Coding Compliance Manager - Lead Audits & Revenue Integrity

TCH Medical Center; Houston (TX); On-site; USD 100,000 - 150,000; Full time

Job summary

TCH Medical Center is seeking a Coding Compliance Manager to lead the coding and auditing process, ensuring timely hospital claims coding in line with guidelines. The role includes managing coding staff, directing audit reviews, and maintaining compliant coding practices.

The position requires extensive inpatient and outpatient coding experience and AHIMA/ACM certifications. Join a fast-paced hospital environment focused on accuracy and regulatory compliance.

Qualifications

• Must have HS diploma or GED; a Bachelor's degree may substitute for 4 years of experience.
• 7 years of coding inpatient and outpatient records using current coding systems.
• Licenses/certifications listed include: CCA, CCC-P, CCS, CIPC, COC, CPC, CPC-A, RHIA.

Responsibilities

• Oversee all coding staff and activities.
• Audit and review medical records to ensure coding accuracy and regulatory compliance.
• Participate in performance improvement initiatives with quarterly reporting to the Director.
• Conduct NCCI Edits and Medical Audit Reviews.

Skills

Leadership

Regulatory compliance

Auditing

Education

HS Diploma or GED

Bachelor's degree may substitute for 4 years experience

AHIMA/ACD certifications required (CCA, CCS, CPC, CPC-A, etc.)

7 years inpatient/outpatient coding experience

Job description

TCH Medical Center is seeking a Coding Compliance Manager to lead the coding and auditing process, ensuring timely hospital claims coding in line with guidelines. The role includes managing coding staff, directing audit reviews, and maintaining compliant coding practices.

The position requires extensive inpatient and outpatient coding experience and AHIMA/ACM certifications. Join a fast-paced hospital environment focused on accuracy and regulatory compliance.