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Director of Clinical Coding - Cognisight

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Job ID REQ_110682 FACILITY Various Locations LOCATION Rochester, New York

Provide overall coding department management with duties that include, but are not limited to:

  • Ability to work in a fast paced, complex organization, with regulated deadlines while providing consistent high quality results to multiple clients
  • Manage coding department leads/managers and coders
  • Manage coding recruitment partners
  • Fluent and current with risk adjustment coding models and regulations/protocols
  • Develop and manage on going coding resource and operational plans to support multiple lines of business while ensuring customer satisfaction, quality and performance metrics
  • Daily monitoring of all coding activity to meet contracted Statement of Work  and Service Level Agreements
  • Strong internal and external communication skills
  • Proven experience in working with all levels of leadership internally and externally
  • Ownership of ongoing  updates from Department of Health and Human Services (HHS) regulations, guidelines, and programs
  • Oversee:
    • Team development of internal coding guidelines aligned with CMS and ICD10 coding guidelines
    • Coding managers development and delivery of all internal training
    • Coding managers development and reporting of all coder performance and quality measurements
  • Develop Executive level dashboards to manage daily work and status 
  • Maintain approximately 2 hours/per week of coding with managers/leads
  • Ensure coding staff adheres to all compliance and credential requirements


  • Health Information Management and or Coding Certification (s) /Certified Professional Coder with 10+ years of a combination of coding and management experience. CPC and/or CRC, RHIT/RHIA required
  • HCC and ICD-10 coding experience in Medicare Advantage, Commercial, PACE and Medicaid Managed Care risk adjustment models
  • High level of professionalism
  • Experienced conference and client presentation skills
  • Healthcare/Health Plan or Medicare/ACA background required
  • Working knowledge of risk adjustment and government audits as demonstrated with health plans
  • Minimum of 5 years demonstrated experience in Coding Leadership Role(s)
  • Must be self-directed and strong business acumen
  • Proficiency in Microsoft Office Suite and proprietary software tools
  • Strong written and verbal communication internally and client facing
  • Excellent organizational skills and priority setting for self, team, and client(s)
  • Bachelor’s degree preferred
  • Conference and client travel required throughout the United States- approximately 25%

Additional Requirements:

  • New York State Driver’s License
  • Independent means of transportation
  • Physical ability to travel is necessary

    Please forward resumes to

Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
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