Director, Coding - Ambulatory *Remote*
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Provides input and direction to strategic plan and goals to meet imperatives. Develops departmental policies, procedures, and protocols in alignment with Joint Commission, federal, and state guidelines. Provides input for process design and other implementation and solution activities. Prepares budgets and maintains and manages cost control. Collaborates with departments and medical staff to ensure strategic alignment and objective achievement. Evaluates and interprets coding variances and trends to strategically align coding operations. Seeks to understand disagreements, ensure all perspectives are heard and facilitate a plan for resolution. Delegates the work appropriately, provides clear expectations and follow up to ensure progress and overcome roadblocks. Identifies associates and team priorities based on business direction and adjust when needed. Leads by example and shares knowledge and experiences with associates and team. Creates a respectful work environment where you advocate for your team, creates accountability, and recognizes their accomplishments. Provides timely feedback to encourage success, ensures accountability, and connects opportunities for your associates’ development. Identifies the right talent to achieve the desired results. Promotes and builds a diverse cohesive team to accomplish objectives and align associates' skills to fill gaps.
Job Requirements:
Education and Work Experience:
- Bachelor's degree or equivalent combination of education/experience: Required
- Master's degree: Preferred
- Seven years' coding operations experience, including Epic system experience/electronic health record (EHR) conversion experience: Preferred
- Five years' leadership experience: Preferred
- Current permanent U.S. work authorization: Required
Licenses/Certifications:
- Certified Professional Coder (CPC): Required
- Certified Coding Specialist (CCS): Required
- Certified Coding Specialist (CCS) or Certified Professional Coder (CPC): Required
Essential Functions:
- Guides and directs subordinate supervisors/managers on the coding team. Develops and implements policy and procedure recommendations to meet the needs of the health and hospital system and its patients. Oversees preparation of the budget for areas of responsibility and participates in the preparation of the annual health and hospital system budget. Prepares annual statement of goals and objectives in collaboration with subordinates. Ensures compliance with all federal, state, local government, and private industry mandates.
- Collaborates with other revenue cycle leaders to identify key performance indicators (KPIs), facilitates regular reporting, and takes actions as needed to facilitate performance in alignment with organizational goals. Ensures staff are aware and compliant with all applicable laws, regulations, guidelines, etc. Analyzes and identifies coding service needs to determine appropriate action and make recommendations for problem resolution or procedural changes as needed.
- Identifies issues, risks, barriers, and opportunities for improvement related to set responsibility area. Analyzes, interprets, and summarizes pertinent coding data components, and monitor performance against key performance indicators. Conducts/facilitates recurring quality assurance audits and provides coaching sessions/performance reviews in relation to set benchmarks.
- Works with cross functional team members to identify and solve process issues. Ensures workflows and team members are addressing accounts in timely work queues for initial coding and/or denial management in accordance with industry standards.
- Develops professional and technical skill set in subordinate staff and develop ongoing training and education materials for staff and patient education. Supervises, trains, develops, and motivates subordinate staff.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
