Director Professional Coding

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
The Director of Professional Coding oversees and provides leadership of the PB coding, Quality, Audit, & Education functions across the enterprise, acting within the Mid Revenue Cycle Department. Responsible for management of all professional coding operations including ICD and CPT code assignment, pre-bill quality reviews, coding audit program oversight, and coding-related billing edit work queues. The Director develops objectives and strategies supporting patient care, teaching, research, and resource management. This role serves as the primary liaison for coding to clinical department leaders and School of Medicine Director of Finance Administrators (DFAs).

Locations
Stanford Health Care

What you will do

• Strategic Leadership & Governance
• Provides enterprise leadership for professional coding strategy, governance, and operational standards across Stanford Health Care and the School of Medicine, ensuring consistent interpretation and application of coding guidelines, regulatory requirements, and organizational policies.
• Develops and manages professional coding key performance indicators (KPIs), productivity standards, and quality metrics to drive operational excellence, compliance, and revenue integrity.
• Establishes, implements, and maintains coding, documentation, and medical record policies, procedures, and standards that support organizational objectives and regulatory compliance.
• Leads strategic initiatives that enhance coding performance, physician quality profiles, revenue capture, and financial outcomes.
• Coding Quality, Audit & Education Programs
• Provides executive oversight of the Professional Coding Quality and Education Program, including internal and external audit strategy, coder education, performance improvement initiatives, competency standards, vendor oversight, and continuous quality monitoring.
• Maintains a comprehensive coder quality assurance and productivity program to ensure coding accuracy, consistency, and adherence to established performance expectations.
• Directs the enterprise-wide professional coding audit program, including audit planning, methodology, sampling, execution, reporting, corrective action plans, and ongoing monitoring.
• Provides audit education, feedback, and performance coaching to coding staff and providers to improve documentation quality, coding accuracy, and regulatory compliance.
• Oversees ongoing record reviews, coding validation activities, and quality improvement efforts designed to mitigate risk and strengthen revenue cycle performance.
• Develops and maintains dashboards and reporting tools that monitor coding accuracy, productivity, audit outcomes, error trends, provider performance, and compliance risk indicators.
• Compliance, Documentation Integrity & Regulatory Oversight
• Leads the Professional Coding Compliance Program, ensuring adherence to HIPAA, federal and state regulations, payer requirements, and organizational policies.
• Serves as the primary liaison for payer, regulatory, and compliance audits related to professional coding and documentation practices.
• Provides expert consultation on medical record documentation requirements, coding regulations, reimbursement methodologies, and compliance standards to ensure alignment with organizational and regulatory expectations.
• Partners with clinical, compliance, and operational leaders to promote documentation integrity, reduce compliance risks, and support accurate reimbursement.
• Operational Performance & Technology Optimization
• Ensures the accurate and timely completion of professional coding activities through active operational oversight, workload management, and performance monitoring.
• Directs the preparation and presentation of routine and ad hoc reports, dashboards, and business reviews for executive leadership, physicians, and operational stakeholders.
• Identifies and implements process improvement opportunities that optimize coding workflows, documentation practices, operational efficiency, and financial performance.
• Ensures coding teams have the tools and resources necessary for success and collaborates with technology, EHR, and revenue cycle partners to optimize coding and audit systems.
• Stakeholder Engagement & Department Leadership
• Serves as a strategic partner to physicians, clinical leaders, compliance, revenue cycle, and operational stakeholders in the advancement of professional coding initiatives.
• Provides leadership for multidisciplinary committees, governance groups, and organizational initiatives related to coding quality, compliance, and revenue integrity.
• Recruits, develops, and mentors coding leaders, auditors, and staff, fostering a culture of accountability, continuous learning, engagement, and retention.
• Oversees departmental staffing, organizational structure, budget planning, and resource allocation to achieve operational, compliance, and financial objectives.

Education Qualifications

• Bachelor's degree in a work-related discipline/field from an accredited college or university.

Experience Qualifications

• 10+ years progressive leadership experience and directly related work experience required.
• To include 5+ years EPIC system user/experience including financial (billing - HB/PB) and clinical documentation (EHR)

Required Knowledge, Skills and Abilities

• Ability to conduct analysis and formulate conclusions
• Ability to develop long-range business plans and strategies
• Ability to foster effective working relationships and build consensus
• Ability to mediate and resolve complex problems and issues Ability to plan, organize, develop tactical plans and set priorities Ability to provide leadership and influence others
• Ability to solve problems and identify solutions
• Knowledge of electronic Health Information Management trends, operations, and best practices
• Knowledge of federal and state laws, regulations and regulatory practices affecting the medical and business practices of healthcare providers
• Knowledge of local, state and federal regulatory requirements related to areas of functional responsibility
• Knowledge of principles and practices of organization, administration, fiscal and personnel management

Licenses and Certifications

• RHIA - Registered Health Information Administrator required Upon Hire or
• RHIT - Registered Health Information Technician required Upon Hire or
• CCS - Certified Coding Specialist required Upon Hire or
• Non Clinical\CPC and/or CCSP - Certified Professional Coder required Upon Hire or
• CPC - Certified Professional Coder required Upon Hire

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination inall ofits policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $91.68 - $121.48 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.