Manager of Inpatient Coding

Scope of Position

The Manager of Inpatient Coding is responsible for managing systems and operations for efficient coding of inpatient medical record information. The manager monitors ICD-9-CM and ICD-10-CM/PCS code assignments for inpatient and rehabilitation prospective payment systems (MS-DRGs and APR-DRGs). Monitors computerized medical record information systems, i.e., IHIS and 3M Encoder. In this role, the Inpatient Coding Manager serves as a liaison and coordinator for special projects regarding the coding of medical records. This position is critical to the financial standing of the health system. The accuracy of the coding of diagnoses and procedures and the timeliness of their provision to the billing system will determine if the hospital will receive the full and proper payment from Medicare, Medicaid, CHAMPUS, and other third party payers. This position is critical to the reputation of the health system. The Manager trains coders and monitors coders’ performance to assure accurate and compliant coding.

Position Summary

This role serves as the manager for inpatient coding. This team is vital to the continued operation of the entire Department as it serves to assign the codes necessary for the billing of the inpatient accounts. Sets daily priorities, monitors accounts not coded, trains and supports coding specialists in assigning ICD-9-CM/ICD-10-CM/PCS diagnoses and procedure codes and determines Medicare Severity Diagnosis Related Group (MS-DRG) and All Patient Refined Diagnosis Related Groups (APR-DRG) for billing and statistical purposes. The manager monitors performance to assure compliance with policies and procedures and billing rules. The leader of this team must interact constantly with Department Administration, Department Managers, medical staff, and clinical operations.

Minimum Qualifications

Minimum five (5) years of progressive experience in hospital-based coding, with experience in inpatient facility coding required.

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

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.

Ongoing:

Maintains required competencies, certifications, and compliance training as applicable.