Inpatient Coding Quality Manager

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Oversee and provide support for the inpatient coding quality auditing team, including responsibilities such as hiring, onboarding, scheduling, and managing performance.

• Evaluate staff productivity, accuracy, and turnaround time for coding completion.

• Ensure prompt resolution of coding-related edits and billing holds.

• Perform coding audits and accuracy assessments for ICD-10 and CMS/OIG compliance.

• Address coding-related denials, collaborating with billing and accounts receivable teams to identify underlying issues.

• Monitor regulatory and coding updates, sharing guidance with the team.

• Keep coding quality auditing policies and procedures up to date and compliant.

• Work alongside HIM, Revenue Integrity, CDI, Billing, Clinical, and IT departments to facilitate clean claims and enhance encoder, EHR, and CAC systems.

• Collaborate with Huron coding global teams.

• Deliver accurate performance reports to clients and ensure the completion of coding calibration.

• Manage multiple clients concurrently.

• Educate coders on updates to coding, documentation modifications, and findings from audits.

• Mentor coding quality auditor leads and senior auditors to support succession planning and career progression.

• Coordinate with physicians, nurses, and other healthcare professionals to ensure precise documentation and seek clarification when necessary.

⛳️ Requirements

• Associate or Bachelor’s degree in Health Information Management, Healthcare Administration, or a related discipline.

• A minimum of 5 years of experience in inpatient (IPDRG) coding, with at least 2 years in a leadership capacity in coding.

• A valid and current CCS AHIMA coding certification is required.

• Familiarity with Epic, 3M Encoder, or other prominent EHR/coding systems.

• Prior experience managing remote coding teams.

• In-depth understanding of DRG assignment, HCCs, NCCI edits, and concepts of medical necessity.

• Current permanent U.S. Work Authorization is required.

• Experience working with data from diverse sources.

• Strong communication skills and a commitment to teamwork in a collaborative role.

• Experience managing multiple clients simultaneously.

🏝️ Benefits

• Annual incentive compensation program

• Medical coverage

• Dental coverage

• Vision coverage

• Wellness programs