Manager Coding Compliance

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

We're searching for a Coding Compliance Manager- someone who works well in a fast-paced setting. In this position, you will effectively manage the coding and auditing process so that Hospital claims are coded in a timely manner and according to coding guidelines. You'll effectively manage accounts holding for coding and review processes for accuracy. You'll also maintain consistent, timely, and compliant coding practices.
Think you've got what it takes?

Job Duties & Responsibilities

• Manages and oversees all coding staff and activities.
• Performs/manages audit and review of medical records process to ensure coding accuracy and compliance with regulatory guidelines and coding guidelines.
• Participates in performance improvement initiatives to meet hospital, departmental, and area goals and strategies. Documents the performance improvement and measures success as reported quarterly to Director.
• Participates in performance improvement initiatives to meet hospital, departmental, and area goals and strategies. Documents the performance improvement and measures success as reported quarterly to Director.
• Conducts NCCI Edits and Medical Audit Reviews.

Skills & Requirements

• Required H.S. Diploma or GED. A bachelor's degree will substitute for 4 years of experience
• Required Licenses/Certifications
• CCA - Certified Coding Associate American Health Information Management Association
• CCC-P - Cert Coding Spec-physician American Health Information Management Association
• CCS - Cert-cert Coding Specialist by the American Health Information Management Association
• CIPC - Certified Inpatient Coder by the American Academy of Professional Coders
• COC - Certified Outpatient Coder by the American Academy of Professional Coders
• CPC - Cert-cert Professional Coder by the American Academy of Professional Coders
• CPC-A - Cert Prof Coder - Apprentice by the American Academy of Professional Coders
• RHIA - Cert-reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
• Required 7 Years experience coding inpatient and outpatient records using the most current coding systems