Corporate Senior Director of Health Information Management and Coding

Job description

Overview
COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE!
We are seeking a Corporate Senior Director of Health Information Management and Coding to join our team!
Responsibilities
Position Summary
The Corporate Senior Director of Health Information Management and Coding provides enterprise leadership for health information management, hospital coding, clinical documentation, and related data integrity functions across Vibra Healthcare. The position establishes consistent standards, monitors regulatory and coding compliance, supports hospital HIM leaders, and partners with clinical operations, case management, finance, compliance, and revenue cycle leaders to ensure complete, accurate, timely, and secure health information.
Supervisory Responsibilities
Provides direct supervision to Corporate Coding Auditors and other designated corporate HIM staff. Provides enterprise functional leadership, education, and performance oversight for hospital HIM Directors and Managers in partnership with hospital and corporate leadership.
Position Qualifications
Minimum Qualifications
• Bachelor's degree in Health Information Management or a related healthcare field from an accredited institution.
• Current RHIA or RHIT credential through the American Health Information Management Association. An RHIT candidate must also hold a bachelor's degree.
• At least ten years of progressively responsible experience in health information management, hospital coding, or revenue integrity, including at least five years in a leadership role.
• Experience supporting multiple hospitals or a multi-facility healthcare system.
• Demonstrated experience with inpatient coding, clinical documentation improvement, electronic health records, coding encoders, and health information systems.

Preferred Qualifications
• Master's degree in health administration, business administration, health information management, or a related field.
• CCS, CCS-P, CCDS, CDIP, or comparable advanced coding or clinical documentation credential.
• Experience in long-term acute care hospitals and inpatient rehabilitation facilities, including MS-DRG and CMG reimbursement methodologies.
• Experience leading enterprise electronic health record implementations, conversions, or system optimization initiatives.

Knowledge and Skills
• Advanced knowledge of ICD-10-CM and ICD-10-PCS, CPT, MS-DRG, CMG, official coding guidelines, AHA Coding Clinic guidance, and compliant provider-query practices.
• Knowledge of CMS, state, The Joint Commission, CARF, HIPAA, confidentiality, release-of-information, record-retention, and authentication requirements.
• Ability to analyze audit findings, productivity, quality, financial, and operational data; identify trends; and translate findings into corrective action.
• Ability to lead through influence, establish consistent enterprise practices, manage competing priorities, and support leaders through operational change.
• Strong written, verbal, interpersonal, problem-solving, presentation, and customer-service skills.
• Demonstrated judgment in handling confidential, sensitive, regulatory, and financial information.

Essential Functions and Responsibilities
To perform this position successfully, an individual must be able to carry out each essential function satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Enterprise HIM Operations and Governance
• Direct and coordinate HIM services across the healthcare system and establish consistent expectations for hospital HIM operations.
• Develop, implement, maintain, and monitor enterprise policies and procedures for health record content, completion, authorship, authentication, confidentiality, release of information, information security, storage, retrieval, retention, and destruction.
• Assess hospital HIM operations through routine performance review and site visits; identify operational risks and recommend sustainable process improvements.
• Support the selection, implementation, optimization, and governance of electronic health records, coding applications, document-management systems, and related technology.
• Coordinate HIM functions with clinical operations, case management, medical staff, finance, compliance, legal, information technology, and revenue cycle teams.

Coding Compliance and Revenue Integrity
• Provide enterprise oversight of inpatient and outpatient coding, DRG and CMG assignment, clinical documentation improvement, and compliant provider-query practices.
• Establish a risk-based coding audit program that includes concurrent and retrospective review, audit scheduling, sampling standards, validation, reporting, education, corrective action, and follow-up monitoring.
• Monitor coding accuracy, case-mix trends, CC and MCC capture, query activity, productivity, turnaround time, denials, overpayments, underpayments, and other indicators of coding and reimbursement performance.
• Ensure coding and documentation practices comply with CMS requirements, official coding guidelines, applicable payment-system rules, and the AHIMA Standards of Ethical Coding.
• Oversee education and feedback for coders, HIM leaders, physicians, and other clinicians regarding coding methodology, documentation requirements, and identified audit findings.
• Partner with Compliance and Revenue Cycle leaders to evaluate potential coding concerns, respond to internal and external audits, and monitor completion of corrective actions.

Regulatory Compliance and Record Integrity
• Monitor changes in federal and state law, CMS guidance, accreditation standards, and professional practice requirements that affect HIM, coding, privacy, or documentation.
• Establish standards for record completion, delinquency management, data integrity, patient identity, legal health record content, and the appropriate use and disclosure of protected health information.
• Support hospital readiness for regulatory surveys and audits; review findings and coordinate HIM-related plans of correction when needed.
• Identify potential confidentiality, privacy, documentation, coding, or reimbursement concerns and escalate them promptly through the appropriate compliance and leadership channels.

Performance Analytics and Improvement
• Establish enterprise HIM and coding performance measures, reporting definitions, targets, and review processes.
• Analyze trends and provide clear reports to corporate and hospital leadership regarding performance, risk, financial impact, and required action.
• Apply performance improvement methods to address variation, improve workflow, strengthen documentation quality, and reduce avoidable revenue leakage or compliance exposure.
• Evaluate whether corrective actions produce sustained improvement and revise plans when results do not meet expectations.

Leadership and Workforce Development
• Recruit, orient, coach, evaluate, and develop corporate HIM and coding team members; establish clear responsibilities and performance expectations.
• Provide orientation, education, and ongoing support for new and existing hospital HIM Directors and Managers.
• Build a collaborative, accountable environment in which staff raise concerns early, share effective practices, and remain focused on accurate and timely work.
• Identify staffing, competency, education, succession, and resource needs across the enterprise and recommend action to hospital and corporate leadership.
• Engage frontline staff and local leaders when designing or changing workflows that affect hospital operations.

Professional Practice and Other Responsibilities
• Maintain required professional credentials and continuing education and remain current with HIM, coding, documentation, reimbursement, and technology developments.
• Protect patient rights and confidentiality and perform responsibilities in accordance with Vibra Healthcare policies, the Code of Conduct, and applicable laws and standards.
• Represent the organization professionally in interactions with hospital leaders, physicians, employees, patients, vendors, auditors, and government agencies.
• Travel to hospitals and other locations as required to support operations, education, implementation, and regulatory readiness.
• Perform other duties as assigned.

Physical Demands and Work Environment
This position primarily performs work in an office or remote-office environment and requires frequent use of a computer, telephone, and video-conferencing technology. The employee must be able to communicate effectively, review detailed information, exercise sustained concentration, and travel to hospital locations as required. The employee may occasionally need to stand, walk, bend, reach, carry light materials, or remain seated for extended periods. The work environment may include hospital clinical and administrative areas and may involve irregular hours during implementations, audits, surveys, or urgent operational events.
Benefits
At Vibra Healthcare, employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members. Below is a brief summary of our benefits.
• Medical PPO high and low deductible plans / HSA options as well as HMO options in some markets
• FREE prescription plans
• Dental and Vision coverage
• Life insurance
• Disability Benefits
• Employee Assistance Plan
• Flex Spending plans, 401K matching
• Additional Critical Illness, Accident, and Hospital plans
• Company discounts for mobile phone service, electronics, cell phones, clothing, etc
• Pet Insurance
• Group legal – provides legal assistance with personal legal matters
• Tuition and continuing education reimbursement
• Work life balance

At Vibra Healthcare, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside. Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path to success within our organization.