Inpatient Coding Quality Manager
Core
Oversees day-to-day inpatient coding operations and quality auditing to ensure accurate, compliant diagnosis and procedure code assignment for IPDRG services.
Role type
Manager, Inpatient Coding Quality
Builds
Clean claims and optimal reimbursement for healthcare clients
Domain
Healthcare / Medical Coding / Revenue Integrity
Required skills
Inpatient (IPDRG) coding, ICD-10, CMS/OIG regulations, Epic, 3M Encoder, DRG assignment, HCCs, NCCI edits, medical necessity, remote team management, data analysis
Preferred skills
CCS AHIMA certification, mentoring, client-facing reporting, cross-functional collaboration
Technologies
Epic, 3M Encoder, CAC systems
Responsibilities
Supervise and manage inpatient coding quality auditing staff; conduct coding audits and accuracy reviews; address coding denials and root causes; provide coder education and mentorship; collaborate with HIM, CDI, Billing, and Clinical departments; coordinate with IT on system optimization; work with multiple clients simultaneously.
Seniority
Manager, hands-on leadership
