This position has oversight and responsibility for ensuring the provision of Coding and Data Quality services across the organization. The Senior Manager provides leadership and management for coding and abstracting activities, clinical documentation improvement (CDI), charge capture, charge movement, data collection, and reporting functions. This role is instrumental in supporting patient safety, compliant coding and billing practices, regulatory compliance, and organizational initiatives while serving as a subject matter expert in ICD and CPT coding systems, DRGs, APR-DRGs, and APCs.

The Senior Manager establishes key metrics for inpatient, ambulatory surgery, outpatient coding, and CDI programs to ensure productivity, accuracy, and quality outcomes. This leader collaborates closely with clinicians, researchers, finance, business planning, quality teams, and external agencies to ensure the integrity of coded data and reporting while fostering a culture of engagement, collaboration, and continuous improvement.

As a successful candidate, you will:

• Lead all coding, clinical documentation improvement (CDI), charge capture, charge movement, and data quality operations
• Develop operational plans, performance metrics, and annual goals focused on coding productivity, accuracy, compliance, and quality
• Provide expertise in ICD and CPT coding, DRGs, APR-DRGs, APCs, and revenue cycle best practices
• Manage coding-related accounts receivable performance and ensure timely chart processing
• Hire, develop, mentor, and lead coding, CDI, and data quality professionals while promoting accountability and engagement
• Serve as the organization's subject matter expert on coding, billing, documentation, and regulatory compliance matters
• Conduct internal coding audits and support external audit preparation, responses, and corrective action planning
• Collaborate with Revenue Cycle, Patient Financial Services, clinicians, and operational leaders to optimize coding and billing processes
• Manage internal and external data reporting requests, including regulatory submissions and benchmarking data
• Oversee system maintenance, upgrades, testing, and optimization of coding and abstracting applications

Your qualifications should include:

• Bachelor's degree in Health Information Management or a related healthcare or business discipline
• Minimum of 6 years of leadership experience with expertise in coding, abstracting, process improvement, staff management, and performance measurement
• Certified Coding Specialist (CCS) certification required
• Completion of AHIMA ICD-10 Training
• Extensive knowledge of ICD-CM and CPT coding systems, DRGs, APR-DRGs, and APC methodologies
• Experience supporting coding compliance, clinical documentation improvement, data quality, and revenue cycle initiatives
• Strong understanding of health information workflows from discharge, coding, billing, and reporting through regulatory and benchmarking submissions
• Demonstrated experience managing teams and driving operational excellence in a healthcare setting
• Strong analytical, problem-solving, and communication skills
• Proficiency with Microsoft Office applications and health information management technologies

City of Hope employees' pay is based on the following criteria: work experience, qualifications, and work location.

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