Inpatient Coding Quality Manager

🔥 8 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $90k - $130k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Huron

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2002

🏥 Healthcare

📦 Logistics

📣 Marketing

Healthcare • Logistics • Marketing

Huron Consulting Group is a global consultancy that provides a wide range of services including strategy, operations, advisory, digital, technology, and analytics solutions to various sectors such as healthcare, education, energy, and financial services. Huron helps organizations navigate complex challenges and drive growth through tailored solutions and innovative strategies. The company employs a team of experts dedicated to delivering high-impact solutions that address the unique needs of each client, focusing on areas such as managed services, outsourcing, and leadership development.

📋 Description

• Supervise and support inpatient coding quality auditing staff, including hiring, onboarding, scheduling, and performance management. • Monitor staff productivity, accuracy, and coding completion turnaround time. • Ensure timely resolution of coding-related edits and billing holds. • Conduct coding audits and accuracy reviews for ICD-10 and CMS/OIG compliance. • Address coding-related denials and partner with billing and A/R teams to identify root causes. • Track regulatory and coding updates and disseminate guidance to staff. • Maintain current, compliant coding quality auditing policies and procedures. • Collaborate with HIM, Revenue Integrity, CDI, Billing, Clinical, and IT departments to support clean claims and optimize encoder, EHR, and CAC systems. • Collaborate with Huron coding global teams. • Provide accurate performance reporting to clients and ensure coding calibration completion. • Manage multiple clients simultaneously. • Provide coder education on coding updates, documentation changes, and audit findings. • Mentor coding quality auditor leads and senior coding quality auditors for succession planning and career development. • Coordinate with physicians, nurses, and other healthcare professionals to ensure accurate documentation and obtain clarification when appropriate.

🎯 Requirements

• Associate or Bachelor’s degree in Health Information Management, Healthcare Administration, or related field. • 5+ years of experience in inpatient (IPDRG) coding; 2+ years in a coding leadership role. • Active and up to date CCS AHIMA coding certification required. • Experience with Epic, 3M Encoder, or other leading EHR/coding systems. • Previous experience managing remote coding teams. • Strong knowledge of DRG assignment, HCCs, NCCI edits, and medical necessity concepts. • Current permanent U.S. Work Authorization required. • Experience working with data from various sources. • Strong communication skills and desire to work as part of a team in a partnership role. • Experience working with multiple clients at one time.

🏖️ Benefits

• Annual incentive compensation program • Medical coverage • Dental coverage • Vision coverage • Wellness programs

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