Job description
Join MiraMed Philippines as an OP Medical Coding Director, leading outpatient coding operations with a focus on accuracy, compliance, and operational excellence. In this critical leadership role, you will drive coding quality, ensure adherence to payer requirements, and optimize revenue cycle performance for outpatient services. This is an opportunity to shape coding strategy within a dynamic healthcare outsourcing environment, mentor a high-performing team, and partner with operations, HIM, and quality assurance to deliver excellent client outcomes.
As the OP Medical Coding Director, you will oversee coding integrity for outpatient encounters, establish robust coding workflows, implement audit processes, and ensure regulatory compliance with national and international standards. The ideal candidate combines deep clinical coding knowledge, leadership experience, and a data-driven mindset to improve accuracy, productivity, and timely reporting.
We offer a collaborative culture, competitive compensation, and opportunities for professional growth in the Philippines' thriving healthcare outsourcing sector.
Responsibility
- Lead and manage the outpatient medical coding department, setting standards for accuracy and compliance.
- Develop and monitor coding quality metrics, audits, and performance dashboards to drive improvements.
- Ensure compliance with ICD-10-CM, CPT, HCPCS coding guidelines, and payer policies; stay current with regulatory changes.
- Oversee coding workflows, denial avoidance strategies, and timely submission to optimize revenue cycle performance.
- Mentor and develop a team of coders, abstractors, and auditing staff; support professional growth and succession planning.
- Collaborate with HIM, QA, and operations to implement process improvements and system enhancements (EMR/Coding platforms).
- Establish and enforce internal auditing programs, coding accuracy initiatives, and training to sustain high-quality results.
Qualification
- Bachelor’s degree in Health Information Management, Nursing, or a related field; professional certification (RHIA, RHIT, CPC, or equivalent) preferred.
- 8+ years of medical coding experience with at least 3 years in a leadership/managerial role, preferably in outpatient coding.
- Deep knowledge of ICD-10-CM, CPT, HCPCS coding guidelines and payer-specific policies.
- Proven track record in process improvement, audits, and revenue cycle optimization.
- Strong people leadership, mentorship, and stakeholder management skills.
- Experience with EMR/EHR systems and coding platforms; familiarity with audit tools and analytics.
- Excellent communication, collaboration, and problem-solving abilities; data-driven decision maker.
- Commitment to regulatory compliance and data privacy requirements.