HIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt)

Manager, Him Coding Auditing And Education

The manager, HIM coding auditing and education provides leadership and operational oversight for the inpatient and outpatient coding audit and education programs. This position is responsible for ensuring coding accuracy, regulatory compliance, and continuous improvement in coding quality across the organization. The manager supervises coding auditors, educators, denials management specialists, and coder editor team, and is responsible for planning, organizing, and directing coding audit activities, coding education initiatives, and pre-bill coding-related-edits from billing systems. This role collaborates closely with coding operations, clinical documentation integrity (CDI), compliance, revenue integrity, patient financial services, physician-providers, and non-physician providers to support revenue cycle performance and regulatory compliance. The manager serves as a subject matter expert in coding regulations and provides leadership in the development and implementation of coding education, audit programs, facilitating educational webinars and seminars, planning and delivering effective presentations, and process improvement initiatives.

essential duties:

• manage IP & OP coding audit programs & team
• coding education program leadership
• manage OP coding editor program, functions, & team
• denials management
• regulatory, coding & clinical research oversight
• root cause analysis & process improvement
• reporting & performance monitoring
• communication & collaboration
• information systems & technology
• perform other duties as assigned.

required qualifications:

• req bachelor's degree health information management (HIM), or health information technology (HIT), or health information systems (HIS)
• req specialized/technical training successful completion of college courses in medical terminology, anatomy & physiology and a certified coding course. Must possess a thorough knowledge of ICD-10-CM/PCS, MS-DRG, APR-DRG, and CPT/HCPCS coding principles, and the recommended American Health Information Management Association (AHIMA) coding competencies.
• req 10 years experience in ICD-10-CM, ICD-10-PCS, CPT/HCPCS coding of inpatient & outpatient medical records in an acute care facility.
• req 2 years leadership experience.
• req experience in using a computerized coding & abstracting database software and encoding/code-finder systems [e.g., 3M 360 Encompass/CAC and 3M coding and reimbursement system (CRS)].

preferred qualifications:

required licenses/certifications:

• req advanced knowledge of: ICD-10-CM ICD-10-PCS CPT HCPCS MS-DRG APR-DRG
• req knowledge of coding compliance and regulatory requirements
• req knowledge of CMS coding and billing rules
• req strong analytical and problem-solving skills
• req excellent organizational and time management skills
• req strong written and verbal communication skills
• req ability to work independently and collaboratively
• req ability to interpret and apply official coding guidelines
• req strong presentation and training skills
• req certified coding specialist - CCS (AHIMA) AHIMA certified coding specialist (CCS) only; or AAPC certified inpatient coder (CIC) only; or either the CCS or CIC in conjunction with any one of the following national HIM credentials: 1. AHIMA registered health information technician (RHIT) 2. AHIMA registered health information administrator (RHIA) successful completion of the hospital specific coding test with a passing score of ?90%. The coding test may be waived for 10+ years experienced inpatient coding professionals, or a former USC or agency/contract HIM coding dept. coders who historically/previously met the ? 90% internal/external audit standards of the previously held USC job code.
• req fire life safety training (LA city) if no card upon hire, one must be obtained within 30 days of hire, and maintained by renewal before expiration date.

the annual base salary range for this position is $110,240.00 - $181,896.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.

We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu . Inquiries will be treated as confidential to the extent permitted by law.

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