HIM Coding Manager

Job Description

Insight Global is looking for an HIM Coding Manager to lead the coding team at a large inpatient rehabilitation hospital in Jacksonville, FL. You'll manage the daily work of the inpatient rehab (IRF) coding team and make sure codes are accurate, compliant and done on time. You'll also be the team's IRF expert. You'll audit coding quality, coach and develop coders, and answer complex IRF-PAI, CMG and tiering questions. You'll work with Revenue Cycle, Clinical Documentation and providers to fix documentation gaps and coding denials. The role reports to the Director of HIM and is key to keeping the facility's reimbursement compliant and on track.

Skills and Requirements

• 5-10 years managing a team of coders or leadership experience, director experience is nice as well
• IRF coding experience
• Can assign the IGC (Impairment Group Code), the etiologic diagnosis and the principal diagnosis, plus all comorbidities, complications and procedures
• Knows IRF compliance and how tiering comorbidities and CMGs (Case-Mix Groups) affect reimbursement
• Coding certification such as RHIA, RHIT, CCS or CPC
• Strong ICD-10-CM and ICD-10-PCS skills
• Has handled coding-related claim denials and edit rejections with the revenue cycle team
• Meditech Expanse
• IRF - PAI
• OnBase
• TheraOffice
• Quadax
• Availity

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].