Inpatient Coding Quality Manager

Accountabilities: Oversee day-to-day inpatient coding quality operations, ensuring accurate, timely, and compliant coding for inpatient diagnosis-related group (IPDRG) services. Supervise and support inpatient coding quality audit staff, including recruitment, onboarding, scheduling, coaching, and performance management. Monitor team productivity, coding accuracy, and turnaround times to ensure operational targets are achieved. Ensure timely resolution of coding-related edits, billing holds, and documentation issues. Conduct coding audits and accuracy reviews to verify compliance with ICD-10 guidelines and applicable CMS and OIG regulations. Address coding-related denials and collaborate with billing and accounts receivable teams to identify root causes and implement corrective actions. Maintain up-to-date coding quality policies and procedures in line with regulatory requirements and accepted industry practices. Monitor regulatory and coding updates and communicate relevant guidance to team members. Collaborate with Health Information Management (HIM), Revenue Integrity, Clinical Documentation Improvement (CDI), Billing, and clinical departments to support clean claim generation. Coordinate with IT teams to optimize encoder, electronic health record (EHR), and computer-assisted coding (CAC) systems. Work with global coding teams and maintain effective relationships with multiple clients simultaneously. Serve as a client-facing leader, providing accurate performance reporting and ensuring consistent completion of client coding calibration activities. Deliver regular coder education on coding updates, documentation requirements, and audit findings. Mentor coding quality auditor leads and senior auditors, supporting career development and succession planning. Partner with physicians, nurses, and other healthcare professionals to improve documentation accuracy and obtain clarification when necessary. Requirements: Associate or bachelor’s degree in Health Information Management, Healthcare Administration, or a related field. At least 5 years of inpatient (IPDRG) coding experience, including 2 or more years in a coding leadership role. Active and up-to-date Certified Coding Specialist (CCS) certification from AHIMA. Experience with Epic, 3M Encoder, or other leading electronic health record and coding systems. Previous experience managing remote coding teams. Strong knowledge of DRG assignment, Hierarchical Condition Categories (HCCs), National Correct Coding Initiative (NCCI) edits, and medical necessity concepts. Current permanent authorization to work in the United States. Experience analyzing and working with data from multiple sources. Strong communication and collaboration skills, with the ability to build effective working relationships across clinical, operational, and client teams. Ability to manage competing priorities and support multiple clients in a dynamic environment. Strong organizational, problem-solving, and team leadership capabilities. Benefits: Estimated annual salary range of $90,000–$130,000, depending on skills, certifications, experience, market conditions, and other relevant factors. Eligibility to participate in an annual incentive compensation program aligned with performance. Medical, dental, and vision coverage. Access to additional wellness programs. Fully remote work arrangement within the United States.