Manager of Inpatient Coding

The Ohio State University

11d•Remote

About The Position

The Manager of Inpatient Coding manages systems and operations for efficient coding of inpatient medical record information. The role monitors ICD-9-CM and ICD-10-CM/PCS code assignments for inpatient and rehabilitation payment systems, including MS-DRGs and APR-DRGs, and monitors computerized medical record information systems such as IHIS and 3M Encoder. The manager serves as a liaison and coordinator for special projects related to medical record coding. This position is important to the health system’s financial standing and reputation because accurate, timely coding determines proper payment from Medicare, Medicaid, CHAMPUS, and other third-party payers. The manager trains coders and monitors their performance to support accurate and compliant coding. The manager leads inpatient coding operations, which assign codes needed to bill inpatient accounts. Responsibilities include setting daily priorities, monitoring accounts that have not been coded, training and supporting coding specialists, and determining MS-DRGs and APR-DRGs for billing and statistical purposes. The manager monitors performance for compliance with policies, procedures, and billing rules, and regularly interacts with Department Administration, Department Managers, medical staff, and clinical operations.

Requirements

At least five years of progressive experience in hospital-based coding, including inpatient facility coding experience.
Credentialed as a Registered Health Information Technician, Registered Health Information Administrator, or Certified Coding Specialist by the American Health Information Management Association.
Experience with computer-assisted coding, coding automation, and revenue cycle analytics.
Experience working collaboratively with Clinical Documentation Integrity (CDI), Revenue Cycle, Patient Financial Services, physicians, and clinical departments.

Nice To Haves

Bachelor's degree in Health Information Administration or equivalent preferred.

Responsibilities

Manage systems and operations for efficient coding of inpatient medical record information.
Monitor ICD-9-CM and ICD-10-CM/PCS code assignments for inpatient and rehabilitation payment systems, including MS-DRGs and APR-DRGs.
Monitor computerized medical record information systems, including IHIS and 3M Encoder.
Serve as liaison and coordinator for special projects related to medical record coding.
Set daily coding priorities and monitor accounts that have not been coded.
Train and support coding specialists in assigning diagnosis and procedure codes.
Determine MS-DRGs and APR-DRGs for billing and statistical purposes.
Monitor coder performance to ensure compliance with policies, procedures, and billing rules.
Interact with Department Administration, Department Managers, medical staff, and clinical operations.
Maintain required competencies, certifications, and compliance training as applicable.