Strategy & Operations - Director of HB/PB HIM/Coding

About the role

This is a high-impact interim executive leadership opportunity supporting a large, multi-facility health system through a critical period of transformation. The role oversees enterprise-wide Hospital Billing (HB) and Professional Billing (PB) HIM and coding operations across hospitals and outpatient clinics. You will lead Director-level leaders, drive operational excellence, and ensure coding quality, productivity, and compliance during a major Epic upgrade and optimization initiative. Working closely with revenue cycle, compliance, and IT executives, you will help stabilize operations while implementing sustainable process improvements. This position is ideal for a seasoned healthcare leader who thrives in complex, fast-paced environments and enjoys delivering measurable organizational impact.

Responsibilities

• Provide interim executive leadership for enterprise-wide HB and PB HIM and coding operations across a large health system with hospitals and physician clinics.
• Directly lead and mentor multiple Director-level HIM and Coding leaders, ensuring accountability, consistency, and operational stability across distributed teams.
• Guide coding operations through a major Epic system upgrade and subsequent optimization project while minimizing disruption to productivity, DNFB, and revenue cycle performance.
• Drive operational improvement initiatives across HIM and coding workflows during periods of significant technology and organizational change.
• Partner with Revenue Cycle, Compliance, IT, and executive stakeholders to maintain coding accuracy, regulatory compliance, and data integrity.
• Establish, monitor, and report key performance indicators related to coding quality, productivity, turnaround time, and overall operational performance.
• Assess current-state operations and recommend organizational, staffing, and workflow enhancements to improve long-term effectiveness.
• Serve as the primary executive point of accountability for HIM and coding performance throughout the engagement.

Requirements

• 10+ years of progressive leadership experience in Health Information Management and coding within large, multi-facility healthcare organizations.
• Proven experience at the Senior Director, System Director, Vice President, or equivalent executive leadership level.
• Extensive expertise in both Hospital Billing (HB) and Professional Billing (PB) coding operations.
• Demonstrated success leading HIM and coding teams through Epic upgrades, go-lives, or major optimization initiatives.
• Experience managing multiple Director-level leaders and large, geographically distributed teams.
• Strong knowledge of coding compliance, revenue cycle operations, healthcare regulations, and performance improvement methodologies.
• Exceptional executive communication, stakeholder management, and change leadership skills.
• Bachelor’s degree required; Master’s degree in Health Information Management, Healthcare Administration, or a related field is preferred.
• RHIA or RHIT certification strongly preferred; CCS or equivalent coding credential is a plus.
• Previous interim leadership or healthcare consulting experience is highly desirable.
• Ability to begin within an accelerated implementation timeline and travel as needed to support client sites.

Benefits

• Fully remote U.S.-based opportunity with travel as required for client engagements.
• Interim executive leadership assignment with enterprise-level strategic impact.
• Opportunity to lead a large-scale Epic transformation across a major health system.
• Collaborative, autonomous, and mission-driven consulting environment.
• Eligibility for an annual performance bonus for qualifying salaried engagements.
• Additional benefits and employment perks may apply based on engagement terms.
• Compensation determined by experience, scope of responsibility, and engagement duration.