Vice President, Medical Coding

The Vice President of Coding provides executive leadership and strategic direction for all health information management and clinical coding functions across the organization. This role is accountable for coding accuracy, regulatory compliance, data integrity, audit readiness, and alignment with revenue integrity and clinical documentation initiatives.

The VP serves as a key partner to executive leadership, Compliance, Clinical Operations, Revenue Cycle, and IT to ensure HIM and coding practices support high-quality care, regulatory adherence, and sustainable financial performance in a complex healthcare environment.

• Develop and execute the enterprise Coding strategy aligned with organizational goals
• Provide executive oversight of coding operations, workforce planning, and technology optimization
• Serve as the organizational authority on coding compliance, documentation standards, and coding regulatory requirements
• Advise executive leadership on coding risk, regulatory exposure, and industry trends

• Establish and maintain coding governance structures, policies, and standards
• Ensure compliance with federal and state regulations, payer requirements, and official coding guidelines (ICD-10-CM/PCS, CPT, HCPCS)
• Oversee internal and external audits, including government and payer reviews
• Lead response strategies for audit findings, investigations, and corrective action plans

• Partner with Revenue Cycle leadership to ensure coding accuracy supports appropriate reimbursement
• Oversee coding-related denial prevention, appeals strategy, and root‑cause analysis
• Monitor financial impact related to coding, case mix index, and documentation quality
• Support enterprise revenue integrity initiatives and risk mitigation efforts

• Collaborate with provider engagement leadership to strengthen documentation quality and specificity
• Partner with clinical leaders to drive provider education and engagement around documentation and coding standards
• Ensure alignment between clinical practice, documentation, and coding compliance

• Provide executive oversight of coding operations, productivity, quality, and performance metrics
• Lead and develop senior medical coding leadership teams
• Drive standardization, scalability, and best practices across multi‑site or multi‑service organizations
• Champion workforce development, credentialing, and succession planning

• Partner with IT and Analytics to optimize EHRs, encoders, CAC tools, and reporting platforms
• Leverage data and analytics to identify risk, performance gaps, and improvement opportunities
• Support digital transformation initiatives impacting medical coding and data governance

• Ensure ongoing audit readiness and proactive risk assessment
• Serve as an executive liaison during regulatory reviews, payer audits, and compliance inquiries
• Oversee enterprise medical coding data governance, record integrity, and retention practices

• Bachelor’s degree in Health Information Management, Healthcare Administration, or related field
• Active medical coding credential (e.g., RHIA, RHIT, CCS, CPC, or equivalent)
• Minimum of 10+ years of progressive leadership experience in medical coding within healthcare
• Demonstrated executive‑level experience managing compliance, audits, and regulatory risk
• Deep expertise in coding guidelines, reimbursement methodologies, and healthcare regulations

• Master’s degree (MHA, MBA, or related)
• Experience in multi‑entity, multi‑state, or high‑growth healthcare organizations
• Experience partnering at the C‑suite and Board level
• Strong background in revenue integrity, CDI, or compliance leadership

• Strategic and enterprise‑level thinking
• Strong executive presence and influence
• Risk‑based decision making and compliance leadership
• Ability to translate complex regulations into actionable strategies
• Collaborative leadership across clinical, financial, and operational teams