Team Leader - Inpatient Medical Coding

Swift-up; Mandaluyong; On-site; PHP 600,000 - 900,000; Full time

Job summary

Swift-up is seeking an experienced Inpatient Coding Lead to supervise the coding of inpatient records and drive process improvements. You will implement formal review tools and audits to monitor accuracy, and you will train clinicians and coders on guidelines and best practices.

The role requires 3–5 years in inpatient coding with supervisory responsibilities, plus CCS/CIC/CPC credentials and strong ICD-10-CM/PCS expertise. Collaboration with the training department is essential.

Qualifications

• Minimum 3–5 years of inpatient coding with prior supervisory or management responsibility.
• Advanced knowledge of ICD-10-CM and ICD-10-PCS coding systems.
• Ability to read, interpret and evaluate complex technical reports and information.
• Proficiency in applying coding guidelines and DRG-related rules.

Responsibilities

• Supervises and codes inpatient medical records, ensuring accuracy and compliance.
• Develops and maintains formal review processes, audits, and tooling for coding quality.
• Produces inpatient case mix and DRG reports to identify patterns and variances.
• Educates healthcare staff on coding guidelines, documentation, and terminology.
• Adheres to AHIMA Standards and addresses areas of concern with leadership.
• Monitors unbilled accounts and performs periodic claim reviews to optimize cash flow.

Skills

Inpatient coding

Supervisory experience

Auditing experience

Education

CCS/CIC/CPC certifications

Job description

Key responsibilities

• Supervises and performs a wide range of activities pertaining to the review and coding of inpatient medical record information
• Establishes, implements and maintains a formalized review process for coding compliance, including a formal review (1st level audit) process; designs and uses audit tools to monitor the accuracy of clinical coding
• Performs data quality reviews on inpatient records to validate the International Classification of Diseases Manual (ICD-10-CM), and other codes; verifies Diagnosis Related Group (DRG) group appropriateness; checks for missed secondary diagnoses and procedures and ensures compliance with all DRG mandates and reporting requirements
• Creates and monitors inpatient case mix reports and the top DRG's to identify patterns, trends and variations in the facility's frequently assigned DRG groups; investigates and evaluates potential causes for changes or problems
• Continuously evaluates the quality of clinical documentation to identify incomplete or inconsistent documents for inpatient encounters that impact the code selection and resulting DRG groups and payment
• Provides or arranges for training of healthcare professionals in the use of technical coding guidelines and practices, proper documentation techniques, medical terminology and disease as they relate to the DRG, and other data quality management
• Selects, assigns, and collaborates with the training department to educate subordinate technical and clerical staff; directs, monitors and evaluates work; reviews and makes decisions regarding leave requests; initiates and implements disciplinary action as needed
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association; reports areas of concern to the Director
• Monitors unbilled account reports for outstanding services or un-coded discharges to reduce accounts receivable days for inpatients; performs periodic claim form reviews to check code transfer accuracy
• Recommends and implements standardized, organization-wide coding guidelines and documentation requirements; develops and implements training and educational programs for coders

About you

• Minimum of 3-5 years of Inpatient coding including prior supervisory or management responsibility
• Must have the following certifications: CCS/CIC/CPC
• Advanced principles and practices of medical record keeping; advanced medical terminology, anatomy, and physiology, as well as the states, sequence, progression and description of diseases as they apply to medical record coding and abstraction
• Advanced elements of ICD-10-CM, and ICD-10-PCS coding systems
• Ability to read, interpret and evaluate complex technical reports and information