Job Description
Job Description
Job Description
Description:
JOB DESCRIPTION
POSITION TITLE: Medical Coding Integrity, Director - External
JOB SUMMARY: The Medical Coding Integrity Specialist, Director plays a key role in the customer-consultant relationship, ensuring all deliverable services exceed company and customer expectations. This individual is responsible for day-to-day operations of External Audits, including workflow management, customer escalations, auditing, education and tracking team members’ productivity and quality.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Customer Management
- Takes a leading role in representing e4health’s External Auditing business. Responds to, addresses, and takes action for any Customer concerns by performing assessments, developing action plans, and transparent communication with Customers.
- Maintains Customer retention and satisfaction. Responsive to Customer needs, anticipates problems and takes action for resolution before they develop into significant customer issues/dissatisfaction. Keeps Leadership informed of customer issues.
- Informs Leadership of new business opportunities wit existing customers and provides input that will assist sales and others as appropriate to pursue and close such opportunities.
- Coordinates new account, project and team member start up in conjunction with Senior Leadership as appropriate.
Consultant Management
- Ensures direct reports and offshore production team maintain established customer service and industry standards.
- Tracks benchmark quality standards within the consultant group. Utilizes reporting software to monitor performance standards and provides constructive feedback to division regarding any issues. Collaborates with other management team members to develop performance improvement plans for underperforming employees to achieve company performance standards.
- Successfully maintains multiple engagement, clients, and team members at once.
- Maintains productivity benchmarks for assigned consultant groups. Assists in the development of site-specific baseline productivity standards utilizing reports to manage productivity. This includes weekly productivity log management, tracking and trending, and dashboard creation. Provide feedback and mentoring as needed to achieve productivity standards.
- Responsible for the implementation, compliance, tracking, and completion of coding quality and education plan of division. Collaborates with other management team members to develop customized education plans as appropriate. Keeps Leadership informed if any consultant is not complying with or underperforming during established training milestones.
- Coordination of resources to meet staffing needs.
- Conduct team meetings as needed.
- Assist with time keeping duties.
- Facilitates Customer meetings with Leadership as requested.
- Performs scheduled billable activities as appropriate.
Requirements:
REQUIRED QUALIFICATIONS:
- Candidate must possess an approved AHIMA or AAPC coding credential
- Minimum 5 years’ coding experience
- Minimum 4 years of auditing experience
- Minimum of 5 years of supervisory roles required
- Minimum of 2 years of remote experience required
KEY SUCCESS ATTRIBUTES:
- Commitment and adherence to company Core Values
- Self-starter with a proactive mindset, demonstrating consistent initiative and the ability to independently identify opportunities, anticipate risks, and drive solutions in a fast-paced, client-facing environment.
- Strong focus on customer success, with the ability to align audit outcomes to client goals, deliver value-driven insights, and build trusted partnerships through responsiveness, accountability, and follow-through.
- Exceptional technical and analytical expertise, with advanced proficiency in inpatient, outpatient, professional fee, and specialty-specific coding across all chart types and service lines.
- Demonstrates strong communication and collaboration skills, effectively engaging internal teams, auditors, coders, and external stakeholders to ensure clarity, alignment, and successful execution.
- Highly organized with strong analytical and problem-solving abilities, leveraging data, trends, and audit findings to inform decisions, identify root causes, and drive continuous improvement.
- Results-driven leader who exhibits consistent initiative, a strong sense of ownership, and the ability to balance quality, efficiency, and financial performance in a billable audit environment.
- Demonstrates commitment to a team-oriented culture, fostering collaboration, knowledge-sharing, and professional development across audit and coding teams.
- Exhibits excellent interpersonal skills, with well-developed written and verbal communication abilities to present complex audit findings clearly and professionally to customers and leadership.
- Possesses strong time management and prioritization skills, effectively managing multiple client engagements, deadlines, and competing priorities.
- Demonstrates unwavering commitment to the organization’s Core Values, modeling integrity, accountability, and excellence in all internal and external interactions.
Job Tags
Remote work,