Inpatient Coding Quality Lead

HMS Huron Managed Services LLC; Chicago (IL); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

401(k) match

Paid time off

Parental leave

Job summary

Huron Consulting Group seeks an Inpatient Coding Quality Manager to lead coding quality auditing for IPDRG, ensure regulatory compliance, and drive accurate DRG assignments. You will supervise staff, address denials, and partner with billing, HIM, and clinical teams to optimize reimbursement and documentation accuracy.

The role requires CCS AHIMA certification, a health information management degree, and extensive experience with Epic or 3M Encoder.

Qualifications

• Inpatient IPDRG coding experience required.

Responsibilities

• Oversee daily coding quality auditing for inpatient IPDRG.
• Monitor staff productivity, accuracy, and turnaround times.
• Address denials and collaborate with billing/A/R teams.
• Provide coder education on updates and audits.
• Coordinate with physicians and HIM/Clinical teams to ensure accurate documentation.

Skills

IPDRG coding

DRG assignment

HCCs

NCCI edits

Medical necessity concepts

Regulatory knowledge

Leadership/mentoring

Communication skills

Education

CCS AHIMA certification

Associate or Bachelor’s in Health Information Management or related field

Tools

Epic

3M Encoder

Job description

Huron Consulting Group seeks an Inpatient Coding Quality Manager to lead coding quality auditing for IPDRG, ensure regulatory compliance, and drive accurate DRG assignments. You will supervise staff, address denials, and partner with billing, HIM, and clinical teams to optimize reimbursement and documentation accuracy.

The role requires CCS AHIMA certification, a health information management degree, and extensive experience with Epic or 3M Encoder.