[Hiring] Manager Coding Inpatient @Children's Health

Role Description

Provides strategic and operational leadership for inpatient coding services across the health system, serving as the subject matter expert for inpatient coding, regulatory compliance, and DRG reimbursement methodologies. Directs daily coding operations and leads initiatives to optimize coding accuracy, productivity, quality, and turnaround times while ensuring compliance with applicable federal and state regulations, official coding guidelines, and organizational standards.

• Partners with hospital leadership, physicians, Clinical Documentation Integrity (CDI), Compliance, Revenue Integrity, and Revenue Cycle stakeholders to advance clinical documentation integrity, accurately reflect patient acuity and severity of illness, and support appropriate reimbursement.
• Oversees the accurate assignment of ICD-10-CM and ICD-10-PCS codes and MS-DRG/APR-DRG classifications, with a focus on data integrity, denial prevention, and revenue cycle performance.
• Serves as the critical link between clinical documentation, coding accuracy, quality outcomes, and financial performance, translating complex clinical and regulatory requirements into actionable operational strategies.
• Leads a high-performing inpatient coding team through performance management, education, process improvement, and continuous monitoring to achieve organizational goals and support the financial integrity of the health system.

Responsibilities

• Manages inpatient coding that includes coding and documentation compliance, accurate and timely completion of coding and abstraction.
• Ensures accuracy and integrity of ICD-10-CM, ICD-10-PCS, and other classification systems for the purpose of maintaining compliance with coding guidelines, rules and regulations.
• Maintains the coding process within the approved bill hold days. Expedites charts held on the CFB, DNB or other reports.
• Ensures all inpatient accounts are coded in a timely manner and timely response to coding issues.
• Responsible for personnel issues, i.e. vacation, patient time off and general time and attendance issues.
• Participates in PEAC process for inpatient coding.
• Provides educational support to inpatient coding team.
• Implements corrective action plans based on trends identified by internal and external reviews and personnel issues.
• Coordinates and prioritizes inpatient coding workflow.
• Monitors accuracy, efficiency and productivity of all inpatient personnel to ensure compliance with departmental performance standards.
• Reviews and processes accounts in coding-related Epic Work queues, collaborates with clinical areas, Revenue Integrity, Patient Financial Services, and Patient Registration for issue resolution.
• Ensures accurate code and APR-DRG assignment.
• Assists with developing and conducting ongoing education and training for staff to ensure accurate coding and DRG assignment.
• Provides subject matter expertise with ICD-10-CM/PCS, and other classification systems.

Qualifications

• At least 5 years experience with inpatient coding and clinical documentation improvement (Required)
• At least 3 years management experience (Preferred)
• Two-year Associate's degree or equivalent experience (Required)
• Four-year Bachelor's degree or equivalent experience (Preferred)
• At least one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) (Required)
• Clinical Documentation Improvement Practitioner (CDIP), or Certified Clinical Documentation Specialist (CCDS) (Preferred)

Benefits

• Employee portion of medical plan premiums are covered after 3 years.
• 4%-10% employee savings plan match based on tenure.
• Paid Parental Leave (up to 12 weeks).
• Caregiver Leave.
• Adoption and surrogacy reimbursement.