Top 4497 Coding reimbursement manager Jobs

Inpatient Coding Data Quality Auditor/Educator
University Hospital, Newark NJ —Newark, NJ
- $98,288 - $142,009 a year
- Full-time
- Anatomy knowledge
- Mid-level
- 3 years
- Health savings account
- Disability insurance
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Clinical Coding Manager
Reveleer —Remote
- $85,000 - $100,000 a year
- Full-time
- Remote
- Computer literacy
- HIPAA
- 3 years
- Health insurance
- Dental insurance
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Medical Coding Manager
Alteva RCM —Remote
- $85,000 - $110,000 a year
- Remote
- 5 years
- Recruiting
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Home Health Billing Manager
Home Health Care, Inc. —Remote
- $48,667.94 - $58,610.86 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Continuous improvement
Quick Apply
6d
Field Reimbursement Manager
Medexus Pharma —Remote
- Remote
- Nursing
- 5 years
- Bachelor's degree
- Adoption assistance
Manager Professional Billing Coding Operations - Remote
Boston Medical Center —Remote
- $78,000 - $113,000 a year
- Full-time
- Remote
- Anatomy knowledge
- 5 years
- HIPAA
- Health insurance
- Dental insurance
Online Adjunct Professor - Medical Coding and Reimbursement - CPC / CCA / CCS / CCSP
Bryant & Stratton College —Remote
- $850 - $1,000 a month
- Part-time
- Remote
- Management
- Mid-level
- 3 years
Reimbursement Specialist (REMOTE)
TEXASCONNECT INC —Remote
- Full-time
- Remote
- Mid-level
- Finance
- Bachelor's degree
Manager Coding Audit, Remote
University of Maryland Medical System —Baltimore, MD
- $42.64 - $64.00 an hour
- Full-time
- Remote
- Customer service
- Computer literacy
- 3 years
Manager, Reimbursement - Radiopharmacies
Jubilant DraxImage, Inc. dba Jubilant Radiopharma —Remote
- Hospital
- Bachelor's degree
- Senior level
7d
Charge / Code Capture Specialist - Health Information Management (Remote)
Augusta Health —Remote
- $21.06 - $32.22 an hour
- Full-time
- Remote
- Anatomy knowledge
- Psychiatry
- No experience needed
- Free parking
- Health insurance
Quick Apply
13d
Manager Coding and Clinical Documentation Improvement
Saint Luke's Health System —Kansas City, MO
- Full-time
- Remote
- Management
- Bachelor's degree
- Senior level
10d
Billing Specialist
QUIPT HOME MEDICAL INC —Mesa, AZ
- Extended hours
- Remote
- Background check
- Customer service
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
Coding Complex Specialist/Full Time/Remote
Henry Ford Health —Detroit, MI
- Full-time
- Remote
- Anatomy knowledge
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Senior Outpatient Coding Specialist, Remote
University of Maryland Medical System —Baltimore, MD
- $28.41 - $40.35 an hour
- Part-time
- Remote
- Surgery
- High school diploma or GED
- Senior level
Coder II - Outpatient - Coding & Reimbursement Srvc
Lakeland Regional Health —Remote
- $19.37 - $24.22 an hour
- Remote
- Background check
- Anatomy knowledge
- Clinic experience
- Flexible schedule
Quick Apply
Manager of Revenue Cycle Operations
Cardiovascular Associates of America —Remote
- Full-time
- HIPAA
- Clinic experience
- Finance
Quick Apply
Manager, Coding Education and Quality
Carle Health —Champaign, IL
- $40.88 - $70.31 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
REMOTE BILLING & CODING SPECIALIST
MedCentris —Hammond, LA
- Full-time
- Remote
- Anatomy knowledge
- Writing skills
- Mid-level
Quick Apply
11d
Manager-Coding
Northwestern Memorial Healthcare —Chicago, IL
- $97,864 - $146,806 a year
- Full-time
- Background check
- Hospital
- High school diploma or GED
- Tuition reimbursement
- 401(k) matching
Quick Apply

