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Director of MGC Professional Coding Services

Spartanburg Regional Healthcare System
Spartanburg, SC Full Time
POSTED ON 12/21/2024
AVAILABLE BEFORE 2/20/2025

Join Spartanburg Regional Healthcare System as the Director of MGC Professional Coding Services!

Position Summary: Are you ready to take on a dynamic leadership role where you can truly make an impact? As the Director of MGC Professional Coding Services, you will be at the forefront of driving excellence in our medical group. You will collaborate with MGC Executive Leadership to create and execute innovative strategies that fuel growth, optimize performance, and set the standard for best-in-class service. This role challenges you to shape the future, build high-performing teams, and forge strong relationships with providers—all while navigating the fast-paced and ever-evolving world of healthcare.

What You Will Bring:

  • Education: A Bachelor's Degree in Healthcare or Business Administration is your foundation, equipping you with the knowledge to excel in this role.
  • Experience: With at least 5 years of healthcare coding and billing management experience, you possess deep expertise in physician practice management, financial management, marketing, billing, information systems, and human resources. Your proven ability to build operational infrastructure and drive growth is essential. You are also well-versed in the complex rules and regulations of billing and coding for governmental and managed care payers.
  • Certifications: CPC or CCS-P is required, demonstrating your commitment to excellence in professional coding.

Preferred Qualifications:

  • Education: A Master’s Degree in Healthcare Administration sets you apart, showcasing your advanced understanding of the healthcare landscape.
  • Experience: With 5-7 years of experience in healthcare coding and billing management, you are ready to lead with confidence and expertise.
  • Certifications: An advanced CPC or CCS-P certification further strengthens your qualifications.

Core Responsibilities:

  • Leadership & Strategy: Spearhead the conception, planning, and development of strategies that align with our organization’s goals. Create a dynamic business environment that drives success and innovation, all while being a visible and engaged leader among employees and providers.
  • Team Building: Recruit, mentor, and lead exceptional management teams. Establish clear accountability and provide the support needed to achieve both short- and long-term strategic goals.
  • Financial Stewardship: Oversee the business and financial affairs of the organization, ensuring responsible fiscal management through robust systems of accountability.
  • Compliance & Innovation: Ensure that all coding activities are compliant with federal and state regulations, while constantly seeking ways to enhance operational effectiveness without compromising on innovation or quality of care.
  • Community Engagement: Represent the organization in relationships with community businesses, civic associations, government agencies, and professional organizations.
  • Revenue Optimization: Monitor professional coding dashboards and reports, identify trends, and implement solutions to optimize revenue collections. Serve as the go-to resource for professional billing and denials within our Medical Group.
  • Process Improvement: Lead initiatives to streamline processes, reduce costs, and optimize systems. Work closely with the Information Services team to ensure seamless integration of coding within our billing systems.
  • Continuous Learning: Stay ahead of changes in laws, regulations, and policies impacting clinical documentation, reimbursement, and coding. Lead your team with a focus on continuous improvement and staff development.

Why This Role? This is more than just a job—it is an opportunity to lead with impact, innovate with purpose, and build a legacy within a top-tier healthcare organization. If you are driven by challenges and inspired by the chance to make a difference, this role at Spartanburg Regional Healthcare System is where you will thrive.

Ready to Make a Difference? Join us and be part of a team that is not just keeping up with the future of healthcare—but leading it.

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