Coding Quality Assurance - IM & EM

US Acute Care Solutions; United States; Remote; USD 104.000 - 192.000; Vollzeit

Benefits dieser Stelle

Medical, dental, and vision insurance

Health savings accounts (HSA) and FSAs

401(k) employer contributions

Paid time off and holidays

Parental leave and family support

Disability insurance

Life and AD&D insurance

Employee assistance programs

Zusammenfassung

US Acute Care Solutions (USACS) seeks a Director of Coding Quality Assurance for Inpatient and Emergency Medicine to lead QA frameworks, audits and policies across coding teams. You will monitor quality results, partner with clinical leadership, and drive improvements to exceed industry benchmarks.

Responsibilities include setting goals, mentoring staff, and ensuring compliance with coding standards and regulatory requirements while collaborating with operations and education teams to address

Qualifikationen

• Strong knowledge of medical coding principles, regulatory requirements, and compliance standards.
• Demonstrated leadership experience managing coding quality assurance programs.
• Ability to analyze coding quality data and translate findings into actionable improvement initiatives.
• Strong collaboration and stakeholder management across multi-disciplinary teams.
• Excellent communication and presentation skills.
• Proven ability to lead continuous improvement initiatives and manage performance metrics.
• Strong analytical, problem-solving, and organizational skills.
• Proficiency in Microsoft Excel and data reporting.

Aufgaben

• Visioning, Strategic Leadership, & Planning – Develop and execute the strategic direction for the Coding Quality Assurance Inpatient and Emergency teams.
• Quality and Operational Oversight – Oversee the Coding QA program, including auditing processes and reporting.
• Shaping Team Culture & Development – Recruit, mentor and develop QA staff, promote accountability and continuous improvement.
• Professional Development – Maintain expertise in coding standards, regulatory requirements, and industry best practices.

Kenntnisse

Coding quality assurance

Leadership

Data analysis

Regulatory knowledge

Communication

Excel

Problem solving

Cross-functional collaboration

Ausbildung

Associate degree

RHIT/RHIA/CCS-P/CPC

Bachelor/Master preferred

Tools

Electronic Medical Records (EMR)

Jobbeschreibung

Where do you belong? Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success. USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.

Director, Coding Quality Assurance – Inpatient and Emergency Medicine

provides leadership to the Coding Quality Assurance Inpatient and Emergency teams by establishing tools, workflows, SOPs, policies, and procedures to ensure consistency across all coding organizations. The Director monitors coding quality results to ensure the quality and production of work by USACS coders, and vendor partner coders maintain Coding Quality Assurance Programs (CQAP) across multiple specialties. This role is also accountable for developing and maintaining a process to identify risk and partners with clinicians, coding education, and operations to ensure quality scores exceed industry expectations.

ESSENTIAL JOB FUNCTIONS

Visioning, Strategic Leadership, & Planning – 50%

Develop and execute the strategic direction for the Coding Quality Assurance Inpatient and Emergency teams. Establish and maintain QA frameworks, policies, workflows, and SOPs to ensure consistency in coding practices. Monitor coding accuracy trends and performance metrics to identify risks and improvement opportunities. Partner with coding operations, coding education, and clinical leadership to ensure coding quality performance meets organizational and industry benchmarks. Collaborate with coding vendor partners to promote consistency in processes. Develop quality performance goals, benchmarks, and tools to support quality improvement. Identify emerging trends impacting coding quality and implement proactive strategies.

Quality and Operational Oversight – 25%

Oversee the Coding QA program, including auditing processes. Monitor QA scores for internal and external coders by specialty. Provide feedback to education and operation teams to establish action plans. Ensure the integrity and reliability of coding quality metrics and reporting. Identify and recommend initiatives and programs for coding quality improvements. Identify any potential coding quality risk and initiate remediation plan which may require continuous monitoring and evaluation. Collaborate with coding operations and education teams to address discrepancies and identify gaps. Evaluate trends to identify training opportunities and operational improvements.

Shaping Team Culture & Development – 15%

Provide leadership and direction to the Coding Quality Assurance team. Recruit, develop, and mentor QA staff promoting a culture of accountability and continuous improvement. Conduct regular performance discussions, coaching, and development planning. Sets a positive example in collaborating initiatives, identifying solutions, measuring, and sharing results, and providing feedback.

Professional Development – 10%

Maintain expertise in coding standards, regulatory requirements, and industry best practices. Participate in continuing education, professional development, and industry forums. Serve as a mentor and resource for staff and emerging coding professionals.

KNOWLEDGE, SKILLS AND ABILITIES

• Strong knowledge of medical coding principles, regulatory requirements, and compliance standards.
• Demonstrated leadership experience managing coding quality assurance programs.
• Ability to analyze coding quality data and translate findings into actionable improvement initiatives.
• Strong collaboration and stakeholder management skills across multi-disciplinary teams.
• Excellent communication and presentation skills.
• Proven ability to lead continuous improvement initiatives and manage performance metrics.
• Strong analytical, problem-solving, and organizational skills.
• Proficiency in Microsoft Office applications, with emphasis on Excel.
• Ability to identify, research and solve problems and discrepancies.
• Ability to maintain confidentiality and handle sensitive information.

EDUCATION AND EXPERIENCE

• Associate degree required; Bachelor’s or Master’s degree preferred.
• RHIT, RHIA, CCS-P, CPC or other job-related certification required.
• 6+ years’ coding experience and leadership/supervision experience required.
• 6+ years of relevant experience managing coding inventory across a large physician practice or multi-site healthcare organization with high accountability for quality and production metrics.
• 6+ years of relevant experience managing HIM/Coding workflow and data capture processes, including within an electronic medical records system.
• 6+ years of relevant experience in managing multiple, large coding teams and/or projects, and influencing senior-level management and key stakeholders.

PHYSICAL DEMANDS

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
• Required to have close visual acuity to perform the job.

Salary Range

$103,887.00 - $192,191.00 Salary may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.

Benefits

• Medical, dental, and vision insurance options
• Health savings accounts (HSA) and flexible spending accounts (FSA)
• 401(k) employee and employer contributions
• Paid time off, including vacation, sick leave, and company holidays
• Paid parental leave & family support benefits
• Short-term and long-term disability insurance
• Life and accidental death & dismemberment (AD&D) insurance
• Employee assistance programs & wellness resources
• Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.

Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies.

US Acute Care Solutions (USACS)

US Acute Care Solutions (USACS) is the leading Clinician-centric provider of hospital-based emergency and inpatient medicine. Delivering emergency, hospital, and critical care medicine services to hospitals and health systems across the nation, we serve 11 million patients annually in 400+ programs across 27 states. As a practice, we prioritize the personal and professional satisfaction of every member of our incredible team. We offer competitive benefits and unlimited paths for advancement, complemented by a culture of robust support.