Director of Coding - 258852

Medix™; United States; Hybride; USD 140 000 - 200 000; Plein temps

Résumé du poste

Medix is seeking a Director of Client Coding Integrations to lead cross-functional teams responsible for end-to-end physician coding integrations during onboarding, acquisitions, system conversions, and operational transitions.

The role requires acting as the executive SME, aligning client leadership, revenue cycle, compliance, and coding operations to drive standardized processes, optimize reimbursement, and ensure financial success—with on-site and remote team leadership.

Qualifications

• Bachelor’s degree or equivalent
• 7+ years in physician billing, healthcare coding, revenue cycle, or HIM leadership
• 3+ years in a leadership or delivery role
• Experience supporting physician practice operations or multispecialty groups

Responsabilités

• Lead end-to-end coding integrations for onboarding, acquisitions, system conversions, and transitions.
• Serve as the executive SME throughout implementation, transition, and stabilization phases.
• Evaluate workflows, policies, and staffing to drive large-scale operational improvements and standardization.
• Partner with leadership to build post-integration action plans focused on quality, productivity, and compliance.
• Facilitate workflow design and change management to ensure seamless transitions.

Connaissances

Leadership

Strategic planning

Executive advisory

Communication

Formation

Bachelor’s degree

Experience in healthcare revenue cycle

Outils

Epic

Cerner

Power BI

Description du poste

Job Title: Director, Coding Integrations

Employment Type: Full-Time | Monday – Friday

Work Schedule & Location: Hybrid | 50% Travel Required

Location Requirement: 2 - 3 Hours of a Client Site in the Midwest or East Coast

Position Overview

We are seeking a strategic, results-driven Director of Client Coding Integrations to lead and oversee ProFee coding integrations for physician billing clients across onboarding, practice acquisitions, system conversions, and operational transitions.

In this director-level role, you will act as the executive subject matter expert (SME) and primary strategic partner bridging client leadership, revenue cycle, compliance, and coding operations. You will evaluate existing operational structures, drive standardization, optimize reimbursement, and direct on-site and remote integration teams to ensure operational readiness and financial success.

Key Responsibilities

Client Coding Integrations

• Lead Integration Strategy: Oversee and direct end-to-end coding integrations for physician billing clients during onboarding, acquisitions, system conversions, and operational transitions.
• Serve as Executive SME: Act as the primary physician coding subject matter expert throughout all implementation, transition, and stabilization phases.
• Assess & Standardize: Evaluate client coding workflows, policies, and staffing structures to drive large-scale operational improvement and standardization.
• Drive Strategic Planning: Partner with operational leadership to build post-integration action plans focused on quality, productivity, compliance, and financial performance.
• Enable Organizational Readiness: Facilitate workflow design, stakeholder engagement, change management communications, and leadership alignment to ensure seamless transitions.

Coding Operations & Compliance

• Deliver Executive Coding Expertise: Apply deep expertise in ICD-10-CM, CPT, HCPCS, modifier application, documentation rules, and regulatory standards.
• Cross-Functional Alignment: Collaborate with Compliance, Revenue Integrity, Provider Education, and Executive Leadership to maintain high coding accuracy.
• Monitor Performance Metrics: Oversee tracking of key performance metrics, including coding quality, staff productivity, audit findings, and operational performance.
• Remediate Compliance Issues: Formulate and execute comprehensive corrective action plans to resolve quality, documentation, or compliance gaps.
• Support Audit Readiness: Oversee internal and external audit processes to maintain strict adherence to federal, state, payer, and regulatory requirements.

Revenue Cycle Optimization

• Analyze Root Causes: Evaluate coding trends, edits, and denial patterns to identify systemic root causes and deploy targeted, scalable solutions.
• Enhance Reimbursement: Collaborate with Revenue Cycle leaders to optimize reimbursement accuracy, minimize claim denials, and streamline revenue streams.
• Redesign Workflows: Lead clients through strategic workflow redesign, process optimization, and large-scale operational transformation.
• Leverage Tech & Automation: Implement technology solutions, advanced analytics, and automation to elevate overall coding performance.

Relationship & Executive Management

• Build Strategic Partnerships: Cultivate trusted, high-level relationships with physicians, client executives, compliance leaders, and operational directors.
• Provide Executive Advisory: Act as a key strategic advisor to client executive leadership regarding physician coding operations and changing regulatory mandates.
• Communicate & Report: Regularly present integration milestones, operational health, risk assessments, and strategic recommendations to executive leadership.
• Facilitate Multi-Stakeholder Alignment: Serve as the main bridge between internal leadership and external client stakeholders across all project phases.

Required Qualifications

Experience & Education

• Education: Bachelor’s degree or an equivalent combination of education and professional experience.
• Core Healthcare Experience: 7+ years of progressive experience in physician billing, healthcare coding, revenue cycle, or HIM leadership.
• Leadership & Project Delivery: 3+ years in a leadership, management, consulting, or integration delivery role.
• Practice Background: Proven success supporting physician practice operations, professional coding programs, or multispecialty groups.

Technical & Subject Matter Expertise

• Coding & Billing Knowledge: Deep expertise in ICD-10-CM, CPT, HCPCS, E/M coding guidelines, and ProFee billing/reimbursement methodologies.
• Compliance & Payer Standards: Strong command of healthcare compliance rules, regulatory frameworks, and payer-specific guidelines.
• Tech & Process Optimization: Proficiency with technology-enabled solutions, enterprise reporting platforms, and process improvement tools.

Work Requirements & Active Credentials

• Travel & Schedule: Willingness and capability to travel up to 50% to client sites.
• Location Proximity: Residence within 2–3 hours of target client markets (PA, TN, OH, CT, DE).
• Required Active Credentials: Active possession of at least one of the following credentials: CPC, CCS, CCS-P, RHIT, or RHIA.

Preferred Qualifications

• EHR & Platform Expertise: Hands‑on experience with major healthcare platforms (e.g., Epic, Cerner, Meditech, Athenahealth, eClinicalWorks).
• Physician Integration & Operations: Proven success directing large-scale practice acquisitions, system implementations, and client‑facing healthcare operations.
• Large-Scale Operations & Transformation: Track record supporting multi‑state or national operations and driving change management, process transformation, and optimization.
• Advanced Tech & Analytics: Proficiency with AI-enabled tools, coding automation, Microsoft Copilot, Power BI, workflow automation, and advanced analytics.