Director, Operational Excellence
CenterWell Senior Primary Care
full-time
Posted on:
Location Type: Remote
Location: Remote • California, Illinois, Montana, South Dakota • 🇺🇸 United States
Visit company websiteSalary
💰 $138,900 - $191,000 per year
Job Level
Lead
About the role
- Lead strategic initiatives to enhance the efficiency, accuracy, and compliance of medical coding operations across the organization.
- Develop and execute a roadmap for operational excellence in medical coding.
- Align coding operations with organizational goals, regulatory requirements, and industry best practices.
- Oversee performance of Coding Educators and Program Managers supporting consultative, onshore, and offshore coding teams.
- Oversee coding quality assurance programs to ensure accuracy and compliance with CMS, HHS, and other regulatory bodies.
- Monitor audit outcomes and implement corrective actions and targeted training programs.
- Promote a culture of accountability, continuous learning, and operational excellence.
- Foster a positive work environment that encourages collaboration, innovation, and personal growth.
- Conduct regular feedback sessions, performance evaluations, and career development discussions.
Requirements
- Bachelor’s degree required
- Minimum of five (5) years of progressive experience in operational excellence, medical coding operations, or a related healthcare leadership role.
- Minimum of five (5) years leadership experience overseeing multifaceted teams
- Experience in program management and analytics
- Deep understanding of ICD-10, CPT, and HCPCS coding, with expertise in navigating CMS and HHS regulations.
- CPC, CCS, or other relevant medical coding certifications preferred.
- Demonstrated experience developing and executing operational strategies within medical coding or healthcare operations.
- Proven ability to align coding operations with organizational objectives, regulatory requirements (e.g., CMS, HHS), and industry best practices.
- Track record of leading, managing, and mentoring teams, including Coding Educators and Program Managers, across consultative, onshore, and offshore environments.
- Experience overseeing coding quality assurance programs and implementing corrective actions and targeted training based on audit outcomes.
- Strong background in process optimization and promoting a culture of accountability, continuous learning, and operational excellence.
- Ability to foster team development, drive performance, and support associate engagement and retention.
- Experience collaborating cross-functionally with clinical, analytics, and compliance teams, and acting as a subject matter expert for coding operations.
- Proficiency in developing and maintaining dashboards, KPIs, and presenting operational insights to senior leadership.
- Experience designing and delivering training programs based on audit findings, and addressing coder skill gaps in partnership with analytics and audit teams.
- Strong conflict resolution and associate relations skills, including conducting feedback sessions, performance evaluations, and career development discussions.
- Excellent communication, organizational, and analytical skills.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-10CPTHCPCSprogram managementanalyticscoding quality assuranceprocess optimizationdashboard developmentKPI developmenttraining program design
Soft skills
leadershipteam developmentperformance managementconflict resolutioncommunicationorganizational skillsanalytical skillscollaborationmentoringfostering accountability
Certifications
CPCCCS