Coding Director at Healthrise

Dallas, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Sep, 26

Salary

150000.0

Posted On

26 Jun, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Coding, Revenue Integrity, Charge Capture, CDM Management, Epic EHR, Project Management, Regulatory Compliance, Gap Analysis, Workflow Redesign, Financial Analysis, Stakeholder Management, CPT Coding, HCPCS Coding, ICD-10 Coding, Consulting, Executive Communication

Industry

Description

Description We are seeking an experienced Director of Consulting Services to join our team in a consultative, hands-on capacity to support client engagements focused on evaluating and optimizing charging and coding practices across hospital and professional service lines. This individual will serve as a subject matter expert in clinical coding and revenue integrity/charge capture, leading assessments and initiatives that drive compliance, accuracy, and revenue integrity across client engagements. This Director will partner with client stakeholders to analyze current-state workflows, evaluate Charge Description Master (CDM) alignment, validate coding accuracy, and implement actionable recommendations that strengthen mid-cycle performance as well as front and back-end performance. This role is ideal for a hands-on professional who thrives in a fast-paced consulting environment and can translate regulatory requirements into operational improvements. The Director serves as a key driver of sustainable mid-cycle improvements that enhance accuracy, standardization, and financial integrity across client organizations. **This role initially requires weekly travel (M-Th) to the Greater Dallas, TX area but will scale back after a few months to less frequent travel.** Key Responsibilities: • Perform detailed assessments of charging and coding practices across facility and/or professional services (i.e., complex service lines such as cardiology and neurosurgery) to identify compliance risks, revenue leakage, and process inefficiencies. • Evaluate Charge Description Master (CDM) structure, charge capture workflows, and coding alignment with CPT, HCPCS, ICD-10, and payer-specific requirements. • Analyze documentation, coding patterns, and charge utilization to identify optimization opportunities and root causes of revenue variance. • Develop structured findings, gap analyses, and prioritized recommendations aligned to regulatory guidance and industry best practices. • Lead project workstreams focused on implementation of charging and coding improvements, including workflow redesign, charge capture controls, and CDM updates. • Partner with client operational leaders, revenue integrity teams, compliance, and clinical departments to support adoption of recommended changes. • Translate complex regulatory requirements into practical operational guidance. • Support development of executive-level summaries outlining financial impact, compliance exposure, and implementation roadmap. • Collaborate with cross-functional teams to ensure alignment between clinical documentation, coding, and charge capture processes. • Utilize Epic and/or other EHR reporting tools to validate charge logic, identify trends, and support data driven recommendations. • Maintain project documentation including status updates, issue tracking, and mitigation strategies. • Travel to client or organizational sites as required to support on-the-ground project execution. Requirements Required: • Active CCS, CPC, or equivalent coding credential required. • Demonstrated hands-on coding experience, with specialty expertise in cardiology and neurosurgery. • Prior experience leading or participating in charging assessments and CDM reviews. • Strong project management skills with the ability to manage multiple initiatives simultaneously. • Experience presenting to and communicating with executive-level audiences. • Proficiency in Epic required. • Experience with Charge Description Master structure, maintenance practices, and charge capture workflows. • Proficiency in Epic or comparable EHR systems, including reporting functionality. • Ability to interpret data and translate findings into actionable operational recommendations. • Strong written and verbal communication skills with ability to present findings to operational and executive stakeholders. • Ability to manage multiple workstreams in a project-based environment. • Consulting experience strongly preferred but not required. • Willingness and ability to travel as needed.

Responsibilities

Lead assessments and optimization of charging and coding practices to ensure compliance and revenue integrity across hospital service lines. Partner with client stakeholders to redesign workflows, update the Charge Description Master, and implement operational improvements.