Manager, Enterprise Hospital Coding Quality & Education

UVA Health
Charlottesville, VA, United States
11 days ago

Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Experience level
Experienced
Experience required
2 years minimum
Compensation
$76,420.0
Working hours
Regular working hours

Tech stack

Clinical Data Repository Code Review Data Auditing Desktop Computing Enterprise Integration

Job description

The Manager, Enterprise Hospital Coding Quality & Education provides leadership and strategic oversight for UVA Health’s hospital coding quality, audit, and education programs. This role leads initiatives to ensure accurate, compliant inpatient and outpatient facility coding, optimal reimbursement, and integrity of clinical data used for quality reporting and organizational performance. The Manager oversees coding quality reviews, second-level audits, and targeted education for coding staff, and collaborates closely with Coding Operations, CDI, Quality, Compliance, and Revenue Cycle teams. This position requires deep expertise in inpatient coding within an academic medical center environment, with accountability for advancing both inpatient and outpatient coding quality and education.

Key Responsibilities include managing daily operations of the hospital quality team, setting performance standards, leading coding and documentation audits, and implementing corrective action plans. The manager drives coder education initiatives, supports audit readiness, and serves as a subject matter expert for complex coding inquiries. This role also contributes to strategic planning, workforce development, and systemwide efforts to improve coding quality, reduce denials, and strengthen compliant documentation practices., This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally requires traveling some distance to attend meetings, and programs.

Requirements

  • Minimum of 7 years of experience in hospital (facility) coding quality, auditing, or education.
  • Minimum of 3-5 years of leadership or supervisory experience.
  • Extensive experience in inpatient coding within an academic medical center environment and demonstrated ability to manage complex, high acuity case mixes
  • Extensive, expert-level knowledge of inpatient coding principles and conditions affecting hospital quality measures such as Hospital Acquired Conditions (HACs); Patient Safety Indicators (PSIs); Present on Admission (POA) requirements; Hierarchical Condition Categories (HCCs). and other hospital quality metrics.
  • Experience performing DRG validation, mortality reviews, and quality-focused coding audits.
  • Proficiency with Epic, Solventum, and auditing tools.
  • Willingness to travel onsite occasionally to leadership office in Charlottesville, VA.
  • Experience overseeing both inpatient and outpatient hospital coding education programs preferred.
  • AHIMA certification as an RHIA or RHIT with a CCS or ICD-10 Approved Trainer preferred.

MINIMUM REQUIREMENTS:

Education: Bachelor’’s degree Required. Significant (4+ years) experience beyond the required experience indicated below may be accepted in lieu of the Bachelor’’s degree.

Experience: 7+ years of previous coding experience, to include 2+ years of formal management experience required.

Licensure: Credentialing by AHIMA or AAPC., Academic Background, Acute Care, Auditing, Cancer, Certified Coding Specialist (CCS), Clinical Data, Code Reviews, Corrective Action, Data Quality, Desktop PC, Diagnosis-Related Group (DRG), Documentation, Equal Employment Opportunity (EEO), Hospital, Hospital Administration, ICD-10, Leadership, Medical Coding, Network Integration, News Reporting, Operations, Operations Management, Outpatient Care, Patient Care, Patient Safety, People Management, Performance Analysis, Performance Management, Primary Care, Quality Management, Quality Metrics, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Reimbursement, Strategic Planning, Training/Teaching, Willing to Travel, Workforce Planning

Benefits & conditions

The starting base rate for this role is $76,420.00 annually. Individual compensation will be determined by the selected candidate’’s qualifications, previous work experience, and/or education., * Comprehensive Benefits Package: Medical, Dental, and Vision Insurance

  • Paid Time Off, Long-term and Short-term Disability, Retirement Savings
  • Health Saving Plans, and Flexible Spending Accounts
  • Certification and education support
  • Generous Paid Time Off

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children’’s hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.

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