Payment Integrity Inpatient Program Manager

The Payment Integrity Inpatient Program Manager oversees inpatient payment integrity programs, ensuring audit accuracy, regulatory compliance, and timely review processes across internal teams and external vendors. This role involves managing audit workflows, monitoring program metrics, and collaborating with stakeholders to resolve complex clinical and coding issues. The position requires strong expertise in inpatient DRG coding, clinical documentation review, and quality assurance to drive continuous improvement and defensibility of audit determinations.