Senior Director of Coding – Professional & Hospital Billing -HSO Health Information Management - Mount Sinai Hospital - Full-Time

The Senior Director of Coding is a strategic and operational leader responsible for overseeing all aspects of professional and hospital coding across the health system. This role ensures coding accuracy, regulatory compliance, revenue integrity, and operational efficiency for both inpatient and outpatient services. The Senior Director will lead a multidisciplinary team, manage vendor relationships, and collaborate with clinical, financial, and IT stakeholders to drive performance and innovation.

Strategic Leadership

- Develop and execute system-wide coding strategies aligned with organizational goals.
- Lead initiatives to improve coding accuracy, productivity, and compliance.
- Serve as the subject matter expert for PB and HB coding across specialties.

Operational Oversight

- Direct daily operations of coding teams for inpatient, outpatient, and professional services.
- Oversee coding workflows, audit response, and corrective action planning.
- Manage performance metrics including DNFB, coder productivity, and denial rates.

Compliance & Quality

- Ensure adherence to ICD-10-CM/PCS, CPT, HCPCS, MS-DRG, APC, and payer-specific guidelines.
- Maintain up-to-date knowledge of CMS, OIG, and other regulatory requirements.
- Lead internal and external coding audits and implement quality improvement plans.

Technology & Innovation

- Oversee implementation and optimization of CAC (Computer-Assisted Coding) and autonomous coding tools.
- Collaborate with IT and EHR teams to enhance documentation and coding integration.
- Evaluate and deploy automation solutions to improve coding efficiency.

Vendor & Stakeholder Management

- Manage relationships with outsourced coding vendors and ensure SLA (Service Level Agreement) compliance.
- Partner with CDI, compliance, revenue cycle, and clinical departments to align coding practices.
- Provide regular updates to executive leadership on coding performance and strategic initiatives.

Qualifications:

- Bachelor?s degree in Health Information Management, Healthcare Administration, or related field (Master?s preferred).
- RHIA, RHIT, CCS, CPC, or equivalent coding certification required.
- Minimum 7?10 years of progressive leadership experience in hospital and professional coding.
- Deep understanding of PB and HB coding workflows, regulations, and technologies.
- Experience with Epic or other major EHR systems preferred.
- Strong analytical, communication, and change management skills.

Preferred Skills:

- Experience leading coding operations in a multi-entity or academic health system.
- Familiarity with risk adjustment, HCC coding, and value-based care models.
- Proven success in implementing CAC and autonomous coding platforms.
- Ability to synthesize data and present actionable insights to senior leadership.

Non-Bargaining Unit, M1Z - HSO Health Information Management - MSH, Mount Sinai Hospital

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educ