Healthcare Revenue Cycle Management

Position Title

Medical Coding Operations Director

University Medical Billing (UMB) is a fully remote department that serves over 1,800 providers and 30 different specialties across Utah and surrounding states. We seek an experienced Medical Coding Operations Director to lead revenue cycle operations, develop strategies, and ensure coding excellence.

• Critical to advancing organizational financial stewardship and compliance by ensuring coding excellence, operational efficiency, and continuous innovation across the revenue cycle.
  • Operational leadership and strategy
    • Lead and oversee medical coding operations, ensuring accuracy, compliance, and efficiency.
    • Develop and execute coding strategies aligned with organizational and revenue objectives.
    • Partner with revenue cycle, clinical, and compliance leadership to ensure alignment and integration.
  • Coding integrity & compliance
    • Establish and maintain coding policies and procedures in accordance with regulatory and industry standards.
    • Ensure compliance with ICD‑10‑CM, CPT, and HCPCS level II coding guidelines. Monitor regulatory updates and proactively adjust coding practices as required.
    • Lead coding integrity initiatives to maintain high standards of compliance and documentation accuracy.
  • Revenue optimization & performance improvement
    • Improve revenue cycle outcomes through accurate and compliant coding practices.
    • Identify and address the root causes of coding‑related denials and revenue leakage.
    • Implement strategies to improve first‑pass resolution rates and reduce rework.
    • Collaborate and partner with clinical and billing teams to enhance documentation accuracy and coding alignment.
    • Process improvement and technology integration strategies: identify opportunities to improve coding processes, implement innovative practices, and integrate technology solutions to enhance workflow and documentation accuracy.
  • Audit, quality & risk management
    • Develop and maintain a structured audit and review program to assess coding accuracy and compliance.
    • Establish routine audit cadence (e.g., monthly and quarterly reviews).
    • Analyze audit results, identify trends, and implement corrective and preventive actions. Develop strategies to address current concerns and avoid future errors.
      • If risk is identified or determined, work collaboratively with quality and compliance.
    • Mitigate compliance risk through proactive monitoring and education.
  • Performance management & reporting
    • Define and monitor key performance indicators (KPIs) for coding operations, including accuracy, productivity, turnaround time, and denial rates.
    • Develop and deliver regular performance reports and insights to leadership.
    • Create quarterly strategic dashboards summarizing performance, financial impact, compliance trends, and operational initiatives.
    • Use data to drive accountability and continuous improvement.
  • Financial management
    • Manage coding operations budget, including salary and wage expenses.
    • Forecast staffing and operational costs based on volume and strategic priorities.
    • Oversee budgeting for training, professional development, travel, technology, and special projects.
    • Ensure cost‑effective operations while maintaining high quality and compliance standards.
• Represent UMB
  • Value transparency & stakeholder engagement
    • Develop structured processes and reporting to clearly articulate the value of professional coding services.
    • Communicate coding performance, risks, and opportunities to executive leadership and key stakeholders.
    • Partner across functions to support enterprise initiatives and performance goals.
  • Partner with revenue cycle, clinical, and compliance leadership to ensure alignment and integrity.
    • Cross‑functional collaborate to ensure effective coordination and communication of coding processes and changes.
    • Establish regular cadence of check‑ins with external partners to audit and revise strategies and processes to ensure accuracy of work.
  • Stay informed and collaborate on coding at the national, state‑wide, and society levels (e.g.; AAPC . EPIC Core). Ensure UMB is proactive with related best practices.
  • Partner with revenue cycle, billing, and compliance teams to align coding with charge capture, claim…