Inpatient Coding Quality Manager

Jobgether; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Fully remote within the United States

Annual incentive program

Medical, dental, and vision coverage

Job summary

Jobgether in the United States seeks an Inpatient Coding Quality Manager to lead remote teams, ensure IPDRG coding accuracy, and drive improvements across client engagements. You will partner with HIM, CDI, Billing, and IT to optimize encoder and EHR systems while maintaining regulatory compliance.

The role is fully remote within the US, requires CCS certification and 5+ years inpatient coding with leadership experience, and offers a competitive salary and annual incentive.

Qualifications

• 5+ years inpatient (IPDRG) coding experience.
• CCS certification from AHIMA is required.
• Experience managing remote coding teams.
• Strong knowledge of DRG assignments, HCCs, NCCI edits, and medical necessity.

Responsibilities

• Oversee day-to-day inpatient coding quality operations for IPDRG services.
• Supervise and support inpatient coding quality audit staff, including recruiting and coaching.
• Monitor productivity, accuracy, and turnaround times to meet targets.
• Collaborate with billing and AR teams to address denials and root causes.
• Maintain up-to-date coding quality policies and regulatory compliance.

Skills

Healthcare coding

Leadership

Remote team management

Communication

Data analysis

Education

Bachelor’s degree in Health Information Management or Healthcare Administration

Tools

Epic

3M Encoder

Job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Inpatient Coding Quality Manager based in the United States.

The Inpatient Coding Quality Manager will oversee inpatient coding quality operations, ensuring accurate, timely, and compliant assignment of diagnosis and procedure codes for hospital services. This role combines team leadership, coding expertise, and operational management to support high-quality documentation and optimal reimbursement outcomes. The successful candidate will manage remote coding quality teams, monitor performance, and drive continuous improvements in coding accuracy and productivity. Working closely with healthcare professionals, revenue cycle teams, and technology partners, the manager will help strengthen compliance and streamline claim processes. The position also involves supporting multiple clients, delivering performance insights, and ensuring consistent coding standards across engagements. This is a full-time remote opportunity for an experienced coding professional with strong leadership and client-facing capabilities.

Accountabilities

• Oversee day-to-day inpatient coding quality operations, ensuring accurate, timely, and compliant coding for inpatient diagnosis-related group (IPDRG) services.
• Supervise and support inpatient coding quality audit staff, including recruitment, onboarding, scheduling, coaching, and performance management.
• Monitor team productivity, coding accuracy, and turnaround times to ensure operational targets are achieved.
• Ensure timely resolution of coding-related edits, billing holds, and documentation issues.
• Conduct coding audits and accuracy reviews to verify compliance with ICD-10 guidelines and applicable CMS and OIG regulations.
• Address coding-related denials and collaborate with billing and accounts receivable teams to identify root causes and implement corrective actions.
• Maintain up-to-date coding quality policies and procedures in line with regulatory requirements and accepted industry practices.
• Monitor regulatory and coding updates and communicate relevant guidance to team members.
• Collaborate with Health Information Management (HIM), Revenue Integrity, Clinical Documentation Improvement (CDI), Billing, and clinical departments to support clean claim generation.
• Coordinate with IT teams to optimize encoder, electronic health record (EHR), and computer-assisted coding (CAC) systems.
• Work with global coding teams and maintain effective relationships with multiple clients simultaneously.
• Serve as a client-facing leader, providing accurate performance reporting and ensuring consistent completion of client coding calibration activities.
• Deliver regular coder education on coding updates, documentation requirements, and audit findings.
• Mentor coding quality auditor leads and senior auditors, supporting career development and succession planning.
• Partner with physicians, nurses, and other healthcare professionals to improve documentation accuracy and obtain clarification when necessary.

Requirements

• Associate or bachelor’s degree in Health Information Management, Healthcare Administration, or a related field.
• At least 5 years of inpatient (IPDRG) coding experience, including 2 or more years in a coding leadership role.
• Active and up-to-date Certified Coding Specialist (CCS) certification from AHIMA.
• Experience with Epic, 3M Encoder, or other leading electronic health record and coding systems.
• Previous experience managing remote coding teams.
• Strong knowledge of DRG assignment, Hierarchical Condition Categories (HCCs), National Correct Coding Initiative (NCCI) edits, and medical necessity concepts.
• Current permanent authorization to work in the United States.
• Experience analyzing and working with data from multiple sources.
• Strong communication and collaboration skills, with the ability to build effective working relationships across clinical, operational, and client teams.
• Ability to manage competing priorities and support multiple clients in a dynamic environment.
• Strong organizational, problem-solving, and team leadership capabilities.

Benefits

• Estimated annual salary range of $90,000–$130,000, depending on skills, certifications, experience, market conditions, and other relevant factors.
• Eligibility to participate in an annual incentive compensation program aligned with performance.
• Medical, dental, and vision coverage.
• Access to additional wellness programs.
• Fully remote work arrangement within the United States.

How Jobgether Works

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

Why Apply Through Jobgether?

We appreciate your interest and wish you the best!

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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.