Top 18 Utilization management program manager Jobs in Columbus

Director, Inpatient Coding and Compliance
The Ohio State University Wexner Medical Center —Ohio
- Online Application
- Hybrid work
- Background check
- Management
- Pass drug screening
11d
Infection Prevention Staff Development IPSD
Majestic Care of Whitehall —Whitehall, OH
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid holidays
- Life insurance
Quick Apply
10d
Director of Operations Mental Health
REACH Behavioral Health —Columbus, OH
- $68,208.17 - $82,143.17 a year
- Full-time
- Nursing
- Administrative experience
- Organizational skills
Quick Apply
10d
Revenue Cycle Manager (Financial Manager) - 20039248
State of Ohio - Behavioral Health —Columbus, OH
- $43.09 an hour
- Online Application
- Background check
- Office
- Finance
- Paid holidays
- Health insurance
Business Operations Advisor - Access Optimization
OhioHealth —Columbus, OH
- Full-time
- Bachelor's degree
- Mentoring
- Senior level
Branch Manager
BrightStar Care —Columbus, OH
- $64,404.77 - $79,562.73 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Health insurance
- Paid time off
Quick Apply
IHBT Program Manager
Integrated Services for Behavioral Health —Columbus, OH
- $73,000 - $93,000 a year
- On call
- Up to 50% travel
- Residential
- 3 years
- Disability insurance
- Health insurance
Quick Apply
Phlebotomy Manager
OhioHealth —Columbus, OH
- Full-time
- Hospital
- BLS Certification
- Inpatient
Registered Nurse - Occupational Health Center
Cetechs —Columbus, OH
- Full-time
- Nursing
- RN License
- BLS Certification
- Wellness program
Quick Apply
Family Preservation Clinical Supervisor
Mentor Behavioral Health —Columbus, OH
- $75,000 a year
- Full-time
- Outpatient experience
- Master's degree
- Children
9d
Regional Director of Therapy Services
PACS —Alexandria, OH
- Full-time
- CPR Certification
- Doctoral degree
- BLS Certification
Quick Apply
Clinical Manager - Hospice
CorsoCare —Columbus, OH
- Full-time
- CPR Certification
- Nursing
- OSHA
- Mileage reimbursement
- Health savings account
3d
Director Nursing - Women's Newborn Services
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- Hospital
Chief Medical Officer
Central Ohio Primary Care Physicians,Inc —Westerville, OH
- Full-time
- Microsoft Excel
- 5 years
- BC/BE
Quick Apply
9d
Medical Physicist
OhioHealth —Columbus, OH
- Full-time
- Master's degree
- Team management
- Quality control
- Work from home
Regional Medical Director, Physical Medicine and Rehabilitation (PM&R)
Personalized Health Partners —Lewis Center, OH
- Full-time
- Medicine
- Skilled nursing facility
- Management
Quick Apply
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance
Inpatient Medical Coding Quality Auditor
Pena4 Inc. —United States
- $80,000 - $90,000 a year
- 8 hour shift
- Remote
- 5 years
- US work authorization
- Senior level
- Health insurance
- Dental insurance
Quick Apply
3d

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Director, Inpatient Coding and Compliance
The Ohio State University Wexner Medical Center —Ohio
The information collected and used by medical information management staff is interconnected with the clinical and business systems of the health system and is…
11d
Infection Prevention Staff Development IPSD
Majestic Care of Whitehall —Whitehall, OH
Current LPN or RN license by State Board of Nursing in state employed; license must be active, valid, and in good standing.
Quick Apply
10d

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utilization management program manager jobs near columbus

Director, Inpatient Coding and Compliance

The Ohio State University Wexner Medical Center -
Ohio

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Job Details

Full-time
11 days ago

Qualifications

RHIA

Full Job Description

Address: OH
Job Number: R150789
Posted Date: 6/11/2026
Type: Full time
Remote or Hybrid: Remote

Current Employees and Students: Please log in to Workday to use the internal job search and application process.

