Associate Manager, Inpatient/Outpatient Coding Review

Gainwell Technologies

Associate Manager overseeing a team of coding professionals in auditing inpatient/outpatient records. Join Gainwell Technologies to address healthcare challenges and enhance coding accuracy.

Posted 7/29/2026full-timeRemote • Texas • 🇺🇸 United StatesJuniorMid-Level💰 $85,000 - $109,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in quality assurance processes, coding accuracy, and compliance with healthcare regulations. Proficient in managing teams, developing training programs, and analyzing performance metrics to drive continuous improvement.

Highest-signal resume keywords

Quality Assurance ProcessesInpatient CodingOutpatient CodingCoding CertificationsPerformance Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10-CMICD-10-PCSCPT CodingDRG ReimbursementAudit AnalysisPerformance BenchmarkingKPI MonitoringDocumentation ImprovementCoding AuditingRevenue Integrity

Soft Skills

MentoringCoachingCommunicationLeadershipProblem Solving

Tools & Technologies

DashboardsReporting ToolsQuality Review Programs

Certifications & Qualifications

RHIARHITCCSCICCCDSCPC

Industry Keywords

CMS RegulationsHealthcare AdministrationCoding StandardsAudit AccuracyContinuous Quality Improvement

About the role

Key responsibilities & impact

Supervise the quality review program, creating policies and processes relating to quality and ensuring continuous conformance with appropriate standards, regulations, and contractual agreements.
Develop, implement, and maintain quality assurance processes and performance benchmarks for DRG validation, inpatient coding, and outpatient coding/billing audits.
Supervise and mentor clinical auditors and coding specialists; provide education, coaching, and performance feedback.
Monitor and report key performance indicators (KPIs) for audit accuracy, productivity, and interrater reliability.
Identify trends, root causes, and opportunities for improvement in documentation or coding accuracy.
Analyze audit results, denial trends, and payer findings to identify systemic issues and recommend corrective actions.
Prepare and present regular reports and dashboards for leadership, highlighting performance metrics, audit outcomes, and improvement initiatives.
Support compliance and revenue integrity efforts by ensuring the accuracy of coded data used for reimbursement, quality reporting, and analytics.
Develop and deliver training programs for coding, clinical, and quality assurance teams.
Stay current with evolving CMS regulations, ICD-10-CM/PCS updates, and industry standards for inpatient coding and DRG assignment.
Drive continuous quality improvement initiatives to enhance effectiveness and efficiency.
Serve as a Subject Matter Expert to assess new tools, automation, product development, and clinical readiness; act as a resource for resolving escalated issues, and coach and mentor staff to develop a high-performing team.
Manage and evaluate individual and team performance, and take appropriate action to meet and/or exceed performance standards.
Perform other functions as assigned.

Requirements

What you’ll need

At least one of the following active Coding Certifications is required and is to be maintained as a condition of employment: RHIA, RHIT, CCS, CIC, CCDS or CPC
5+ years inpatient or outpatient coding/auditing required
Working knowledge of ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, CPT coding and DRG reimbursement methodologies strongly preferred
Bachelor’s degree in business, healthcare administration, or related field preferred
2+ year’s management or supervisory experience preferred

Benefits

Comp & perks

generous, flexible vacation policy
a 401(k) employer match
comprehensive health benefits
educational assistance
various leadership and technical development academies