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.
• 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.
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