Lead HIM Coding Manager & DRG Validator

2600 White Plains Hospital Medical Center; Los Angeles (CA); On-site; USD 100,000 - 150,000; Full time

Job summary

White Plains Hospital Medical Center is seeking a Coding Manager/DRG Validator to oversee inpatient coding operations and DRG reimbursement, ensuring data quality and compliance across the HIM department. The role entails staff training, compliance reviews, and collaboration with external CDI initiatives to optimize hospital reimbursement.

The candidate should possess a Bachelor’s degree with CCS certification and substantial experience in CPT-4, ICD-10-CM-PCS, and DRG/MS-DRG groupers, with

Qualifications

• Bachelor degree required; CCS certification required.
• Seven+ years of coding experience; at least 5 years in coding management in acute care.
• In-depth knowledge of CPT-4 and ICD-10-CM-PCS; DRG validation; MS-DRG/APR-DRG groupers.

Responsibilities

• Oversee inpatient coding and DRG reimbursement processes.
• Ensure staff training on compliance policies and procedures.
• Review coding accuracy and drive process improvements.
• Collaborate with outside agencies for CDI initiatives.
• Manage HIM department operations and budget planning.

Skills

CCS Certification

RHIA/RHIT preferred

Coding management

DRG Validation

Leadership

Teamwork

Communication

Education

Bachelor’s Degree

CCS Certification

RHIA/RHIT preferred

Job description

White Plains Hospital Medical Center is seeking a Coding Manager/DRG Validator to oversee inpatient coding operations and DRG reimbursement, ensuring data quality and compliance across the HIM department. The role entails staff training, compliance reviews, and collaboration with external CDI initiatives to optimize hospital reimbursement.

The candidate should possess a Bachelor’s degree with CCS certification and substantial experience in CPT-4, ICD-10-CM-PCS, and DRG/MS-DRG groupers, with