Director of Hospital Coding: Lead Remote Teams

Main Line Health, Inc.; Newtown Square (Delaware County); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Parking is free

Discounts on activities and services

Job summary

Main Line Health, Inc. is seeking a Director of Hospital Coding Services to provide strategic leadership across inpatient, outpatient, and ancillary coding programs, ensuring accurate ICD-10-CM/PCS, HCPCS, and CPT coding to support reimbursement and compliance.

The role directs coding managers and staff, manages vendor relations, and partners with Revenue Cycle, CDI, IT, and clinical leadership to optimize coding accuracy and performance.

Qualifications

• Minimum five years of progressively responsible coding leadership experience.
• Extensive experience in hospital facility coding, auditing, compliance, and reimbursement methodologies.
• Experience managing remote coding teams and outsourced coding vendors preferred.

Responsibilities

• Provides leadership for hospital facility coding operations, including inpatient, outpatient, observation, ED, ambulatory surgery, and ancillary services.
• Develops, implements, and maintains hospital coding policies, workflows, productivity standards, and quality initiatives.
• Ensures compliance with CMS, ICD-10-CM/PCS Official Coding Guidelines, APC, MS-DRG, and other hospital reimbursement methodologies.
• Collaborates with CDI leadership to support accurate SOI, ROM, and DRG assignment.
• Oversees coding work queues and monitors turnaround times to support timely billing and revenue generation.
• Monitors audit outcomes, denial trends, and compliance findings and develops corrective action plans as necessary.
• Partners with Revenue Integrity, Compliance, Patient Financial Services, and IT on coding optimization initiatives.
• Reviews and analyzes coding productivity, accuracy, financial performance, and reimbursement trends.
• Oversees external coding vendor relationships, contracts, quality reviews, and performance standards.
• Leads hospital coding education programs and ensures ongoing staff competency development.
• Recruits, hires, mentors, evaluates, and develops coding managers and staff.
• Supports system-wide coding and revenue cycle transformation initiatives.
• Participates on interdisciplinary committees related to documentation improvement, reimbursement, and technology optimization.
• Fosters a culture of accountability, collaboration, and continuous improvement.

Skills

Leadership

Healthcare coding

Communication

Regulatory compliance

Education

Bachelor's Degree in Health Information Management or related field

Job description

Main Line Health, Inc. is seeking a Director of Hospital Coding Services to provide strategic leadership across inpatient, outpatient, and ancillary coding programs, ensuring accurate ICD-10-CM/PCS, HCPCS, and CPT coding to support reimbursement and compliance.

The role directs coding managers and staff, manages vendor relations, and partners with Revenue Cycle, CDI, IT, and clinical leadership to optimize coding accuracy and performance.