EXECUTIVE DIRECTOR OF HIM CODING & REVENUE INTEGRITY - FINANCE

Job Number: 00137729
Job Posting: Sep 4, 2025, 9:38:23 AM Closing Date: Sep 18, 2025, 11:59:00 PM
Full-time Shift Start Time: 8:00 A.M. Shift End Time: 4:00 P.M.
Posting Salary: $221, 074 - $263, 266
Organization: Health and Hospital Systems

JOB SUMMARY

The Executive Director of HIM Coding & Revenue Integrity (ED) is responsible for managing and maintaining compliance with the rules and regulations pertaining to health information management (HIM), coding, charge description master (CDM) governance, charge capture, pricing strategies and policies for Cook County Health (CCH). The ED oversees health information management, coding, charge entry, CDM, and revenue integrity management, ensuring that it supports clinical practices and aligns with reporting requirements for government and major commercial third-party payers. The ED collaborates with internal and external stakeholders as needed to develop programs and/or functions to improve the integrity of system generated revenue.

MINIMUM QUALIFICATIONS

• Bachelor’s degree from an accredited college or university, is required (Official transcript due at the time of interview)
• Minimum five (5) years of experience in revenue integrity, healthcare information management (HIM) and/or coding, is required
• Three (3) years of management and/or leadership experience, is required
• Minimum of two (2) years of experience in Cerner or Epic systems, is required
• Must have at least one (1) of the following certifications:, is required
• Certified Revenue Cycle Representative (CRCR)
• Certified Procedural Coder (CDC) through AAPC
• Certified Coding Specialist (CCS)

PREFERRED QUALIFICATIONS

• Master’s degree from an accredited college or university, is preferred (Official transcript due at the time of interview)
• Minimum five (10) years with Health Information Management or Coding or Charge Description Master (CDM) maintenance within a large hospital or healthcare system, is preferred
• Certified Procedural Coder (CDC) through AAPC and/or Certified Coding Specialist (CCS), is preferred
• Professional affiliation with Healthcare Financial Management Association (HFMA) or American Health Information Management Association (AHIMA), is preferred

KNOWLEDGE, SKILLS, ABILITIES AND OTHER CHARACTERISTICS

• Knowledge of the following software programs: Windows based software, Hospital specific accounting and billing software
• Knowledge and understanding of Federal, State, Local, and Agency healthcare laws, standards and financial regulations
• Excellent verbal, written communication, and interpersonal skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
• Demonstrate analytical and organizational, problem-solving, decision-making, critical thinking, and conflict management/resolution skills
• Demonstrate attention to detail, accuracy, and precision
• Ability to meet deadlines
• Strong project management skills
• Ability to train by presenting concepts and demonstrating tasks
• Ability to adhere to department policies and standards utilizing best practices

GENERAL ADMINISTRATIVE RESPONSIBILITIES

Collective Bargaining

• Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
• Participate in collective bargaining negotiations, caucus discussions and working meetings

Discipline

• Document, recommend and effectuate discipline at all levels
• Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
• Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

Supervision

• Direct and effectuate CCH management policies and practices
• Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

Management

• Contribute to the management of CCH staff and CCH’ systemic development and success
• Discuss and develop CCH system policies and procedures
• Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
• Work with Labor Relations to discern past practice when necessary

TYPICAL DUTIES

• Leads the HIM, coding, and revenue integrity operations and strategic initiatives for Cook County Health.
• Creates and executes strategic plans as it relates to HIM coding and revenue integrity operations.
• Ensures that CDM numbering conventions, CPT coding, description nomenclature, billable services, procedure/ supply catalog development and updates (add/deactivate/change) for all CDM items are appropriate and verified through routine feedback from Business Office and clinical departments.
• Ensures the annual pricing strategies are executed in accordance with policies and contracts.
• Reviews and designs operational efficiencies to maximize market solutions.
• Reviews charge entry policies and procedures to ensure they are followed and KPI performance is achieved.
• Assesses and processes all requested additions, deactivations and other modifications to the CDM file and works with the requesting department’s leadership to determine whether a corresponding charge capture process change(s) will be required.Collaborates with Information Technology (IT) to ensure maintenance and reconciliation of CDM updates are executed.
• Collaborates with the leadership to determine the audit schedules to identify potential issues and opportunities for improvement.
• Monitors metrics to enhance performance.
• Creates revenue cycle performance report sets for each revenue stream.
• Establishes proper relationships with internal and external stakeholders, i.e., assessment and distribution of monthly utilization statistics, and development of responses to ad hoc questions.
• Participates in self-education, training and development as applicable.
• Oversees revenue cycle master file maintenance and upkeep, including the Physician Master File, Insurance Master File and other related master files.
• Maintains ongoing certification requirements.
• Reports to the Chief Revenue Officer.
• Performs other related duties as assigned.