Nebraska Methodist Health System is seeking a Director of Coding-CDI-HIM. This is an on-site role at the Methodist Corporate Office in Omaha, NE. In this position, the Director of Coding will provide strategic leadership and oversight for revenue cycle operations related to coding, clinical documentation, and health information management across Nebraska Methodist Hospital.
Job Duties & Responsibilities:
Directs Coding for Nebraska Methodist Hospitals and Hospital-Based Outpatient Clinics (35%)
- Provide leadership for system-wide coding operations, ensuring the accurate, timely, and compliant assignment of diagnoses and procedures.
- Oversee coding quality, productivity, and compliance through performance monitoring, education, audits, and continuous process improvement.
- Direct the implementation, maintenance, and optimization of coding technologies, including encoders, computer-assisted coding (CAC), and related applications.
- Collaborate with Clinical Documentation Improvement (CDI), Revenue Cycle, and clinical teams to enhance documentation integrity, optimize reimbursement, and manage RAC and TPE audit activities.
Clinical Documentation Improvement (CDI) (20%)
- Provide strategic leadership and oversight of the Clinical Documentation Improvement (CDI) program to ensure accurate, complete, and compliant clinical documentation.
- Lead, develop, and support a high-performing CDI team through training, quality assurance, competency development, and ongoing professional education.
- Partner with physicians, coding, and clinical teams to improve documentation quality, support accurate DRG assignment, and optimize quality, compliance, and reimbursement outcomes.
- Monitor CDI performance metrics and industry best practices to identify opportunities for documentation improvement, physician education, and process enhancement.
Utilization Management (20%)
- Provide leadership and oversight of hospital utilization management operations to ensure timely authorizations, regulatory compliance, and appropriate reimbursement.
- Collaborate with commercial, government, and third-party payers to facilitate authorization approvals, resolve coverage issues, and support continuity of care.
- Partner with clinical, case management, and revenue cycle teams to ensure accurate clinical documentation supports medical necessity and level-of-care determinations.
- Drive utilization review process improvements to reduce authorization denials, enhance operational efficiency, and optimize financial outcomes.
Supports management of the Methodist Cancer Registry (5%)
- Provides oversight for the implementation, maintenance, and optimization of the enterprise-wide, multi-facility cancer registry database, ensuring data integrity, standardization, and regulatory compliance across all entities.
- Ensures compliance with accreditation standards established by applicable cancer program accrediting bodies, provides accurate and timely data to cancer committees, and supports educational initiatives related to oncology data management and quality improvement.
- Directs the collection, abstraction, validation, and submission of cancer data for all eligible cases in accordance with state, national, and regulatory reporting requirements, ensuring completeness, accuracy, and timeliness of submissions to cancer registries and other required agencies.
Location:
- Methodist Corporate Office, 825 S 169th St. - Omaha, NE
- On-site position
Schedule:
Salary:
- Pay starts at $124,671.23 a year and may increase based on work history/experience.
Job Requirements:
- Requires Bachelor's degree in Nursing, Health Information Management or Healthcare related field.
- Master's degree preferred.
- Minimum of 7-10 years progressive experience in hospital/health care setting.
- Minimum of 10 years of management experience.
- Recent experience in a hospital, health system or large multi-specialty physician group setting.
- Demonstrated track record of mentoring teams resulting in higher level of job satisfaction and performance.
- Minimum 5 years' experience managing different components of the Revenue Cycle preferred.
- Current valid Registered Nurse (RN) license, valid compact multistate license, or a temporary permit while awaiting licensure required.
- Or
- Certified as a Registered Health Information Administrator (RHIA) required.
- Knowledge of rules and regulations regarding registration, the legal medical record and release of information.
- Proficient DRG, ICD-10, CPT-4 medical record coding, UB04/CMS-1500 claim billing.
- Knowledge of revenue cycle accounting concepts.
- Proficiency in Health Information Systems, coding technology, and various other system applications related to coding and clinical documentation.
- Ability to work independently.
- Ability to effectively manage uncertainty and complex situations.
- Ability to motivate a high performing team.
- Demonstrates a sense of urgency.
- Ability to identify, analyze and effectively address complex issues.
- Ability to establish positive working relationship with a variety of departments/individuals and promote collaboration. Position requires a strong positive working relationship with medical staff.
About Methodist:
Methodist Health System named by Forbes in 2024 as "Nebraska's Best Employer" and "Best Employer for New Graduates"
Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.
Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.
Pay: From $124,671.23 per year
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Application Question(s):
- Have you worked for Methodist before?
Education:
License/Certification:
- RHIA (Required)
- RN License (Preferred)
Ability to Commute:
- Omaha, NE 68118 (Required)
Work Location: In person
