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Your Health Organization seeks a Director of Medical Coding to lead and educate a coders team. The role requires leadership, strategic oversight for HCC Risk Adjustment, and collaboration with clinicians to optimize documentation and reimbursement.
The ideal candidate brings CPC/CCS or equivalent certification with 3–5 years in coding and at least 2 years in management. Strong regulatory knowledge and staff development are essential.
We are seeking an experienced and certified professional to join our team as the Director of Medical Coding The ideal candidate will have 3 5 years of experience in medical coding with a proven track record of leadership and providing education to staff coders and providers This individual will possess comprehensive knowledge of Hierarchical Condition Categories HCCRisk Adjustment and medical coding practices
Leadership and Management Lead and manage the medical coding team ensuring efficient and accurate coding practices Provide ongoing education and training to staff coders and healthcare providers to maintain high coding standards Develop and implement coding policies and procedures to ensure compliance with industry regulations and guidelines Coding Quality and Compliance Oversee the accuracy and integrity of coding processes ensuring compliance with all relevant regulations and standards Conduct regular audits and quality assurance reviews to identify areas for improvement and implement corrective actions as needed Stay updated on the latest coding guidelines industry trends and regulatory changes and communicate these updates to the coding team and providers Education and Training Design and deliver educational programs and training sessions for coders and healthcare providers to enhance their knowledge and skills in medical coding Develop training materials manuals and resources to support continuous learning and professional development HCCRisk Adjustment Expertise Ensure accurate coding and documentation for HCCRisk Adjustment to optimize reimbursement and support value based care initiatives Collaborate with clinical and administrative teams to improve documentation practices and capture all relevant diagnoses and conditions Strategic Planning and Implementation Contribute to the development and execution of strategic plans to enhance the efficiency and effectiveness of the medical coding department Work closely with senior leadership to align coding practices with organizational goals and objectives
Professional certification in medical coding eg CPC CCS or equivalent 3 5 years of experience in medical coding with a minimum of 2 years in a leadership role In depth knowledge of medical coding guidelines including ICD 10 CPT and HCCRisk Adjustment Proven experience in providing education and training to staff coders and healthcare providers Strong leadership communication and interpersonal skills Ability to work collaboratively with multidisciplinary teams and manage multiple priorities effectively Detail oriented with a strong commitment to accuracy and compliance
Bachelors degree in Health Information Management Healthcare Administration or a related field Experience with electronic health records EHR and coding software systems Advanced certifications in medical coding or healthcare management