Manager, Enterprise Hospital Coding Quality & Education
About The Position
The Manager, Enterprise Hospital Coding Quality & Education provides leadership and strategic oversight for UVA Health’s hospital coding quality, audit, and education programs. This role leads initiatives to ensure accurate, compliant inpatient and outpatient facility coding, optimal reimbursement, and integrity of clinical data used for quality reporting and organizational performance. The Manager oversees coding quality reviews, second-level audits, and targeted education for coding staff, and collaborates closely with Coding Operations, CDI, Quality, Compliance, and Revenue Cycle teams. This position requires deep expertise in inpatient coding within an academic medical center environment, with accountability for advancing both inpatient and outpatient coding quality and education. Key Responsibilities include managing daily operations of the hospital quality team, setting performance standards, leading coding and documentation audits, and implementing corrective action plans. The manager drives coder education initiatives, supports audit readiness, and serves as a subject matter expert for complex coding inquiries. This role also contributes to strategic planning, workforce development, and systemwide efforts to improve coding quality, reduce denials, and strengthen compliant documentation practices.
Requirements
- Minimum of 7 years of experience in hospital (facility) coding quality, auditing, or education.
- Minimum of 3–5 years of leadership or supervisory experience.
- Extensive experience in inpatient coding within an academic medical center environment and demonstrated ability to manage complex, high acuity case mixes
- Extensive, expert-level knowledge of inpatient coding principles and conditions affecting hospital quality measures such as Hospital Acquired Conditions (HACs); Patient Safety Indicators (PSIs); Present on Admission (POA) requirements; Hierarchical Condition Categories (HCCs). and other hospital quality metrics.
- Experience performing DRG validation, mortality reviews, and quality-focused coding audits.
- Proficiency with Epic, Solventum, and auditing tools.
- Willingness to travel onsite occasionally to leadership office in Charlottesville, VA.
- Bachelor's degree Required. Significant (4+ years) experience beyond the required experience indicated below may be accepted in lieu of the Bachelor's degree.
- 7+ years of previous coding experience, to include 2+ years of formal management experience required.
- Credentialing by AHIMA or AAPC.
Nice To Haves
- Experience overseeing both inpatient and outpatient hospital coding education programs preferred.
- AHIMA certification as an RHIA or RHIT with a CCS or ICD-10 Approved Trainer preferred.
Responsibilities
- Managing daily operations of the hospital quality team
- Setting performance standards
- Leading coding and documentation audits
- Implementing corrective action plans
- Driving coder education initiatives
- Supporting audit readiness
- Serving as a subject matter expert for complex coding inquiries
- Contributing to strategic planning, workforce development, and systemwide efforts to improve coding quality, reduce denials, and strengthen compliant documentation practices
Benefits
- Medical, Dental, and Vision Insurance
- Paid Time Off
- Long-term and Short-term Disability
- Retirement Savings
- Health Saving Plans
- Flexible Spending Accounts
- Certification and education support
- Generous Paid Time Off
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What This Job Offers
Job Type
Full-time
Career Level
Manager
