HIM Coding Manager

Required Skills & Experience

• 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

Nice to Have Skills & Experience

• Meditech Expanse
• IRF - PAI
• OnBase
• TheraOffice
• Quadax
• Availity

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.