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Inpatient Coding Data Quality Auditor/Educator

University Hospital, Newark NJ -
Newark, NJ

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Job Details

Full-time
$98,288 - $142,009 a year

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Pension plan
Employee assistance program
Vision insurance
Prescription drug insurance
Pet insurance

Qualifications

Anatomy knowledge
Inpatient experience
CMS
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Health information management
Clinical documentation standards
Medical terminology

Full Job Description

About the Role

The primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent processing of claims and collection of data to optimize DRG reimbursement and produce quality data that accurately reflects the severity and
intensity of hospital inpatient services. Audits inpatient coded records, provides continuing education of all inpatient coding staff and facilitates the inpatient coding work flow.

What You’ll Do

Performs daily data quality reviews on inpatient records to validate ICD-10 diagnosis and procedure codes
Ensures accuracy, proper sequencing, and adherence to coding guidelines on all cases
Reviews cases identified as OIG-focused DRGs, transfer DRGs, and other target areas as needed
Verifies the accuracy and appropriateness of the selected DRG
Communicates coding corrections to coders and explains the rationale for educational purposes
Utilizes audit tracking tools to identify coding error types by coder
Prepares written rebuttals for DRG reassignments or appeals, when requested
Provides supporting documentation to third-party payers to ensure compliance and accurate reimbursement
Reviews physician queries for appropriateness and follows up to ensure timely responses
Adheres to AHIMA Standards of Ethical Coding
Monitors coding staff for potential violations and reports concerns to the Manager
Continuously evaluates clinical documentation quality
Identifies incomplete or inconsistent documentation impacting code selection, DRG grouping, and reimbursement
Escalates documentation concerns as needed

What You’ll Bring

Bachelor’s degree in Health Information Management or a related field required
RHIA or RHIT certification preferred
CCS certification required
If not CCS certified, must obtain CCS certification from AHIMA within 60 days of hire or within 60 days of the next available exam
Minimum of 3 years of hospital inpatient coding experience
Experience with ICD-9 and ICD-10 diagnosis and procedure coding
Experience with DRG assignment
Experience in a tertiary care or teaching hospital environment preferred
Knowledge of complex services including surgical, transplant, trauma, neurosurgery, OB/GYN, and neonatology
Knowledge of medical terminology, anatomy and physiology, and disease processes required
Knowledge of Coding Clinic, POA, and query guidelines required
Knowledge of CMS, Medicaid, and third-party payer coding, billing, and compliance regulations required
Experience with encoder systems (e.g., Clintegrity 360) preferred
Experience with Epic electronic health record preferred
Ability to manage multiple and changing priorities
Must be detail-oriented, accurate, and organized
Ability to work independently
Strong verbal and written communication skills
Additional related experience may be substituted for the degree requirement on a year-for-year basis

What We Offer

Medical & Prescription Drug Coverage
Dental & Vision Insurance
Health Savings Account (HSA) & Flexible Spending Account (FSA)
Short- & Long-Term Disability Insurance
Pension Plan
Pet Insurance
Employee Assistance Program (EAP)
Professional Development

Compensation

In compliance with New Jersey’s Pay Transparency Act, the salary range for this position is PS/32S: $98,288 - $118,941- $142,009 per year. University Hospital considers multiple factors when determining compensation, including (but not limited to) the scope and responsibilities of the position, the candidate’s relevant work experience, education and training, key skills, internal equity, market data, and organizational needs. The expected salary range for this position is in accordance with the New Jersey Pay Transparency Law; final compensation will be commensurate with experience and qualifications.

About Us

University Hospital is one of the nation’s leading academic medical centers. As the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation.

Apply Today

We encourage candidates from all backgrounds to apply. If you want to grow your career in healthcare while serving a vibrant community, we’d love to meet you.

Quick Apply

Refine Your Search

coding reimbursement manager jobs

Inpatient Coding Data Quality Auditor/Educator

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Reimbursement Specialist (REMOTE)

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