Director - Professional Coding (Remote) at Stanford Health Care

Job description

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Director of Professional Coding oversees and provides leadership of the PB coding, Quality, Audit, & Education functions across the enterprise, acting within the Mid Revenue Cycle Department. Responsible for management of all professional coding operations including ICD and CPT code assignment, pre-bill quality reviews, coding audit program oversight, and coding-related billing edit work queues. The Director develops objectives and strategies supporting patient care, teaching, research, and resource management. This role serves as the primary liaison for coding to clinical department leaders and School of Medicine Director of Finance Administrators (DFAs). Locations Stanford Health Care What you will do Strategic Leadership & Governance Provides enterprise leadership for professional coding strategy, governance, and operational standards across Stanford Health Care and the School of Medicine, ensuring consistent interpretation and application of coding guidelines, regulatory requirements, and organizational policies. Develops and manages professional coding key performance indicators (KPIs), productivity standards, and quality metrics to drive operational excellence, compliance, and revenue integrity. Establishes, implements, and maintains coding, documentation, and medical record policies, procedures, and standards that support organizational objectives and regulatory compliance. Leads strategic initiatives that enhance coding performance, physician quality profiles, revenue capture, and financial outcomes. Coding Quality, Audit & Education Programs Provides executive oversight of the Professional Coding Quality and Education Program, including internal and external audit strategy, coder education, performance improvement initiatives, competency standards, vendor oversight, and continuous quality monitoring. Maintains a comprehensive coder quality assurance and productivity program to ensure coding accuracy, consistency, and adherence to established performance expectations. Directs the enterprise-wide professional coding audit program, including audit planning, methodology, sampling, execution, reporting, corrective action plans, and ongoing monitoring. Provides audit education, feedback, and performance coaching to coding staff and providers to improve documentation quality, coding accuracy, and regulatory compliance. Oversees ongoing record reviews, coding validation activities, and quality improvement efforts designed to mitigate risk and strengthen revenue cycle performance. Develops and maintains dashboards and reporting tools that monitor coding accuracy, productivity, audit outcomes, error trends, provider performance, and compliance risk indicators. Compliance, Documentation Integrity & Regulatory Oversight Leads the Professional Coding Compliance Program, ensuring adherence to HIPAA, federal and state regulations, payer requirements, and organizational policies. Serves as the primary liaison for payer, regulatory, and compliance audits related to professional coding and documentation practices. Provides expert consultation on medical record documentation requirements, coding regulations, reimbursement methodologies, and compliance standards to ensure alignment with organizational and regulatory expectations. Partners with clinical, compliance, and operational leaders to promote documentation integrity, reduce compliance risks, and support accurate reimbursement. Operational Performance & Technology Optimization Ensures the accurate and timely completion of professional coding activities through active operational oversight, workload management, and performance monitoring. Directs the preparation and presentation of routine and ad hoc reports