Remote Coding Manager, QA Reviewer & Educator

washingtonhospital; Fremont (CA); Remote; USD 113,000 - 164,000; Full time

Job summary

washingtonhospital is seeking a Coding Manager, Educator & Reviewer to lead coding operations, ensure accuracy, and drive education across the organization. The role emphasizes integration with CDI, improved documentation, and compliance with payer rules.

The position requires extensive inpatient coding experience, CCS/CPC/RHIT/RHIA credentials, and leadership in audits and education, with remote work flexibility and occasional on-site needs for meetings and trainings.

Qualifications

• Required: Associate’s degree in a healthcare related field or equivalent experience.
• Preferred: Bachelor’s degree in Health Information Management, or a related field or equivalent experience.
• Required Credentials: CCS, CPC, RHIT, RHIA or equivalent credential.
• Preferred: CCS and RHIA/RHIT credentials.
• Required: Minimum of 8 years of experience in acute care hospital inpatient coding.
• Minimum of 3 years in a leadership, auditing, or education role.
• Preferred: Minimum of 10 years of experience in acute care hospital inpatient coding.
• Minimum of 5 years in a leadership, auditing, or education role.
• Extensive inpatient acute care coding experience.
• Strong knowledge of ICD-10-CM/PCS, DRG logic, coding guidelines, and CMS/payer requirements.
• Experience in coding quality review, DRG validation, and coder education.
• Effective communication skills and ability to collaborate with CDI, providers, and revenue cycle teams.
• Experience with EHR systems and coding software.
• Excellent communication, leadership, and instructional skills.
• Experience in hospital or multi-specialty coding environments.
• Background in curriculum development or adult learning methodologies.

Responsibilities

• Oversee daily operations of the coding department, including workload distribution, productivity monitoring, and performance management.
• Develop and implement coding policies, procedures, and best practices.
• Collaborate with clinical, billing, and compliance teams to resolve coding-related issues.
• Monitor coding quality, timeliness, and adherence to organizational standards.
• Support strategic planning for staffing, technology, and workflow optimization.
• Design and deliver training programs for new and existing coders, providers, and clinical staff.
• Create educational materials, including guides, presentations, and competency assessments.
• Provide ongoing coaching and mentorship to improve coding accuracy and confidence.
• Stay current with regulatory changes (ICD-10, CPT, HCPCS, CMS, payer updates) and disseminate updates across the organization.
• Lead workshops, refresher courses, and targeted training based on audit findings.
• Stay current with evolving coding standards and regulatory changes.
• Conduct routine and targeted coding audits to assess accuracy, completeness, and compliance.
• Analyze audit results and prepare detailed reports with actionable recommendations.
• Identify trends, risks, and opportunities for improvement in coding practices.
• Work with compliance teams to ensure alignment with federal, state, and payer regulations.
• Develop corrective action plans and monitor follow‑up to ensure sustained improvement.

Skills

Inpatient coding

ICD-10-CM/PCS

DRG logic

Coding guidelines

CMS/payer requirements

Coding quality review

Coder education

Communication

EHR experience

Leadership

Curriculum development

Education

Associate’s degree in healthcare related field

Bachelor’s degree in Health Information Management or related field

Tools

EHR systems

Coding software

Job description

washingtonhospital is seeking a Coding Manager, Educator & Reviewer to lead coding operations, ensure accuracy, and drive education across the organization. The role emphasizes integration with CDI, improved documentation, and compliance with payer rules.

The position requires extensive inpatient coding experience, CCS/CPC/RHIT/RHIA credentials, and leadership in audits and education, with remote work flexibility and occasional on-site needs for meetings and trainings.