HIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)
Core
Lead inpatient and outpatient coding audit, education, and denial management programs to ensure coding accuracy, regulatory compliance, and revenue cycle performance.
Role type
Senior Manager, Health Information Management (HIM) Coding Operations
Builds
Coding audit strategies, education curricula, denial prevention workflows, and executive-level compliance reports
Domain
Healthcare Revenue Cycle / Medical Coding & Compliance
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10-CM/PCS, MS-DRG, APR-DRG, CPT/HCPCS coding principles, AHIMA competencies, root cause analysis, regulatory research, team leadership, denial appeals management
Preferred skills
Advanced coding certifications, experience with specific EHR systems (Cerner, Encompass), payer dispute resolution expertise
Technologies
Cerner/PowerChart, 3M 360 Encompass, Soarian Financials, CHC Assurance PFS
Responsibilities
Manage IP & OP Coding Audit Programs & Team, Provide leadership in staff education and competency development, Oversee Coding Editor program and denial prevention strategies, Lead root cause analysis and process improvement initiatives, Prepare executive-level audit reports and present findings to leadership
Seniority
Senior, hands-on IC with leadership responsibilities