Inpatient Coding Quality Manager

Huron•Chicago, IL

23h•$90,000 - $130,000

About The Position

The US Inpatient Coding Quality Manager oversees day-to-day inpatient (IPDRG) coding processes and coding quality auditing operations. The role ensures diagnosis and procedure codes are assigned accurately, on time, and in compliance with regulatory guidelines and payer requirements, supporting optimal reimbursement through quality coding practices. This manager supervises coding quality auditing staff, including hiring, onboarding, scheduling, and performance management, and monitors productivity, accuracy, and turnaround time. The position conducts coding audits and accuracy reviews, addresses coding-related denials and billing holds, keeps policies and procedures current, and shares regulatory and coding updates with staff. The manager works with HIM, Revenue Integrity, CDI, Billing, Clinical departments, IT, and Huron’s global coding teams. The position is client-facing, provides accurate performance reporting, coordinates client coding calibration, and supports multiple clients at once. Responsibilities also include coder education, mentoring audit leads and senior auditors, and collaborating with healthcare professionals to support timely, accurate documentation and obtain clarification when appropriate.

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.
At least 2 years of experience in a coding leadership role.
Active and up-to-date CCS certification from AHIMA.
Experience with Epic, 3M Encoder, or other leading EHR/coding systems.
Previous experience managing remote coding teams.
Strong knowledge of DRG assignment, HCCs, NCCI edits, and medical necessity concepts.
Current permanent U.S. work authorization.
Experience working with data from various sources.
Strong communication skills and desire to work as part of a team in a partnership role.
Ability to work with multiple clients at one time.

Responsibilities

Supervise and support inpatient coding quality auditing staff, including hiring, onboarding, scheduling, and performance management.
Monitor staff productivity, coding accuracy, and turnaround time for coding completion.
Ensure timely resolution of coding-related edits and billing holds.
Conduct coding audits and accuracy reviews to ensure compliance with ICD-10 and applicable CMS/OIG regulations.
Address coding-related denials and partner with billing and accounts receivable teams to identify root causes.
Stay current with regulatory and coding updates and communicate guidance to staff.
Maintain coding quality auditing policies and procedures to reflect compliant and accepted medical coding practices.
Work with HIM, Revenue Integrity, CDI, Billing, and Clinical departments to support clean claim generation.
Coordinate with IT on encoder, EHR, and CAC system optimization.
Collaborate with Huron coding global teams.
Provide client-facing support, accurate performance reporting, and consistent client coding calibration.
Manage work across multiple clients at one time.
Provide regular coder education on coding updates, documentation changes, and audit findings.
Mentor coding quality auditor leads and/or senior coding quality auditors to support succession planning and career development.
Work with physicians, nurses, and other healthcare professionals to support timely and accurate documentation, obtaining clarification as appropriate.
Perform other duties as assigned.