Manager, Enterprise Professional Coding Denials

The Rector & Visitors of the University of Virginia; Charlottesville (VA); On-site; USD 110,000 - 138,432; Full time

Benefits offered by this job

Comprehensive Benefits Package

Paid Time Off

Retirement Savings

Health Saving Plans

Job summary

The Rector & Visitors of the University of Virginia seeks a Manager – Enterprise Professional Coding Denials to lead UVA Health's professional coding denial prevention and resolution initiatives. You will oversee the full lifecycle of professional claim denials, ensuring accurate coding, reimbursement, and payer compliance.

Collaborate across the health system with providers, coders, educators, and revenue cycle teams to reduce avoidable denials, strengthen appeals, and support revenue

Qualifications

• 7+ years of coding experience, incl. 2+ years of formal management.
• Active coding certification through AHIMA or AAPC preferred (CPB).
• Experience in denials management, revenue cycle, or compliance.

Responsibilities

• Lead centralized function for professional coding denials across the Enterprise.
• Oversee root cause analysis, denial prevention workflows and appeals.
• Collaborate with coding, education, CDI and revenue cycle teams.
• Monitor denial performance metrics and drive data‑informed improvements.
• Provide leadership as denial-focused resources are formalized.

Skills

Denials management

Leadership

Coding compliance

Analytical thinking

Education

Bachelor's degree

AHIMA or AAPC certification (CPB) preferred

Tools

Excel

Power BI

Tableau

Job description

Manager – Enterprise Professional Coding Denials

The Manager - Enterprise Professional Coding Denials is responsible for leading UVA Health's professional coding denial prevention and resolution initiatives. This role oversees the full lifecycle of professional claim denials, ensuring appropriate coding, accurate reimbursement, and compliance with payer guidelines. The Denials Manager collaborates across the health system—including providers, coders, educators, clinical departments, and revenue cycle teams—to reduce avoidable denials, strengthen appeal strategies, and support organizational revenue integrity efforts.

Responsibilities

This Manager role will establish and lead a centralized function responsible for:

• Oversight of professional coding-related denials across the Enterprise, including root cause analysis and resolution strategies
• Development and standardization of denial prevention workflows and appeal processes
• Identification of trends and collaboration with coding, education, CDI, and revenue cycle teams to address underlying issues
• Monitoring denial performance metrics and driving data‑informed improvement initiatives
• Providing leadership and structure as denial-focused resources are formalized and expanded

Additionally, candidates should be able to demonstrate:

• Expert knowledge of ICD‑10‑CM, CPT, HCPCS coding; Medicare and commercial payer rules and guidelines; and adjudication and appeals processes.
• Experience interpreting EOBs, remittance advice codes, payer policies, and medical billing workflows.
• Knowledge of revenue integrity, charge capture, and CDI concepts.
• Excellent analytical, organizational, and communication skills.
• Proficiency using dashboards or reporting tools (e.g., Excel, Power BI, Tableau).
• Experience using an EMR and billing platform (EPIC strongly preferred).
• Experience leading denial prevention initiatives and managing denial workflows in an academic medical center or large integrated healthcare system strongly 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. Strong preference for formal management experience in revenue cycle operations, professional coding, or denials management.
• Licensure: Active coding certification through either AHIMA or AAPC required; CPB preferred.

Physical Demands: This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings and programs.

Pay range: $110,000.00 - $138,432.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

• 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

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.