Executive Director of Enterprise Coding and HIMS

Job Summary

The Executive Director of Enterprise Coding and HIMS is a high-level leadership role responsible for driving transformative change within UCSF Health's coding processes and technologies while also maintaining significant coding and HIMs operations, focusing on both professional coding and hospital coding. Under the direction of the Vice President of Revenue Cycle, it is responsible for the strategic leadership and management of services related to the health information (medical records), coding revenue and HIPAA Compliance for the consolidated HIMS UCSF HEALTH Departments of UCSF Health; UCSF Medical Center, UCSF Benioff Children's Hospital San Francisco and Oakland (3 Facilities), Community Hospitals, onsite and physically separate community Clinics and Practices and affiliates.

This role is crucial for aligning both coding and HIMS operations with leading industry practices, increasing efficiency, and centralizing functions. This role will ensure the maximization of single path coding processes, leveraging top AI tools and platforms like 3M Solventon and SmarterDx to improve accuracy, efficiency, and quality of coding. The Executive Director will lead efforts to insource coding functions, develop a stratified coding team with clear career paths, and build a robust quality and training unit. This position requires strong emphasis on change management, leadership, and communication skills to ensure smooth transitions and successful implementation of strategic initiatives.

Involves the retention and security of patient care information. Develops and coordinates policies and procedures incorporating legal, ethical, regulatory, accrediting standards, licensure requirements and vendor contract agreements. Works with information systems to establish best practice applications and data storage. Provides oversight of units that typically include transcription, coding and abstraction. The position will also oversee the management, security, and integrity of all health information systems and records within our organization. The ideal candidate will have a strong background in health information management, excellent organizational skills, and the ability to handle complex data systems efficiently.

The salary range for this position is $164,300 - $399,100 (Annual Rate).

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

To learn more about the benefits of working at UCSF, including total compensation, please visit : https : / / ucnet.universityofcalifornia.edu / compensation-and-benefits / index.html

Department Description

UCSF's Revenue Cycle department manages the process from patient pre-registration to final payment, ensuring accurate and timely billing and reimbursement services by handling charge capture, coding, claim submissions, payment posting and collections. Key functions include data integrity for efficient billing, claim denial resolution and appeals, identifying and correcting coding and process gaps, and collaborating with clinical and business departments to improve workflows and maintain regulatory compliance, ultimately minimizing financial losses and maximizing organizational reimbursement.

Required Qualifications

• Minimum of 10 years overall related experience, including extensive experience in health information management and coding within a large healthcare organization, with a proven track record of leading change initiatives.
• Proven expertise in both professional and hospital coding practices, including regulatory requirements and compliance
• Strong experience with AI tools for coding, as well as a deep understanding of coding software like 3M Solventon.
• Exceptional leadership skills with the ability to inspire and manage high-performing teams through periods of significant change
• In-depth knowledge of industry standards and best practices in medical coding, with the ability to drive continuous improvement
• Excellent analytical, problem-solving, and decision-making abilities, with a focus on strategic thinking.
• Strong organizational and project management skills, with the ability to manage complex change initiatives.
• Effective communication and collaboration skills to work with various stakeholders and build strong partnerships.
• Change Management : Expertise in guiding organizations through change, with a focus on minimizing disruption and maximizing engagement
• Leadership : Proven ability to lead, inspire, and manage teams to achieve organizational goals, particularly through periods of transformation
• Strategic Thinking : Ability to develop and implement long-term strategies to improve coding operations, aligning with organizational goals
• Technical Proficiency : Strong understanding of coding systems, technologies, and best practices, with a focus on continuous improvement.
• Problem-Solving : Skilled in identifying issues, analyzing data, and developing effective solutions to drive change
• Collaboration : Ability to work effectively with cross-functional teams and build strong partnerships, fostering a collaborative environment
• This role demands a dynamic leader with a strong focus on change management, dedicated to enhancing the efficiency and effectiveness of coding operations at UCSF Health, ensuring compliance with industry standards, and supporting the overall strategic goals of the organization
• Master\'s degree in health information management, Healthcare Administration, or a related field or equivalent work experience / training - 10 years

Preferred Qualifications

Completion of formal Health Information Management education program recognized by American Health Information Management Association preferred.

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu. Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

Organization

Health

Job Code and Payroll Title

005799 REVENUE CYCLE HC MGR 3

Job Category

Financial, Professional (Non-Clinical), Professional and Managerial, Supervisory / Management

Bargaining Unit

99 - Policy-Covered (No Bargaining Unit)

Employee Class

Career

Percentage

100%

Location

Emeryville, CA

Campus

Emeryville

Work Style

Flexible

Shift

Days

Shift Length

8 Hours

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