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Vice President - HIM Services
4 days ago Requisition ID: 2286
Salary Range: $170,000 to $210,000 Annually
Job Title: Vice President โ US HIM Services
Location: US (Remote / Hybrid)
Reports To: Senior Vice President, HIM Services
FLSA Classification: Exempt / Full-Time
*Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise.
Position Overview
The Associate Vice President โ US HIM Services is responsible for the seniorโlevel oversight and management of USโbased HIM coding operations, including direct leadership of US coding managers and their coding teams. This role ensures operational excellence, coding quality, compliance, and scalable service delivery across all US HIM coding functions. In addition to coding oversight, AVP leads utilization review (UR) program management, vendor management, and HubSpotโdriven client onboarding, serving as a key strategic partner to the VP, HIM Services. This role drives improved client outcomes and financial results while fostering a collaborative, highโperforming team culture.
This position roleโmodels all Coronis values of Excellence, Commitment, Partnership & Integrity.
Key Responsibilities
- Strategic Vision, CustomerโCentricity & Drive for Results
- With guidance from the VP, HIM Services, set the operational direction for US HIM coding operations; provide direct oversight of US coding managers and their teams to ensure consistent, highโquality, compliant service delivery.
- Develop and manage staffing budgets; drive gross margin improvement through process simplification, role standardization, automation, and productivity & utilization gains.
- Improve client retention by driving outcomes against key metrics including TAT, SLA compliance, coding quality, and denial rates; build trusted relationships with clients and internal stakeholders.
- Oversee UR programs for compliance, clinical rigor, and payer alignment; integrate UR with coding and CDI teams tooptimizelevel-of-care designation and denial prevention.
- Monitor UR KPIs (authorization rates, denial rates, appeal success) and ensure workflows reflect current CMS, InterQual/Milliman, and payer guidelines.
- Manage HIMโrelated vendors and technology partners; oversee contract performance, SLA compliance, scorecards, and renewals; evaluate and onboard new vendors as needed.
- HubSpot Client Onboarding & CRM Management
- Own the client onboarding process in HubSpot CRM, ensuringaccuratesetup, pipeline tracking, andtimelysales-to-operations handoff for all new US HIM accounts.
- Maintain onboarding workflows and data integrity; serve as the primary operational contact during goโlive, coordinating across coding, credentialing, IT, and compliance teams.
- Operational Excellence, Quality & Compliance
- Maintain standardized processes, QA protocols, and KPI reporting across US HIM coding operations; drive continuous improvement to maximize efficiency and minimize errors.
- OptimizeDRG and HCC capture; analyze denial trends and implement rootโcause corrective actions; ensure compliance with ICD-10-CM/PCS, CPT, HCPCS, HIPAA, and CMS billing guidelines.
- Build a high-performing team through talent development, succession planning, and strong engagement; foster a unified One Team culture across US HIM coding functions.
- Support client escalations and collaborate crossโfunctionally to enable rapid onboarding of new employees and new clientbusiness.
Key Success Measures
- Operational: Coding quality & productivity, UR KPIs, Vendor SLA compliance, HubSpot onboarding cycle time.
Qualifications
- Bachelorโs degree in Health Information Administration, Healthcare Management, or equivalent; Masterโs preferred.
- Professional Credentials: CCS, CPC, CIC, RHIA, or RHIT required; CDI (CDIP/CCDS) or UR (ACM/CCM) credentials.
- 7+ years of progressive HIM experience, including 3+ years in a senior leadership role with direct oversight of coding managers and teams.
- Experience with utilization review, vendor management, and HubSpot CRM in a healthcare services or revenue cycle environment.
- Strong business acumen, analytical skills, and communication ability; track record of driving productivity improvements through process improvement and automation.
- Working knowledge of ICD-11 structure and anticipated US transition requirements.
- Strategic Vision & Drive for Results
- Customer-Centricity & Change Leadership
- HIM Coding Operations Expertise (IP, OP, CDI)
- Operational Excellence & Data-Driven Decision Making
- Quality, Compliance & Risk Management
Additional Information
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.
Coronis Health is committed to creating a diverse and inclusive environment where all employees are treated fairly and with respect. We are an equalโopportunity employer, providing equal opportunities to all applicants and employees regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome and encourage applications from candidates of all backgrounds.