Manager of HIM Operations & Coding

Spine Search is partnering with a well-established, mission-driven health system in Queens, NY to identify an experienced Manager of HIM Operations & Coding. This leadership opportunity is ideal for a healthcare professional with a strong background in Health Information Management, hospital coding, and revenue cycle operations who is passionate about operational excellence, regulatory compliance, and process improvement.

The Manager, HIM Operations & Coding will provide day-to-day leadership of Health Information Management (HIM) Operations and Hospital Coding services. This individual will oversee coding operations, chart completion, release of information, document imaging, record integrity, productivity, quality, vendor performance, and regulatory compliance while supporting organizational revenue cycle initiatives

.
Working collaboratively across Revenue Cycle, Clinical Documentation Improvement (CDI), Revenue Integrity, Patient Financial Services, Patient Access, Compliance, Information Technology, Medical Staff Services, and clinical departments, this leader will help ensure accurate documentation, compliant coding, timely billing, and efficient medical record managemen

t.This position also plays a key role in improving DNFB performance, supporting an enterprise EMR transition, driving operational efficiencies, and minimizing revenue leakag

e.
Key Responsibilit

ies Leadership & Operati

• ons Provide operational leadership for HIM and Coding departmen
• ts.
  
  Manage daily departmental operations, staffing, scheduling, productivity, payroll, and performance manageme
• nt.
  
  Develop, implement, and maintain departmental policies, procedures, and workflo
• ws.
  
  Identify operational challenges and lead continuous process improvement initiativ

es.

Coding Operati

• ons Oversee inpatient and outpatient coding operatio
• ns.
  
  Monitor coding productivity, accuracy, quality metrics, and turnaround tim
• es.
  
  Ensure compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, Medicare, Medicaid, and commercial payer guidelin
• es.
  
  Coordinate coding audits and quality assurance revie
• ws.
  
  Analyze coding-related denials and implement corrective action pla

ns.

HIM Operati

• ons Oversee chart completion, deficiency management, release of information (ROI), document imaging, and record integrity functio
• ns.
  
  Ensure compliance with regulatory, accreditation, and organizational standar
• ds.
  
  Support medical record retention and document management process
• es.
  
  Monitor timely physician documentation completi
• ion Monitor DNFB performance and implement strategies to reduce discharge-to-bill dela
• ys.
  
  Partner with CDI, Revenue Integrity, Patient Financial Services, and Patient Access to resolve documentation and coding issues affecting reimburse me
• nt.
  
  Participate in denial prevention and revenue optimization initiativ
• es.
  
  Support implementation of coding edits and workflow enhancement
• ent Manage HIM and coding vendor relationships, ensuring performance expectations are m
• et.
  
  Coordinate internal and external audit activiti
• es.
  
  Develop and monitor corrective action plans related to coding and documentation complian
• ce.
  
  Maintain readiness for regulatory and accreditation surve

ys.

EMR Optimization & System Initiati

• ves Participate in workflow design, testing, training, and implementation activities related to enterprise EMR initiativ
• es.
  
  Identify workflow gaps and recommend future-state process improve men
• ts.
  
  Support transition planning and post-go-live stabilization effor

ts.

Qualificati

• ons Bachelor's degree requir
• ed.
  
  CPC and CCS or CIC certification requir
• ed.
  
  RHIA or RHIT certification strongly preferr
• ed.
  
  Minimum of five (5) years of progressive leadership experience in hospital coding, HIM operations, or revenue cycle manageme
• nt.
  
  Demonstrated success leading teams, managing productivity, quality metrics, and operational performan
• ce.
  
  Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and hospital reimbursement methodologi
• es.
  
  Experience managing HIM operational functions, including chart completion, release of information, and document imaging preferr
• ed.
  
  Experience with Meditech and/or Meditech Expanse preferr
• ed.
  
  Experience supporting revenue cycle transformation or EMR implementation initiatives preferr
• ed.
  
  Excellent leadership, communication, organizational, analytical, and problem-solving skil