Discover your 100% YOU with MicroSourcing!Position: Medical Coding Manager - Inpatient DRG
Location: Taguig
Work setup & shift: Onsite | Day shift
Sign-on bonus: 300,000.Why join MicroSourcing Youu0027ll have:
- Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
- A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
- Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
- Career Growth: Take advantage of opportunities for continuous learning and career advancement.
- Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.
Our client,
Huron, is a global professional services firm that collaborates with clients to put possibilities into practice by creating sound strategies, optimizing operations, accelerating digital transformation, and empowering businesses and their people to own their future. By embracing diverse perspectives, encouraging new ideas, and challenging the status quo, Huron creates sustainable results for the organizations they serve.
Your Role The
Medical Coding Manager - Inpatient DRG is responsible for the day-to-day operations and oversight of coding processes to ensure timely, accurate, and compliant assignment of diagnosis and procedure codes for inpatient services. This leader ensures adherence to regulatory guidelines and payer requirements and supports optimal reimbursement through quality coding practices.
As a
Medical Coding Manager - Inpatient, you will:
Operational Oversight- Supervise and support inpatient coding staff, including hiring, onboarding, scheduling, and performance management.
- Monitor coding productivity, accuracy, and turnaround time for coding completion.
- Ensure timely resolution of coding-related edits and billing holds.
- Monitors and ensures departmental budget compliance.
Quality & Compliance- Monitor and support coding audits and accuracy reviews, ensuring compliance with ICD-10, CPT/HCPCS, and applicable CMS/OIG regulations.
- Address coding-related denials and partner with billing and A/R teams to identify root causes.
- Stay current with regulatory and coding updates and disseminate guidance to staff.
- Ensure coding policies & procedures are current and reflect the most compliant/accepted practices for medical coding.
Collaboration & Support- Work closely with CDI, HIM, Revenue Integrity, Billing, and Clinical departments to ensure clean claim generation.
- Support charge description master (CDM) accuracy through collaboration with revenue integrity.
- Coordinate with IT on encoder, EHR, and CAC system optimization.
Education & Training- Provide regular coder education on coding updates, documentation changes, and audit findings.
- Mentor coding supervisors or medical coders to support succession planning and career development.
Coordinating with Healthcare Providers:- Work closely with physicians, nurses, and other healthcare professionals to ensure timely and accurate documentation that reflects the care provided to patients. Obtain clarification as appropriate.
Other duties and responsibilities as assigned. What You NeedNon-negotiables- Coding Management Experience: At least 5 years of IP DRG medical coding experience, 2+ years in IP DRG coding leadership role. Previous experience managing hybrid/remote coding teams
- Education: Bachelor's degree in Health Information Management, Healthcare Administration, or related field
- Credential/Certification: Active Certified Coding Specialist or Certified Inpatient Coder (CIC) or Certified Documentation Improvement Practitioner (CDIP).
- Licensure: Registered Nurse with an active PHRN or USRN license.
- RCM Knowledge: Extensive, comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding, and MS-DRG, APR DRG assignment. Strong knowledge of HCCs, NCCI edits, and medical necessity concepts. Must be proficient in identifying POA, SOI, and ROM indicators for Inpatient records as well as HACs and PSIs to ensure accurate hospital reimbursement. Familiarity with HIPAA regulations.
- Software Knowledge: Proficiency with electronic medical records (EMR) such as Epic, Cerner, or Meditech.
- Excellent verbal and written English communication skills and customer service skills (CEFR level of at least B2 for both verbal and written).
Preferred skills/expertise- Education: Master's degree or credential in business, healthcare, or related field preferred
- Software Knowledge: Current experience with Computer Assisted Coding (CAC) is preferred. Encoder experience (3M/Solventum, Encoder Pro, Codify) preferred. Proficiency with Microsoft Office suite (Excel, Word, PowerPoint, Outlook, SharePoint). Proficiency with Data Analytics software (Tableau, Power BI).
- RCM Knowledge: Prior experience with US healthcare providers or payers.
Soft Skills:- Ability to pay close attention to details strong follow-up and follow-through skills
- Regularly makes complex decisions within the scope of the position, and is comfortable working independently
- Requires the use of independent judgment, discretion, and decision-making abilities
- Demonstrates teamwork and integrity in all work-related activities
- Ability to interact with internal and external customers in a professional manner
- Strong analytical and critical thinking skills.
- Experience in a matrixed environment
- Excellent English written and verbal communication skills
- Safeguard patient health information in compliance with HIPAA standards.
About MicroSourcing With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.
Our commitment to 100% YOU MicroSourcing firmly believes that our companyu0027s strength lies in our peopleu0027s diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.
At MicroSourcing, equality is not merely a slogan - itu0027s our commitment and our way of life. Here, we donu0027t just accept your unique authentic self-we celebrate it, valuing every individualu0027s contribution to our collective success and growth. Join us in celebrating YOU and your 100%!
For more information, visit www.microsourcing.com
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