Schedule: Full time
Shift: Day (United States of America)
Address: 601 E ALTAMONTE DR
City: ALTAMONTE SPRINGS
State: Florida
Postal Code: 32701
Job Description: - Leads inpatient and/or outpatient coding operations to achieve enterprise performance targets for throughput, DNFB, productivity, and turnaround time.
- Establishes and enforces standardized workflow management practices, including prioritization, queue management and escalation protocols
- Drives DNFB reduction through proactive management of coding volumes, aging, backlog mitigation, and operational barriers impacting final billing
- Ensure timely coding of encounters to support claim submission, DRG and APC integrity, and revenue cycle performance
- Oversees productivity and throughput performance across service lines, accounting for variability in ICD-10-CM/PCS and/or CPT/HCPCS coding complexity
- Identifies workflow inefficiencies impacting coding performance and implements standardized operational improvements across coding teams.
- Leads backlog management and surge response strategies to maintain operational stability during volume fluctuations
- Escalates documentation, system staffing, or operational barriers impacting coding completion and workflow performance
- Partners with Revenue Integrity, CDI, and Education teams to integrate audit findings, regulatory requirements, and coding accuracy insights into operational improvements.
- Partners with Technology, Automation & Workforce Optimization to align systems, workflows, queue design, and staffing strategies with operational demand
- Collaborate with Coding Quality & Audit and Education & Growth to improve ICD-10-CM/PCS and/or CPT/HCPCS coding accuracy and consistency
- Ensures compliance with coding standards and regulatory requirements specific to inpatient ICD-10-CM/PCS, CPT/HPCS coding, modifier assignment and DRG/APC assignment
- Leads and develops Managers and coding leadership teams, ensuring alignment to enterprise goals, coding standards, and operational expectations
- Provides reporting and insights on DNFB, productivity, turnaround time, coding trends, and operational risks to senior leadership
- Performs other duties as assigned
Knowledge, Skills, and Abilities: - Proficient experience with EMR systems (Epic preferred). [Required]
- DNFB management, productivity management and turnaround time optimization [Required]
- Ability to analyze workflows and recommend informatics-based improvements. [Required]
- Proficiency in Microsoft 365 office products [Required]
- Data analysis, KPI interpretation, and executive reporting [Required]
- Enterprise leadership and cross functional influence skills [Required]
- Change management and enterprise implementation leadership [Required]
- Financial and operational risk awareness [Required]
- Strong communication and presentation skills [Required]
- Decision making using volume trends, forecasting and operational analytics. [Required]
Education: Field of Study: - in healthcare related field
Work Experience: - 7+ years of acute care hospital coding [Required]
- 6+ years of management experience with direct reports [Required]
Additional Information: Licenses and Certifications: - Certified Coding Specialist (CCS) [Required] OR Registered Health Information Administrator (RHIA) [Required] OR Registered Health Information Technician (RHIT) [Required] OR Certified Professional Coder (CPC) [Required]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:$111,800.00 - $207,979.20
