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Job Description

The Senior Director of Coding is a strategic and operational leader responsible for overseeing all aspects of professional and hospital coding across the health system. This role ensures coding accuracy, regulatory compliance, revenue integrity, and operational efficiency for both inpatient and outpatient services. The Senior Director will lead a multidisciplinary team, manage vendor relationships, and collaborate with clinical, financial, and IT stakeholders to drive performance and innovation.

Qualifications

Qualifications:

- Bachelor?s degree in Health Information Management, Healthcare Administration, or related field (Master?s preferred).

- RHIA, RHIT, CCS, CPC, or equivalent coding certification required.

- Minimum 7?10 years of progressive leadership experience in hospital and professional coding.

- Deep understanding of PB and HB coding workflows, regulations, and technologies.

- Experience with Epic or other major EHR systems preferred.

- Strong analytical, communication, and change management skills.

Preferred Skills:

- Experience leading coding operations in a multi-entity or academic health system.

- Familiarity with risk adjustment, HCC coding, and value-based care models.

- Proven success in implementing CAC and autonomous coding platforms.

- Ability to synthesize data and present actionable insights to senior leadership.

Non-Bargaining Unit, M1Z - HSO Health Information Management - MSH, Mount Sinai Hospital

Responsibilities

Strategic Leadership

- Develop and execute system-wide coding strategies aligned with organizational goals.

- Lead initiatives to improve coding accuracy, productivity, and compliance.

- Serve as the subject matter expert for PB and HB coding across specialties.

Operational Oversight

- Direct daily operations of coding teams for inpatient, outpatient, and professional services.

- Oversee coding workflows, audit response, and corrective action planning.

- Manage performance metrics including DNFB, coder productivity, and denial rates.

Compliance & Quality

- Ensure adherence to ICD-10-CM/PCS, CPT, HCPCS, MS-DRG, APC, and payer-specific guidelines.

- Maintain up-to-date knowledge of CMS, OIG, and other regulatory requirements.

- Lead internal and external coding audits and implement quality improvement plans.

Technology & Innovation

- Oversee implementation and optimization of CAC (Computer-Assisted Coding) and autonomous coding tools.

- Collaborate with IT and EHR teams to enhance documentation and coding integration.

- Evaluate and deploy automation solutions to improve coding efficiency.

Vendor & Stakeholder Management

- Manage relationships with outsourced coding vendors and ensure SLA (Service Level Agreement) compliance.

- Partner with CDI, compliance, revenue cycle, and clinical departments to align coding practices.

- Provide regular updates to executive leadership on coding performance and strategic initiatives.

About Us

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation Statement

Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $169095 - $253643 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.