As the Medical Coding Operations Director, you will be responsible for directing the revenue cycle ... remote roles like this as an opportunity to provide amazing employment opportunities to those ...
As the Medical Coding Operations Director, you will be responsible for directing the revenue cycle ... remote roles like this as an opportunity to provide amazing employment opportunities to those ...
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Founder removed from operational noise By 12 Months * Revenue predictable * Enterprise motion ... Fully remote: globally distributed, optimized for deep work and autonomy * Competitive base ...
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Quick apply
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Remote Research Operations Director information
What are the key skills and qualifications needed to thrive as a Remote Research Operations Director, and why are they important?
What is a Remote Research Operations Director?
How does a Remote Research Operations Director typically coordinate and support geographically dispersed research teams?
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Full-time
Medical, Retirement, PTO
Re-posted 12 days ago
University Of Utah rating
7.1
Based on 158 frontline employees who took The Breakroom Quiz
362nd of 553 rated colleges and universities
Job description
Job Summary
We are looking for an experienced Medical Coding Operations Director to join our leadership team. As the Medical Coding Operations Director, you will be responsible for directing the revenue cycle operations for an organization that provides healthcare patient services. Working with senior leadership to develop revenue cycle strategies that maximize process efficiency and reimbursement. Leading process improvement across the functional teams that contribute to the revenue cycle, such as claims, billing, and payment posting. Monitoring the effectiveness of activities contributing to the revenue cycle to identifying and reducing missed revenue opportunities. Remaining knowledgeable of insurance policy and governmental regulations affecting billing practices to ensure organizational compliance.
- Direct Strategy
- This role is critical to advancing organizational financial stewardship and compliance by ensuring coding excellence, operational efficiency, and continuous innovation across the revenue cycle.
- Operational leadership and Strategy
- Lead and oversee medical coding operations, ensuring accuracy, compliance, and efficiency.
- Develop and execute coding strategies aligned with organizational and revenue objectives.
- Partner with revenue cycle, clinical, and compliance leadership to ensure alignment and integration.
- Coding Integrity & Compliance
- Establish and maintain coding policies and procedures in accordance with regulatory and industry standards.
- Ensure compliance with ICD-10-CM, CPT, and HCPCS level II coding guidelines. Monitor regulatory updates and proactively adjust coding practices as required.
- Lead coding integrity initiatives to maintain high standards of compliance and documentation accuracy.
- Revenue optimization & performance improvement
- Improve revenue cycle outcomes through accurate and compliant coding practices.
- Identify and address the root causes of coding-related denials and revenue leakage.
- Implement strategies to improve first-pass resolution rates and reduce rework.
- Collaborate and partner with clinical and billing teams to enhance documentation accuracy and coding alignment.
- Process improvement and technology integration strategies: identify opportunities to improve coding processes, implement innovative practices, and integrate technology solutions to enhance workflow and documentation accuracy.
- Audit, Quality & Risk Management
- Develop and maintain a structured audit and review program to assess coding accuracy and compliance.
- Establish routine audit cadence (e.g., monthly and quarterly reviews).
- Analyze audit results, identify trends, and implement corrective and preventive actions. Develop strategies to address current concerns and avoid future errors.
- If risk is identified or determined, work collaboratively with quality and compliance.
- Mitigate compliance risk through proactive monitoring and education.
- Performance Management & Reporting
- Define and monitor key performance indicators (KPIs) for coding operations, including accuracy, productivity, turnaround time, and denial rates.
- Develop and deliver regular performance reports and insights to leadership.
- Create quarterly strategic dashboards summarizing performance, financial impact, compliance trends, and operational initiatives.
- Use data to drive accountability and continuous improvement.
- Financial Management
- Manage coding operations budget, including salary and wage expenses.
- Forecast staffing and operational costs based on volume and strategic priorities.
- Oversee budgeting for training, professional development, travel, technology, and special projects.
- Ensure cost-effective operations while maintaining high quality and compliance standards.
- Operational leadership and Strategy
- This role is critical to advancing organizational financial stewardship and compliance by ensuring coding excellence, operational efficiency, and continuous innovation across the revenue cycle.
- Represent UMB
- Value transparency & stakeholder engagement
- Develop structured processes and reporting to clearly articulate the value of professional coding services.
- Communicate coding performance, risks, and opportunities to executive leadership and key stakeholders.
- Partner across functions to support enterprise initiatives and performance goals.
- Partner with revenue cycle, clinical, and compliance leadership to ensure alignment and integrity.
- Cross- Functional collaborate to ensure effective coordination and communication of coding processes and changes.
- Establish regular cadence of check-ins with external partners to audit and revise strategies and processes to ensure accuracy of work.
- Stay informed and collaborate on coding at the national, state-wide, and society levels (e.g.; AAPC. EPIC Core). Ensure UMB is proactive with related best practices.
- Partner with revenue cycle, billing, and compliance teams to align coding with charge capture, claim edits, and payer requirements.
- Build relationships to ensure cohesive collaboration and execution of coding changes
- Oversee and/or direct special interdisciplinary projects impacting the department's overall operation and strategic direction, including developing strategies consistent with the University's continuous quality improvement program.
- Ensure customer and patient satisfaction through process efficiency and quality service.
- Value transparency & stakeholder engagement
- Lead Culture - Ensure Organization Satisfaction
- Workforce Planning & Organizational Leadership
- Design and maintain an effective organizational structure to meet business needs.
- Lead staffing strategy, including recruitment, retention, and development of coding professionals. Manage and mentor the team, fostering a culture of excellence, collaboration, and professional development. Set clear performance expectations and provide regular feedback and support.
- Manage onshore and offshore team models to optimize performance and cost efficiency.
- Foster a high-performance culture focused on quality, accountability, and continuous improvement.
- Guide the team through organizational changes and process improvements, ensuring a smooth transition and maintaining high levels of productivity and morale. Participate in defining policies that increase organizational effectiveness.
- Workforce Planning & Organizational Leadership
- Other duties as assigned.
- Master's degree in health information management, healthcare administration, or work-related equivalent preferred.
- 10 years' experience in a leadership role with progressively challenging experiences.
- AAPC or AHIMA certification required.
- Required 12 years' experience in coding, clinical or billing, with advanced proficiency in documentation related to regulatory reimbursement rules, regulations, reimbursement systems (federal, state and payer specific), and health insurance processing.
- Proficiency in software applications (EPIC, iCentra, etc.)
Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.
This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job
- This role is expected to work during UMB office hours which are Monday through Friday, 8am to 5pm Mountain Time.
- The University of Utah is committed to providing jobs to individuals located in Utah, and sees remote roles like this as an opportunity to provide amazing employment opportunities to those living in remote areas of the state. As such, Utah-based applicants may be prioritized in the screening process.
- At this time, the University of Utah is unable to employ individuals living in California, Colorado, New York, Oregon, or Washington.
This position may require the successful completion of a criminal background check and/or drug screen.
The University of Utah values candidates who have experience working in settings with students and possess a strong commitment to improving access to higher education.
Veterans' preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.
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About University of Utah
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The University of Utah is the state’s flagship institution of higher education, with 18 schools and colleges, more than 100 undergraduate majors and graduate programs, and an enrollment of more than 38,000 students. It is a member of the Association of American Universities—an invitation-only, prestigious group of 71 leading research institutions. The U is advancing a new national model for higher education that delivers societal impact through education, research, health care, and community service, while making social, economic, and cultural contributions that improve lives across Utah and around the world.
Industry
Colleges, universities, and professional schools
Company size
10,000+ Employees
Headquarters location
Salt Lake City, UT, US
Year founded
1850