Director of Professional Coding - HSO Health Information Management - Mount Sina
Mount Sinai Medical Center, New York, New York, us, 10261
Overview
Description
The Director of Professional Coding is responsible for leading and managing professional coding operations across the health system, reporting directly to the Senior Director of Coding. This role ensures coding accuracy, regulatory compliance, revenue integrity, and operational efficiency for professional (physician and provider) services. The Director will oversee coding teams, collaborate with clinical, financial, and IT stakeholders, and drive continuous improvement in professional coding processes.
Responsibilities
Operational Leadership Direct daily operations of professional coding teams for physician and provider services.
Oversee coding workflows, audit response, and corrective action planning.
Monitor and manage performance metrics including DNFB (Discharged Not Final Billed), coding productivity, and denial rates.
Ensure timely and accurate submission of professional claims.
Compliance & Quality Ensure adherence to payer-specific guidelines, CMS, OIG, and other regulatory requirements.
Maintain up-to-date knowledge of professional coding regulations and requirements.
Lead internal and external coding audits and implement quality improvement plans.
Technology & Process Improvement Support implementation and optimization of coding technology solutions, including EHR integration.
Collaborate with IT and coding teams to enhance documentation and coding integration.
Evaluate and deploy automation solutions to improve coding efficiency.
Vendor & Stakeholder Management Manage relationships with outsourced professional coding vendors and ensure SLA compliance.
Partner with CDI, compliance, revenue cycle, and clinical departments to align coding practices.
Provide regular updates to the Senior Director of Coding and executive leadership on coding performance and strategic initiatives.
Qualifications
Bachelor’s degree in Health Information Management, Healthcare Administration, or related field (Master’s preferred).
CCS-P and/or CPC required
Minimum 5–7 years of progressive leadership experience in professional coding operations.
Deep understanding of professional coding and coding workflows, regulations, and technologies.
Experience with Epic or other major EHR systems preferred.
Strong analytical, communication, and change management skills.
Preferred Skills Experience leading professional coding operations in a multi-entity or academic health system.
Familiarity with risk adjustment, HCC coding and value-based care models.
Proven success in implementing coding automation platforms.
Ability to synthesize data and present actionable insights to senior leadership.
Employer Description The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $127,044 - $190,565 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
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The Director of Professional Coding is responsible for leading and managing professional coding operations across the health system, reporting directly to the Senior Director of Coding. This role ensures coding accuracy, regulatory compliance, revenue integrity, and operational efficiency for professional (physician and provider) services. The Director will oversee coding teams, collaborate with clinical, financial, and IT stakeholders, and drive continuous improvement in professional coding processes.
Responsibilities
Operational Leadership Direct daily operations of professional coding teams for physician and provider services.
Oversee coding workflows, audit response, and corrective action planning.
Monitor and manage performance metrics including DNFB (Discharged Not Final Billed), coding productivity, and denial rates.
Ensure timely and accurate submission of professional claims.
Compliance & Quality Ensure adherence to payer-specific guidelines, CMS, OIG, and other regulatory requirements.
Maintain up-to-date knowledge of professional coding regulations and requirements.
Lead internal and external coding audits and implement quality improvement plans.
Technology & Process Improvement Support implementation and optimization of coding technology solutions, including EHR integration.
Collaborate with IT and coding teams to enhance documentation and coding integration.
Evaluate and deploy automation solutions to improve coding efficiency.
Vendor & Stakeholder Management Manage relationships with outsourced professional coding vendors and ensure SLA compliance.
Partner with CDI, compliance, revenue cycle, and clinical departments to align coding practices.
Provide regular updates to the Senior Director of Coding and executive leadership on coding performance and strategic initiatives.
Qualifications
Bachelor’s degree in Health Information Management, Healthcare Administration, or related field (Master’s preferred).
CCS-P and/or CPC required
Minimum 5–7 years of progressive leadership experience in professional coding operations.
Deep understanding of professional coding and coding workflows, regulations, and technologies.
Experience with Epic or other major EHR systems preferred.
Strong analytical, communication, and change management skills.
Preferred Skills Experience leading professional coding operations in a multi-entity or academic health system.
Familiarity with risk adjustment, HCC coding and value-based care models.
Proven success in implementing coding automation platforms.
Ability to synthesize data and present actionable insights to senior leadership.
Employer Description The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $127,044 - $190,565 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
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