Director, Coding and Compliance

Job Details
Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!



ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of “America’s Best Hospitals” by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®.



Primary Function:

Oversee compliance, accuracy, and timely execution of all hospital coding and abstracting activities within the Health Information Management Services (HIMS) department across all campuses.



Duties and Responsibilities:

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  Principal Direct daily operations of hospital coding (inpatient, outpatient, ED), abstracting, administrative, hospital coding bill edits, regulatory coding audit reviews, and denial management operations.
  
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  Collaborate with Clinical Documentation Improvement (CDI) team and Physician Advisors to educate staff, improve documentation, support quality and safety initiatives, and reduce denials.
  
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  Collaborate with the Medical-Dental Staff and cross-functional teams, including but not limited to Billing and Revenue Integrity, to provide education and resolve issues related to coding, documentation, and reimbursement.
  
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  Prepare, update, and train coding staff on policies and procedures for Coding/Abstracting section, including internal coding guidelines.
  
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  Oversee and validate the accuracy of Maryland Health Services Cost Review Commission (HSCRC) case mix reporting.
  
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  Establish, track, and report on departmental KPIs aligned to productivity, quality, timeliness, and compliance benchmarks, including but not limited to: DNFC (Discharge Not Final Coded) and DNFB (Discharged Not Final Billed), coding accuracy, and productivity.
  
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  Review and respond to data and report requests made by administration, physicians, and others.
  
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  Utilize database queries and reports to perform various auditing functions.
  
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  Represent hospital coding initiatives across departments to improve data quality, revenue integrity, and reimbursement.
  
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  Oversee the usage of agencies/vendors responsible for coding support including reviewing and managing all related contracts and invoice approvals.
  
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  Complete performance reviews, recommend and/or initiate employee selection, promotion, disciplinary and/or discharge actions.
  
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  Perform system analysis, implementation, testing, database management, maintenance, accuracy, regulatory compliance, troubleshooting, and security of computer assisted coding (CAC) system, interfaces, databases, and reporting tools for systems using coding/abstracting data.
  
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  Drive process improvements through automation and workflow redesign.
  
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  Work closely with vendors and information system analysts to develop products to improve performance, efficiency and data integrity.
  
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  Assist in the preparation of the capital and operating budget.  Comply with approved budget.  Provide variance explanations and justifications for capital budget purchases.
  
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  Develop departmental goals and objectives.
  
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  Develop and mentor leaders within the coding management structure to promote engagement, retention, and succession planning.
  
  
  
  
  

Education and Experience Requirements:

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  Bachelor’s or associate degree in HIM or related field (RHIA or RHIT)
  
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  Coding certification as a CCS required.
  
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  Three years’ experience in a HIM Department on a management level, preferably in an acute care teaching hospital.
  
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  Four years’ Coding/DRG experience required, preferably in an acute care, teaching hospital.
  
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  Experience with project management, implementing and maintaining computer systems
  
  
  
  
  

Christianacare Offers:

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  Full Medical, Dental, Vision, Life Insurance, etc.
  
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  403(b) with company match
  
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  Generous paid time off
  
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  Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!
  
  

Annual Compensation Range $110,177.60 - $176,280.00



This pay rate/range represents ChristianaCare’s good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

Post End Date
Jan 31, 2026

EEO Posting Statement

ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program.  To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/