Manager of Inpatient Coding Auditing & Education

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Job Title:

Manager of Inpatient Coding Auditing & Education

Department:

Health System Shared Services | MIM CDI and Coding

Remote Position

Scope of Position 

The Associate Director, Inpatient Auditing & Education is responsible for enterprise oversight of inpatient coding audit operations, audit governance, audit-driven education, and inpatient edit oversight, including National Correct Coding Initiative (NCCI) and Quadax edits. This role provides direct leadership to inpatient coding auditors, coding educators, and coding quality consultants, ensuring consistent, defensible audit methodology and alignment between audit findings, education, and sustained performance improvement.

The Associate Director is accountable for standardizing inpatient audit practices; validating audit accuracy through formal audit-the-auditor processes; and overseeing audit-driven onboarding, competency validation, and remediation frameworks. The role ensures inpatient coding practices support regulatory compliance, payer denial prevention, DRG accuracy, and alignment with organizational quality and public reporting priorities, including Vizient and U.S. News & World Report.

This position works in close collaboration with Clinical Documentation Integrity (CDI), Physician Advisors, Quality, Compliance, Revenue Cycle, and Appeals to mitigate organizational risk, reduce DRG downgrades, and support accurate, risk-adjusted representation of patient severity and outcomes.

The Associate Director executes operational strategy under the direction of the Director of Inpatient Coding and Compliance and does not hold final authority for policy approval or executive escalation decisions.

Position Summary 

The Associate Director, Inpatient Auditing & Education provides leadership for inpatient coding audits and audit-informed education within a large academic medical center, with a strong emphasis on OIG and CMS compliance, payer denial prevention, coding quality, and hospital quality outcomes.

This role serves as the operational owner of inpatient audit execution and edit governance, including oversight of NCCI and Quadax edits, ensuring audit and edit outcomes are accurate, consistent, and defensible. The Associate Director translates audit findings, DRG validation trends, denial patterns, and regulatory requirements into targeted education, remediation strategies, and sustained improvements in coding accuracy and documentation integrity.

The position plays a critical role in identifying and mitigating compliance risk, preventing DRG downgrades, and improving performance across key quality metrics, including Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), mortality indexing, and benchmarking programs such as Vizient and U.S. News & World Report.

Through close collaboration with CDI, Quality leadership, and Physician Advisors, the Associate Director ensures alignment in documentation expectations, coding guidance, and audit standards—supporting ethical coding practices, interdisciplinary consistency, and enterprise-wide risk reduction.

Minimum Qualifications 

For Hire:        

• Bachelor’s degree in Health Information Management, Nursing, or related field required (Master’s preferred)
• RHIA, RHIT, CCS required
• CCDS or CDIP preferred
• Mini