Manager II Coding Practice Services

The Medical College of Wisconsin, Inc.; Madison (WI); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health insurance

403B retirement plan

Tuition reimbursement

Paid parental leave

EFAP (Employee Assistance Program)

Onsite fitness facility

Job summary

The Medical College of Wisconsin, Inc. seeks a Manager II of Billing & Collections to lead professional charge capture and coding activities, ensuring compliance and revenue optimization. This role is primarily remote with occasional on-site collaboration.

You will oversee Epic pre-AR coding, claims edits, and staff coaching, manage budget and rounding, and report performance to stakeholders while monitoring regulatory changes.

Qualifications

• Bachelor’s degree required; 8+ years in multi-payer physician reimbursement
• Experience in an academic medical setting preferred
• Certifications in coding and/or healthcare compliance strongly preferred (RHIA, RHIT, CPC, CCS-P, CHC)

Responsibilities

• Lead charge capture and coding activities and ensure compliance
• Oversee Epic pre-AR coding, claims edits, and work-queues
• Develop and manage budget; schedule resources
• Coach and mentor staff; conduct regular performance reviews
• Recruitment and onboarding of new staff; promotions and corrective actions
• Monitor regulatory changes and maintain regulatory compliance
• Coordinate development and maintenance of charge capture statistics and reports
• Organize meetings, site visits, and stakeholder communications
• Provide training for charge capture staff and liaison with stakeholders
• Report charge capture updates to leadership and committees

Skills

Communication

Problem solving

Attention to detail

Interpersonal skills

Computer skills

Education

Bachelor’s degree

RHIA/RHIT/CPC/CCS-P/CHC (certifications)

Tools

Epic software

Job description

SummaryWork independently under the direction of the Director of Billing & Collections to manage the activities of professional charge capture and coding. Provide direction and guidance to the team to support operations that maximize revenue, meeting regulatory requirements. Consistently seeks out opportunities for process improvement and workflow efficiency.This is a primarily remote position, with occasional onsite presence required as needed.Primary ResponsibilitiesMaintain charge capture timelines, including tracking charge lags and follow up.Oversee and manage Epic pre-AR coding, claims and account edits/work-queues.Develop and manage budget.Schedule people and material resources.Manager II had 9+ direct reports, greater than 50 indirect reports.Perform coaching and mentoring of staff. Ensure appropriate on-going training and performance reviews are completed. Complete and document monthly rounding sessions with members of immediate team.Assist in recruitment and onboarding of new charge capture staff, recommendation for promotions for existing team members, initiate and carry out corrective actions as necessary following department protocol and legal guidelines, establishing performance guidelines/standards.Prioritize and supervise work of direct reports and/or charge capture coding specialists.Monitor governmental regulations and changes in healthcare industry to ensure compliance of charge capture processes.Assure compliance with regulatory and institutional resources.Oversee charge capture, analysis, and dissemination of data.Coordinate the development and maintenance of charge capture statistics, performance, protocols, production, and quality materials and reporting.Organize internal and external meetings, site visits, and special events.Oversee training for charge capture employees.Coordinate and manage activities including acting as a liaison with internal and external stakeholders.Assure data and updates on charge capture are reported to stakeholders.Participate in appropriate committees relevant to the advancement of the program and the profession.Other duties as assigned.Knowledge – Skills – AbilitiesExcellent oral and written communication skills are essential.Strong critical thinking, problem solving and attentiveness to detail required.Strong computer skills.Ability to interact with people effectively.Expert knowledge of medical billing and collections revenue cycle as it specifically relates to professional medical coding, reimbursement, contracting and processing payments.QualificationsAppropriate experience may be substituted for education on an equivalent basis.Minimum Required Education: Bachelor’s degreeMinimum Required Experience: 8 years’ experience in multi-payer physician reimbursement with equivalent size scope.Required Experience: Experience within an academic medical settingPreferred Certification/Licensure(s): Certification in coding and/or healthcare compliance strongly preferred (RHIA, RHIT, CPC, CCS-P, CHC).#LI-RT1Physical RequirementsWork requires occasionally lifting moderate weight materials, standing, or walking continuously.Work EnvironmentOccasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.Sensory AcuityAbility to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.Why MCW?Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options403B Retirement PackageCompetitive Vacation and Paid Holidays offeredTuition ReimbursementPaid Parental LeaveEmployee & Family Assistance Program (EFAP)Pet InsuranceOn campus Fitness Facility, offering onsite classesAdditional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.For a brief overview of our benefits see: Benefits OverviewFor a full list of positions see: MCW CareersAt MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring – Collaborative – Curiosity – Inclusive – Integrity – Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.