Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. Wilshire will take the time to get know you and your employment history. We will then place you in a role that will lead to a path of career success.

ABOUT THE WILSHIRE GROUP

The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets. With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.
Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace. We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.
We are currently offering a contracted interim position at one of US News Best Hospitals 2022-23. This position caters to top performers seeking a professional environment that acknowledges and values their dedication and proficiency. While this role doesn’t offer benefits, it presents an opportunity to work within an organization that encourages talented individuals to surpass conventional boundaries.
Join us at The Wilshire Group, a place where talented professionals find a home to showcase their skills and contribute meaningfully to the healthcare landscape.

POSITION SUMMARY:

The Director of Coding is responsible for the strategic oversight, leadership, and management of the hospital’s coding operations. This role ensures accurate and compliant medical coding practices in accordance with federal and state regulations, payer requirements, and organizational standards. The Director will collaborate with cross-functional teams, including clinical documentation improvement (CDI), compliance, billing, and revenue cycle departments to optimize reimbursement and maintain data integrity.
This position requires experience in an academic hospital setting, a strong understanding of medical coding systems, and exceptional leadership and analytical skills.

EDUCATION:

• Bachelor’s degree in Health Information Management, Health Administration, or a related field required.
• Master’s degree preferred.

EXPERIENCE:

• Minimum of 7-10 years of progressive coding experience, with at least 3-5 years in a leadership role within an academic hospital or large healthcare system.
• Proven experience managing inpatient and outpatient coding operations.
• Strong knowledge of CMS guidelines, DRG, APC, and OPPS payment methodologies.
• Familiarity with CDI processes, coding audits, and clinical reimbursement methodologies.

SKILLS & COMPETENCIES:

• Leadership: Proven ability to lead and develop high-performing teams.
• Technical Expertise: In-depth knowledge of medical coding systems, coding compliance, and revenue cycle management.
• Analytical Skills: Ability to interpret data, identify trends, and implement process improvements.
• Communication: Strong written and verbal communication skills, with the ability to collaborate effectively across departments.
• Problem-Solving: Skilled in identifying and resolving complex coding-related challenges.
• Technology: Proficiency in EHR systems (e.g., Epic, Cerner), coding software, and data reporting tools.