Strategic Director, Hospital Coding & Denials

Good Samaritan Society; Fargo (ND); On-site; USD 92,000 - 152,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

401(k) retirement plan

Work/life balance benefits

Generous time off

Job summary

Sanford Health is seeking a senior leader in coding and revenue cycle to oversee hospital and professional coding, inpatient and outpatient facilities, and related denial/audit activities. You will guide strategy, budgeting, and IT-driven improvements across the system.

The role requires deep CPT knowledge, seven years in coding and seven years of management within a large health system, with certification in RHIT/RHIA/CPC/COC/CCS preferred. Strong regulatory and Medicare experience is essential.

Qualifications

• Bachelor’s degree required.
• Seven years of related work experience with CPT coding.
• Seven years of management experience in a large health care system.
• Knowledge of state and federal laws, rules and regulations.
• Experience with Medicare auditing and third-party reimbursement.
• Familiarity with computerized reporting systems.

Responsibilities

• Design, implement and optimize hospital and professional coding.
• Provide leadership for denial management and audit activity.
• Lead coding staff and drive performance in revenue cycle.
• Collaborate with Sanford Health leaders to ensure data integrity and compliant processes.
• Develop budget and strategic initiatives for coding services.

Skills

CPT coding knowledge

Denials/audits leadership

Leadership

Regulatory compliance

Education

Bachelor's degree

RHIT/RHIA/CPC/COC/CCS certifications

Tools

Computerized reporting systems

Job description

Sanford Health is seeking a senior leader in coding and revenue cycle to oversee hospital and professional coding, inpatient and outpatient facilities, and related denial/audit activities. You will guide strategy, budgeting, and IT-driven improvements across the system.

The role requires deep CPT knowledge, seven years in coding and seven years of management within a large health system, with certification in RHIT/RHIA/CPC/COC/CCS preferred. Strong regulatory and Medicare experience is essential.