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Lead the outpatient facility coding department, including its managers, supervisors, leads, and approximately 35 coders, while overseeing coding quality, compliance, productivity, reimbursement, and operational performance. Develop coding compliance programs, audits, and workflow improvements, and partner with revenue cycle, HIM, compliance, informatics, and documentation improvement teams to strengthen coding accuracy and data integrity.
This is a remote position.
Superlanet is seeking a Director, Outpatient Facility Coding for our healthcare client in Florida. This is a remote position with an ASAP start.
The Director of Outpatient Facility Coding will provide strategic and operational leadership for a sizeable outpatient facility coding organization, with responsibility for coding quality, compliance, reimbursement, productivity, workflow optimization, and data integrity.
This individual will oversee the day-to-day operations of the Outpatient Facility Coding department through managers, supervisors, and coding leads while developing and maintaining the organization's medical record coding and reimbursement compliance program. The Director will partner closely with Revenue Cycle, Health Information Management (HIM), Revenue Integrity, Compliance, Informatics, and Quality Documentation Improvement teams to establish efficient coding operations and ensure adherence to CMS and organizational requirements.
Provide leadership and operational oversight for the Outpatient Facility Coding department, including approximately 35 coders supported by management, supervisors, and coding leads.
Lead, mentor, and develop coding leadership, including managers and supervisors, while promoting accountability, consistency, and strong operational performance.
Develop, implement, and maintain medical record coding and reimbursement compliance plans.
Establish and monitor coding quality, productivity, accuracy, turnaround time, and reimbursement performance standards.
Ensure accurate and compliant assignment of ICD-10-CM, CPT, HCPCS, and APC-related coding across outpatient facility services.
Drive consistency and efficiency in outpatient claims processing, coding workflows, and data collection.
Identify opportunities to improve reimbursement, reduce coding-related denials, strengthen data quality, and optimize revenue cycle performance.
Oversee coding audits, quality reviews, compliance initiatives, and corrective action plans.
Partner with the Central Business Office, Revenue Integrity, HIM, Informatics, Compliance, and Quality Documentation Improvement leadership to improve operational workflows.
Provide feedback and recommendations regarding documentation improvement and provider education needs.
Ensure coding practices comply with CMS regulations, official coding guidelines, payer requirements, and organizational compliance standards.
Evaluate coding technology, information systems, reporting tools, and databases to improve efficiency and operational visibility.
Lead and support coding-related projects, system initiatives, process improvements, and organizational changes.
Analyze coding and reimbursement data to identify trends, operational risks, and improvement opportunities.
Support collaboration and alignment between outpatient facility coding and related professional coding functions, including ED professional coding.
Serve as a subject matter expert and senior leader for facility coding operations across the organization.
Associate degree in Health Information Management or a related field required. Five years of relevant experience may be considered in lieu of an Associate degree. Bachelor's degree in Health Information Management or a related field preferred.
Minimum 5 years of facility coding experience required.
Minimum 3 years of supervisory or management experience required.
Strong experience leading hospital or health system coding operations.
Experience managing managers, supervisors, leads, and/or sizeable coding teams strongly preferred.
Demonstrated experience with coding quality, compliance, reimbursement, productivity, and data integrity.
Experience with HIM operations, project management, information systems, and coding-related databases.
Strong understanding of outpatient facility coding and reimbursement methodologies.
Experience partnering cross-functionally with Revenue Cycle, HIM, Revenue Integrity, Compliance, Informatics, and clinical documentation teams.
Minimum of one active coding certification through AHIMA or AAPC required.
Relevant certifications may include RHIA, RHIT, CCS, CPC, COC, or equivalent credentials.
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