HURC
Program Director, Coding HB
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Job Description
The Program Director, Hospital Coding & Billing is responsible for the strategic and operational leadership of hospital coding and billing programs supporting HURC clients.
This role serves as a senior subject matter expert and client-facing leader responsible for evaluating hospital revenue cycle operations, identifying performance opportunities, developing recommendations, and leading implementation initiatives that improve coding accuracy, billing performance, reimbursement, compliance, quality, and financial outcomes.
The Program Director will work across inpatient and outpatient coding, hospital billing, clinical documentation, denials, revenue integrity, utilization management, and other revenue cycle functions to identify opportunities and develop scalable solutions for healthcare clients.
This position requires a strong understanding of hospital revenue cycle operations, coding methodologies, payer requirements, reimbursement, analytics, and operational performance.
Key Responsibilities
- Program Leadership
- Provide strategic and operational leadership for hospital coding and billing programs.
- Develop program strategies, operating models, workflows, performance standards, and implementation plans.
- Establish program KPIs, targets, and performance expectations.
- Monitor program performance and develop corrective action and improvement plans.
- Identify opportunities to improve coding accuracy, reimbursement, productivity, quality, and financial performance.
- Develop scalable processes and best practices that can be applied across multiple clients.
- Hospital Coding & Billing Operations
- Provide subject matter expertise in hospital inpatient and outpatient coding and billing.
- Evaluate coding and billing workflows and identify operational gaps.
- Review coding accuracy, productivity, quality, reimbursement, and compliance trends.
- Evaluate the relationship between documentation, coding, billing, reimbursement, and de
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