Director of Medical Coding

Summary:

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 (HCC)/Risk Adjustment and medical coding practices.

Key Responsibilities:

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.

HCC/Risk Adjustment Expertise:

- Ensure accurate coding and documentation for HCC/Risk 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.

Qualifications:

- Professional certification in medical coding (e.g., 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 HCC/Risk 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.

Preferred Qualifications:

- Bachelor's 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.