Mid Revenue Cycle Optimization Director

Pediatric Associates Family of Companies; Dallas (TX); Hybrid; USD 90,000 - 150,000; Full time

Job summary

An established industry player is seeking a Mid Revenue Cycle Optimization Director to lead coding and clinical documentation initiatives. This pivotal role involves ensuring compliance with healthcare regulations, optimizing workflow efficiency, and enhancing data accuracy across departments. The ideal candidate will possess a Master’s Degree in Health Information Management and extensive experience in coding practices. You'll have the opportunity to mentor a high-performing team while driving strategic improvements that impact patient care. If you are passionate about healthcare and looking to make a difference, this role offers a rewarding challenge.

Benefits

Medical insurance

Vision insurance

401(k) plan

Qualifications

• 7+ years of experience in health information management and coding.
• Active RHIA certification required.

Responsibilities

• Oversee compliance with coding and clinical documentation regulations.
• Collaborate with IT to enhance workflow efficiency.

Skills

Health Information Management

Coding Compliance

Clinical Documentation Improvement

Strategic Thinking

Problem-Solving

Leadership Skills

Data Analysis

Education

Master’s Degree in Health Information Management

Tools

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Job description

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PRIMARY FUNCTION

The Director of Coding and Clinical Documentation Improvement is responsible for developing and implementing strategies to manage the integrity of health information, physician clinical documentation, and coding processes. This role ensures compliance with all regulatory requirements, optimizes workflow efficiency, and enhances data accuracy for operational and billing purposes. The Director provides strategic leadership to a team overseeing diagnosis and procedure coding, and clinical documentation improvement while ensuring collaboration across departments and clinicians. The Director provides an educational and advisory role with clinical staff, physicians, and other departments related to clinical documentation, coding, data integrity, and use of the medical records.

ESSENTIAL DUTIES AND RESPONSIBILITIES

This list may not include all of the duties that may be assigned.

• Oversee Coding and Clinical Documentation Improvement to ensure compliance with regulations and organizational policies
• Manage and monitor coding and documentation accuracy, ensuring adherence to best practices and regulatory requirements
• Collaborate with Information Technology and other departments to implement technology and workflow improvements that enhance efficiency and data integrity
• Monitor unbilled accounts and denial trends, ensuring timely completion of records and accurate coding
• Develop and maintain strategic and operational plans in partnership with the VP of Revenue Cycle and key stakeholders
• Ensure all coding staff, providers, and personnel comply with coding requirements and government regulations through continuous education and training
• Provide guidance on coding and billing compliance to all relevant departments and personnel
• Analyze data to identify operational trends, implement corrective actions, and optimize performance outcomes
• Establish and enforce performance expectations for staff, holding them accountable for achieving key performance indicators
• Lead, mentor, and develop a high-performing team through structured training, coaching, and career development opportunities

SUPERVISORY RESPONSIBILITIES

Oversees a team of Coding and Clinical Documentation Improvement professionals

QUALIFICATIONS

EDUCATION: Master’s Degree in Health Information Management required.

EXPERIENCE: A minimum of 7 years of health information management, coding, and clinical documentation experience in multiple healthcare systems required.

LICENSURE / CERTIFICATION

• Active RHIA certification required

KNOWLEDGE, SKILLS AND ABILITIES

• In-depth knowledge of federal, state and local regulations regarding medical records, coding, and clinical documentation
• Expertise in coding and billing practices across multiple healthcare settings
• Strong strategic thinking, problem-solving, and leadership skills
• Ability to influence and collaborate with key stakeholders, including physicians, administrators, and IT
• Proficiency in Microsoft Excel, Word, and PowerPoint

TYPICAL WORKING CONDITIONS

• May be either full time remote/telework or rotate working in the office and remote/telework
• If remote, this job must be U.S. based.

OTHER PHYSICAL REQUIREMENTS

• Vision
• Sense of sound
• Sense of touch

PERFORMANCE REQUIREMENTS

Ensure compliance with coding and documentation best practices to maintain the integrity of coding and billing practices.

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations.

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance

• Industries

  Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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