Healthcare Managed Services - System Coding Leader

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.Join our team as the expert you are now and create your future.

The Huron Managed Services Coding Operations Director oversees a portfolio of clients and is responsible for ensuring smooth day-to-day operations, contractual compliance, and coding operations performance. Core functions include Client Relationship Management, Business Analytics, Resource Management, Culture, Staff Engagement, Training and Solution Development. The Huron Managed Services Coding Operations Director leads the operations management team to execute core activities related to sustained coding operations performance. This position has a pulse on the operational needs for existing client engagements, as well as planning for future client opportunities. This leader works directly with HMS Senior Leadership to design and deliver both internal and client facing work.

KEY JOB DUTIES:

• Executes enterprise-wide coding strategy and innovation initiatives across domestic and international HMS clients
• Executes the HMS Coding Operations objectives, responsibilities, and initiatives
• Leads cross-functional steering committees to align coding operations with clinical, financial and IT goals
• Makes key operational decisions independently and effectively prioritizes projects
• Responsible for fiscal oversight strategic direction of annual operating budget
• Establishes quarterly goals and works with both the domestic and international business offices and HMS leadership teams to ensure they are achieved
• Analyzes, interprets, and summarizes pertinent coding operations data components, and monitors performance against Key Performance Indicators
• Develop and implement enterprise-wide performance dashboards
• Identifies issues, risks, barriers, and opportunities for improvement related to Huron Coding Support Services along with both the domestic and international business office responsibilities processes, service level agreements, technology, and people
• Manages a cohort of Coding Operations Managers and clients (across HMS), providing direction and removing barriers
• Provides coaching, development, and mentorship to direct reports and other subordinates
• Strategic and operational oversight for recruitment and retention of coders
• Establishes and maintains strong relationships with both domestic and international service center stakeholders
• Establish systems and processes to ensure the quality and compliance of all coding activities
• Establish systems and processes to ensure coding productivity and compliance with expected coding productivity standards
• Development of HMS system level organizational structure, policies and procedures, and committee structure to support Mid Revenue Cycle Coding
• Implementation of cost-effective system wide initiatives such Artificial Intelligence
• Drive digital transformation through AI, automation, and predictive analytics to optimize coding workflows
• Supports enterprise-wide change management and workforce transformation initiatives
• Coding Operational Performance Support across all Huron Managed Services as well as the International Business Office:
• Work with client function’s directors/managers to:
• Determine the appropriate, team-/function-specific key performance indicators to monitor regularly
• Develop goals for those key performance indicators
• Identify root causes preventing the achievement of any goals
• Recognize action items necessary to resolve root causes
• Facilitate sustained resolution of the root causes
• Implement necessary communication across and outside of function’s teams to promote performance improvement
• Collaborate with function leadership to monitor and evaluate front-line staff performance against established productivity, quality, and operational standards
• Management & Meeting Oversight:
• Oversee key client function meetings
• Confirm that key meetings are appropriately focused and effective and hold management team accountable for timely completion of identified action items
• If such a meeting is not already in place, establish a recurring meeting with all directors/managers to tackle barriers, discuss risks, and celebrate successes
• Summarize key meeting outcomes and action items
• Maintain an ongoing list of top improvement opportunities and priorities
• Facilitate timely resolution of priorities
• Senior Leadership Updates:
• Document summary-level performance reports for function on a weekly basis and provide findings to client and HMS senior leadership
• Other operational leadership tasks as assigned per client role responsibilities

REQUIRED SKILLS:

Leadership and integrity

Strong communication skills and executive presence

Strategic decision-making and critical thinking

Results-oriented

Effective relationship building and networking

People development and coaching

Mental/physical health sufficient to meet the demands and pressures of the position

Ability to read and write in the English language

Preferred experience in a matrixed organization

Proven leadership in large-scale health system and coding modernization

Expertise in data science, automation and performance analytics

CORE QUALIFICATIONS:

Current permanent U.S. work authorization required

Bachelor’s degree in healthcare administration, business, finance, or a related field required. A master’s degree is preferred

Limited travel required

Proficient in Microsoft office (Word, PowerPoint, Excel)

Direct Supervisory Experience

7+ years of coding operations experience with 5+ in coding managerial positions

Acute care hospital coding experience

Professional services coding experience

Strong leadership and management skills aligning to Huron’s core values and competencies

Excellent analytical, problem-solving, and decision-making skills

Proven ability to lead and motivate a team, with strong interpersonal and communication skills

Oversight/Management of International teams strongly preferred

Demonstrated success in vendor management, contract negotiation and strategic partnerships

PHYSICAL DEMANDS:

This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.

TECHNICAL QUALIFICATIONS:

Required Certifications:

Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Documentation Improvement Practitioner (CDIP)

Certified Coding Specialist – Physician (CCS – P) or Certified Professional Coder (CPC)

Registered Health Information Administrator (RHIA) preferred

Encoder experience (3M/Solventum, Encoder Pro, Codify) preferred

Epic experience preferred

Cerner experience preferred

Meditech experience preferred

Experience implementing enterprise-wide coding audit and compliance platforms

The estimated salary range for this job is $160,000 - $200,000.  The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel.  This job is also eligible to participate in Huron’s annual incentive compensation program, which reflects Huron’s pay for performance philosophy and Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.

Position Level

Director

Country

United States of America