Director, HIM & Coding Excellence

Kootenai Hospital; Coeur d'Alene, Northern (ID, KY); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Medical plan options

Tuition assistance

Retirement plan with company match

Wellness program

Employee discounts

Job summary

Kootenai Health seeks a Director of Coding & Health Information Management to lead hospital coding, CDI alignment, and HIM operations in an Epic environment. You will drive accuracy, compliance, and optimal reimbursement while partnering with Revenue Cycle, Finance, Quality, CDI, and Medical Staff leadership.

The role requires seven-plus years of HIM/coding leadership, RHIT/RHIA or equivalent certification, and expertise with Epic (and ideally Meditech).

Qualifications

• Bachelor’s degree in Health Information Management, Health Administration, or related field required; Master’s degree preferred.
• Minimum 7 years’ progressively responsible HIM and coding leadership experience.
• RHIT and/or RHIA required within 1 year of hire; CCS/COC/CIC certification required.
• Experience in Epic EHR environment; Meditech experience preferred.
• Demonstrated success managing large teams and complex operations.
• Strong knowledge of DRG reimbursement methodologies.

Responsibilities

• Directs and oversees HIM and hospital coding operations across inpatient, outpatient, emergency, observation, and surgery.
• Leads workforce planning, staffing models, productivity standards, and performance management.
• Drives continuous improvement initiatives and operational efficiency.
• Provides executive-level reporting to senior leadership and committees.
• Ensures accurate ICD-10-CM/PCS and CPT/HCPCS coding and oversees CMI performance.
• Oversees release of information, documentation integrity, and privacy compliance.
• Partners with CDI, Revenue Cycle, IT/Epic teams to optimize coding tools and workflows.
• Ensures regulatory compliance with CMS, OIG, state regulations, and payer audits.

Skills

Leadership experience

Strategic thinking

Regulatory knowledge

Data governance

DRG reimbursement knowledge

Education

Bachelor’s degree in Health Information Management or related field

Master’s degree preferred

RHIT/RHIA certification

CCS/COC/CIC certification

Tools

Epic EHR

Meditech EHR

Job description

Kootenai Health seeks a Director of Coding & Health Information Management to lead hospital coding, CDI alignment, and HIM operations in an Epic environment. You will drive accuracy, compliance, and optimal reimbursement while partnering with Revenue Cycle, Finance, Quality, CDI, and Medical Staff leadership.

The role requires seven-plus years of HIM/coding leadership, RHIT/RHIA or equivalent certification, and expertise with Epic (and ideally Meditech).