Director, Inpatient Coding and Compliance

Jobgether SRL; United States; Remote; USD 150,000 - 210,000; Full time

Benefits offered by this job

Fully remote US

First shift

40-hour week

Premium coverage

Job summary

Jobgether SRL in the United States seeks a Director, Inpatient Coding and Compliance to provide executive leadership over inpatient coding, clinical documentation improvement, data quality, and health information management compliance in a fully remote setting.

The role leads teams, develops policies, monitors CMS compliance, and partners with data and clinical staff to drive accuracy, reimbursement, and operational insights across a large academic healthcare environment.

Qualifications

• Bachelor's degree in Health Information Administration or equivalent field.
• RHIA credential through AHIMA.
• At least 10 years of relevant professional experience; 15+ preferred.
• Extensive knowledge of healthcare coding, health information management, and compliance.
• Strong understanding of inpatient and outpatient coding (ICD-10-CM/PCS, CPT-4).
• Knowledge of CMS coding, billing, data abstraction, and compliance requirements.
• Experience leading teams, programs, and operational initiatives in a complex healthcare setting.

Responsibilities

• Provide administrative leadership for coding, clinical documentation improvement, data quality, and HIM compliance programs.
• Oversee inpatient and outpatient coding accuracy, data abstraction, and billing requirements.
• Lead reviews of coding accuracy, documentation quality, data integrity, and timeliness.
• Direct continuing education initiatives for coding and data quality staff.
• Benchmark against peers and drive continuous improvement.
• Advise stakeholders on coding, documentation, compliance, and financial performance.

Skills

Leadership

Healthcare coding expertise

CMS regulations knowledge

Data quality management

Educational program development

Education

Bachelor's degree in Health Information Administration

RHIA credential

Tools

CMS systems

Job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Director, Inpatient Coding and Compliance based in the United States.

This senior leadership role provides administrative direction for inpatient coding, clinical documentation enhancement, data quality, and medical information management compliance. You'll oversee programs that directly support accurate clinical data, billing, reimbursement, patient care, research, and operational decision-making. The role manages teams, policies, processes, and compliance activities across a complex healthcare environment. You'll analyze coding and documentation performance, identify improvement opportunities, and develop recommendations that strengthen quality and accuracy. You'll also collaborate with clinical, financial, case management, revenue, and data teams to address issues and support organizational priorities. This is a fully remote, full-time opportunity requiring strong expertise in healthcare coding, compliance, documentation, and health information management.

Accountabilities

• Provide administrative leadership for coding services, clinical documentation enhancement, data quality management, and Medical Information Management compliance programs.

• Oversee accurate, timely, and complete coding of inpatient and outpatient accounts using applicable ICD-10-CM/PCS and CPT-4 classification systems and related billing requirements.

• Lead the review and monitoring of coding accuracy, documentation quality, data integrity, billing accuracy, and program timeliness.

• Manage the abstraction of critical data elements required for billing and reporting, including admission type and source, discharge disposition, and attending physician information.

• Develop, maintain, and monitor the department's compliance plan, including compliance assessments, education, policies and procedures, monitoring activities, and corrective action.

• Ensure coding and data abstraction practices align with applicable CMS regulations and organizational compliance requirements.

• Analyze coding performance and medical record documentation to identify trends, risks, inconsistencies, and opportunities for improvement.

• Partner with data analysts and documentation leadership to monitor Case Mix Index and identify opportunities to improve coding accuracy and documentation quality.

• Respond to identified coding errors and inconsistencies and coordinate appropriate corrective or educational actions.

• Direct continuing education initiatives for coding, documentation enhancement, and data quality management staff.

• Benchmark coding, compliance, quality, and timeliness results against relevant peer organizations and use findings to support continuous improvement.

• Advise administrative, medical, and managerial stakeholders on coding, documentation, compliance, utilization management, financial performance, strategic planning, and information needs.

• Maintain strong working relationships with Case Management, Access and Revenue Management, Business Planning, Information Warehouse, and other organizational partners.

• Provide authorized patient- and physician-specific information from applicable data systems, data marts, and information warehouses for administrative and research purposes.

• Provide departmental leadership, direction, supervision, and support when the Administrative Director is unavailable.

• Resolve intra-departmental and cross-functional issues related to coding, documentation, data quality, and compliance.

Requirements

• Bachelor's degree in Health Information Administration or an equivalent field.

• Active Registered Health Information Administrator (RHIA) credential through the American Health Information Management Association (AHIMA).

• At least 10 years of relevant professional experience; 15 or more years is preferred.

• Extensive knowledge of healthcare coding, medical information management, clinical documentation enhancement, data quality, and compliance practices.

• Strong understanding of inpatient and outpatient coding processes, including ICD-10-CM/PCS and CPT-4 classification systems.

• Knowledge of CMS coding, billing, data abstraction, and compliance requirements.

• Demonstrated experience leading teams, programs, policies, and operational initiatives within a complex healthcare environment.

• Strong analytical skills, with the ability to interpret coding, documentation, quality, reimbursement, and performance data and translate findings into actionable recommendations.

• Excellent organizational and problem-solving abilities, with the capacity to manage competing priorities and complex operational issues.

• Strong written and verbal communication skills, including the ability to advise clinical, administrative, financial, and managerial stakeholders.

• Ability to develop and deliver education and continuing professional development programs.

• Strong collaboration skills and the ability to build effective relationships across multidisciplinary departments.

• High level of attention to accuracy, confidentiality, compliance, and data integrity.

• Ability to work independently and provide effective leadership in a fully remote environment.

• Successful completion of a background check is required for final candidates; a drug screen or physical may also be required as part of the post-offer process.

Benefits

• Fully remote position within the United States.

• Full-time, regular position with a 40-hour workweek and first-shift schedule.

• Medical, dental, and vision coverage, with a significant portion of premiums covered by the employer.

• Paid time off, including vacation and sick leave.

• 11 paid holidays.

• State retirement plan or an alternative retirement plan, with generous employer contributions.

• Opportunity to lead high-impact coding, documentation, data quality, and compliance programs within a large and complex academic healthcare environment.

• Access to professional growth and development opportunities.

• Collaborative environment involving healthcare, administrative, financial, clinical, research, and data-focused teams.

Data Privacy Notice

By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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