Scope of Position
The Director of Coding, Compliance and Clinical Documentation Enhancement is responsible for assuring high quality information collection and reporting systems for medical information management services, including coding, data quality management, and compliance. The information collected and used by medical information management staff is interconnected with the clinical and business systems of the health system and is used for patient care, teaching, research, hospital operations, quality assurance, and reimbursement. Accurate coding and compliance is essential for a financially viable health care organization.
The Director is responsible for managing department staff, programs, policies and activities related to coding services, data quality management, clinical documentation enhancement and Medical Information Management compliance for the health system. Specific areas include University Hospital (including the Ross Heart Hospital, Dodd Hall, ambulatory care provided in McCampbell Hall, Morehouse Medical Plaza and the Eye and Ear Institute), The James (inpatient, OBS, SDS), OSU Harding, and University Hospital East. Assists in planning, organizing and controlling medical record coding services, coding quality and billing accuracy (as related to coding services), and compliance to meet the patient care, teaching, research and administrative needs of The Ohio State University Wexner Medical Center. Effective management of coding and documentation enhancement staff resources is required to support accurate, timely and complete coding information required in the billing cycle.

The Director analyzes performance to assess quality of coding and medical record documentation and prepares recommendations for action based on the results. Monitors effectiveness of data quality program and recommends improvements as necessary. Works with Administrative Director, Coding Data Analyst and Assistant Director of Documentation Improvement to monitor the various business units’ Case Mix Index (CMI) to identify opportunities for improvement in coding. Responds to reports from Coding Data Analyst that identify potential coding errors or inconsistencies. The Director oversees the department’s compliance plan. This includes assuring the plan addresses all aspects of medical information management compliance, including assessment, training, policies and procedures, monitoring and corrective action.
In the absence of the Administrative Director, the Director provides direction, supervision, and support to all Medical Information Management areas and staff. Advises administration, medical and managerial staff regarding specific issues and problems. Provides assistance as needed. Resolves intra-departmental and inter-departmental problems related to coding, documentation and compliance.

Position Summary
This position provides administrative direction to the coding services program and clinical documentation enhancement in Medical Information Management. Manages the program for high quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-9-CM, ICD-10-CM/PCS and CPT-4 coding classification systems, to meet the hospitals’ billing system requirements. Manages the abstracting of data elements required for billing (admission type and source, discharge disposition, attending physician). Monitors the results of the program for quality improvement and timeliness. Manages ongoing review of coding for accuracy. Coding accuracy is critical to the Medical Center’s Integrity Program and accurate reimbursement.
This position provides administrative direction to the compliance program in Medical Information Management. The Director manages the compliance program, with emphasis on patient confidentiality and accurate coding and abstracting of data elements required for billing (admission type and source, discharge disposition, attending physician). This staff member assures compliance with CMS regulations regarding coding and data abstraction in order to reduce the organization’s financial risk if non-compliant. The Director works with the Coding Data Analyst to benchmark the results of these programs against peer organizations for quality improvement and timeliness. Provides education on coding, compliance and documentation requirements. Directs the coding continuing education program for the department’s coding, documentation enhancement and data quality management staff. Maintains department compliance plan and monitors performance against plan. Provides support for administrative and research needs of the organization by retrieving abstracted and other patient and or physician specific information from the abstracting system, data marts and information warehouse in response to requests from authorized requestors. The Director has strong organizational relationships with Case Management, Access and Revenue Management, Business Planning and the Information Warehouse; this staff member advises on issues related to coding and documentation as related to utilization management, financial performance, strategic planning, and administrative information needs. Position may assume departmental responsibility in absence of Administrative Director.

MINIMUM REQUIRED QUALIFICATIONS
Bachelor's Degree in Health Information Administration or equivalent. Credentialed as a Registered Health Information Administrator by the American Health Information Management Association. 10 years of relevant experience required. 15 or more years of relevant experience preferred.

Screen reader users may encounter difficulty with the online application. For assistance with applying, please contact [email protected]. If you have questions while submitting an application, please review these frequently asked questions.

Thank you for your interest in working at Ohio State.

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

The university is an equal opportunity employer, including veterans and disability.

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Refine Your Search

utilization management program manager jobs in columbus

Director, Inpatient Coding and Compliance

Infection Prevention Staff Development IPSD

Director of Operations Mental Health

Revenue Cycle Manager (Financial Manager) - 20039248

Business Operations Advisor - Access Optimization

Branch Manager

IHBT Program Manager

Phlebotomy Manager

Registered Nurse - Occupational Health Center

Family Preservation Clinical Supervisor

Regional Director of Therapy Services

Clinical Manager - Hospice

Director Nursing - Women's Newborn Services

Chief Medical Officer

Medical Physicist

Regional Medical Director, Physical Medicine and Rehabilitation (PM&R)

Family Medicine Medical Director Utilization Management

Inpatient Medical Coding Quality Auditor

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