Director Hospital Coding & HIM

• Health Information Management - Transcription

The Director of Coding & Health Information Management (HIM) provides strategic, operational, and regulatory leadership for all hospital coding, clinical documentation integrity (CDI) alignment, and health information functions. This position ensures accurate, timely, and compliant coding, complete medical records, data integrity, and optimal reimbursement while supporting organizational quality, compliance, and revenue cycle performance. The Director partners closely with Revenue Cycle, Finance, Compliance, Quality, CDI, Case Management, and Medical Staff leadership to optimize performance in an Epic electronic health record environment.

• Directs and oversees HIM and hospital coding operations including inpatient, outpatient, emergency services, observation, and surgery
• Works in conjunction with the professional coding director to ensure correctly and timely coding for PBB and HOD clinics
• Develops departmental strategy aligned with organizational financial and quality goals
• Leads workforce planning, staffing models, productivity standards, and performance management
• Drives continuous improvement initiatives and operational efficiency
• Serves as subject matter expert for coding, documentation, and record management regulations, supporting and monitoring coding operations, quality, accuracy, productivity, and turnaround times
• Provides executive-level reporting to senior leadership and committees
• Ensures accurate and compliant ICD-10-CM/PCS and CPT/HCPCS coding
• Oversees case mix index (CMI) performance and reimbursement integrity
• Manages coding DNFB and ensures alignment with goals
• Coordinates coding audits and education for the coding teams
• Maintains compliance with CMS, OIG, and payer regulations
• Supports DRG validation and appeals processes
• Oversees HIM functions including medical record completion, deficiency management, and record integrity
• Ensures Joint Commission, CMS Conditions of Participation, and state regulation compliance
• Manages release of information (ROI) operations and privacy compliance
• Maintains document management, scanning, indexing, and record retention processes
• Ensures data governance and master patient index integrity
• Serves as operational owner for Epic HIM modules and workflows, partnering with IT/Epic teams to optimize coding tools, work queues, and automation
• Oversees implementation of Epic upgrades and enhancements impacting HIM/coding, supporting best-practice adoption
• Partners with CDI leadership to optimize documentation quality and CMI
• Aligns coding practices with CDI query processes
• Collaborates with Revenue Cycle Operational Leaders on denials management and AR reduction; participates in payer audits and recovery activities
• Supports front-end documentation initiatives impacting reimbursement
• Maintains effective coding compliance programs, overseeing internal and external coding audits
• Responds to RAC, MAC, OIG, and commercial payer reviews and implements corrective action plans as needed
• Ensures HIPAA privacy and security compliance within HIM operations
• Collaborates with Medical Staff leadership on documentation improvement
• Provides education to providers regarding coding and documentation requirements, supporting clinical departments in regulatory readiness
• Serves as liaison between HIM and clinical operations
• Performs other related duties as assigned
• Familiar with standard concepts, practices and procedures within the field
• Relies on experience and judgment to plan and accomplish goals
• Regular and predictable attendance is an essential job function
• Competent to meet age specific needs of the unit assigned

• Bachelor’s degree in Health Information Management, Health Administration, or related field required;
  Master’s degree preferred
• Minimum 7 years’ progressively responsible HIM and coding leadership experience
• Registered Health Information Technician (RHIT) and/or Registered Health Information Administrator (RHIA) required within 1 year of hire
• Coding Certification (CCS/COC/CIC) required
• Previous inpatient coding oversight experience, preferably in an acute care hospital
• Experience…