Dir Coding Quality

Overview

Dir Coding Quality - Professional Billing

UCHlth Admin Lowry, US:

CO:

Denver, UCHlth Professional Coding

Pay: $108, / year. Pay is dependent on applicant's relevant experience

Hybrid - Denver Metro Area. Candidates must reside locally and be able to commute to Metro Denver locations as needed.

The Director of Professional Billing (PB) Coding Quality is a strategic leadership role responsible for overseeing PB coding quality operations s includes ensuring the accuracy, completeness, and consistency of medical coding for all professional services, in compliance with all regulations. The Director will lead a team of coding professionals, implement best practices, leverage technology, and collaborate cross-functionally to optimize revenue integrity, mitigate compliance risks, and support the overall financial health of the organization.

• Develop, implement, and monitor coding quality strategies, policies, and procedures that align with organizational goals and regulatory requirements.
• Foster a culture of continuous improvement, accountability, and excellence within the professional coding department.
• Oversee the daily quality operations of the professional coding team.
• Establish and maintain robust quality assurance programs, including regular audits, feedback mechanisms, and targeted education to ensure coding accuracy rates meet or exceed organizational and industry standards.
• Evaluate, implement, and optimize coding technologies.
• Leverage data analytics to identify coding quality trends, opportunities for improvement, and potential compliance risks.
• Partner closely with Revenue Integrity, Business Services, Clinical Operations, and IT to ensure cohesive and effective revenue cycle operations.
• Mentor and develop team leaders, supporting staff retention, growth, and succession planning.

• Bachelor's degree in Health Information Management, Nursing, Healthcare Administration, or related field.
• Coding-related certification from AHIMA or AAPC, CCS:
  Certified Coding Specialist; CMC:
  Certified Medical Coder; CPMA:
  Certified Professional Medical Auditor, CRC - Certified Risk Adjustment Coder.
• Preferred:
  Bachelor s degree or certified as a Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA), CRC - Certified Risk Adjustment Coder.
• 5 years of relevant experience in coding, auditing, or HIM leadership.

• Expert knowledge of coding guidelines: ICD-10-CM/PCS, CPT, HCPCS, and official coding clinic guidelines.
• Strong leadership and management skills:
  Ability to inspire, motivate, and develop a high-performing team.
• Analytical and problem-solving skills:
  Ability to analyze complex data, identify trends, and implement effective solutions.
• Excellent communication skills:
  Verbal, written, and presentation skills to effectively interact with all levels of staff, management, and external partners.
• Executive leadership & governance:
  Establishes enterprise standards, policies, and governance in partnership with Compliance, CDI, Revenue Integrity, Quality, and Medical Staff leadership.
• Physician & faculty engagement:
  Trusted advisor to physicians, faculty, and department leaders, translating regulatory and coding requirements into clinically relevant, actionable guidance.
• Executive presence & accountability:
  Communicates effectively with senior leadership and committees, taking full ownership of coding quality outcomes and regulatory risk.
• Regulatory compliance:
  In-depth understanding of healthcare compliance principles and risk management related to coding.
• Project management:
  Ability to manage multiple projects, prioritize tasks, and meet deadlines.
• Technical proficiency:
  Comfortable with various healthcare IT systems and data analytics tools.

• Recognition:
  Performance bonus, annual merit pay increase, and market reviews to align pay with market standards.

• Health and well-being:
  Medical, dental, and vision coverage; 24/7 mental health support; gym discounts;  membership; voluntary benefits; PTO and family leave; PTO loading for new employees; life and disability coverage.

• Retirement and savings: 403(b) with employer matching; additional 457(b) plan; flexible spending accounts; health savings account when enrolled in HDHP.

• Education and career growth:
  Tuition reimbursement/programs; access to Linked In Learning; assistance with Public Service Loan Forgiveness.

* Eligibility for some programs is based on an employee s scheduled work hours.

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UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

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