Director of Professional Coding - HSO Health Information Management - Mount Sinai Hospital - Full-Time M-F 9AM-5PM

The Director of Professional Coding is responsible for leading and managing professional coding operations across the health system, reporting directly to the Senior Director of Coding. This role ensures coding accuracy, regulatory compliance, revenue integrity, and operational efficiency for professional (physician and provider) services. The Director will oversee coding teams, collaborate with clinical, financial, and IT stakeholders, and drive continuous improvement in professional coding processes.

Operational Leadership

• Direct daily operations of professional coding teams for physician and provider services.

• Oversee coding workflows, audit response, and corrective action planning.

• Monitor and manage performance metrics including DNFB (Discharged Not Final Billed), coding productivity, and denial rates.

• Ensure timely and accurate submission of professional claims.

Compliance & Quality

• Ensure adherence to payer-specific guidelines, CMS, OIG, and other regulatory requirements.

• Maintain up-to-date knowledge of professional coding regulations and requirements.

• Lead internal and external coding audits and implement quality improvement plans.

Technology & Process Improvement

• Support implementation and optimization of coding technology solutions, including EHR integration.

• Collaborate with IT and coding teams to enhance documentation and coding integration.

• Evaluate and deploy automation solutions to improve coding efficiency.

Vendor & Stakeholder Management

• Manage relationships with outsourced professional coding vendors and ensure SLA compliance.

• Partner with CDI, compliance, revenue cycle, and clinical departments to align coding practices.

• Provide regular updates to the Senior Director of Coding and executive leadership on coding performance and strategic initiatives.

• Bachelor’s degree in Health Information Management, Healthcare Administration, or related field (Master’s preferred).

• CCS-P and/or CPC required

• Minimum 5–7 years of progressive leadership experience in professional coding operations.

• Deep understanding of professional coding and 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 professional 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 coding automation platforms.

• Ability to synthesize data and present actionable insights to senior leadership.

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; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and sc