Manager II Coding Practice Services

Medical College of Wisconsin; Wauwatosa (WI); Remote; USD 140,000 - 190,000; Full time

Benefits offered by this job

Health coverage

403B retirement plan

Paid time off

Tuition reimbursement

Parental leave

Job summary

The Medical College of Wisconsin is seeking a Director-level Billing & Collections professional to independently lead the professional charge capture and coding operations under the Director's guidance. You will mentor a large team, drive revenue optimization, ensure regulatory compliance, and pursue ongoing process improvements across workflows.

This role is primarily remote with occasional onsite presence; you will oversee Epic pre-AR coding, claims edits, budgeting, staffing, and

Qualifications

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

Responsibilities

• Maintain charge capture timelines and follow up on lags
• Oversee Epic pre-AR coding, claims and edits/work-queues
• Develop and manage budget
• Schedule people and material resources
• Manager II had 9+ direct reports, greater than 50 indirect reports
• Coach and mentor staff; complete monthly rounding sessions
• Assist in recruitment and onboarding; promotions and corrective actions
• Prioritize and supervise work of direct reports and coding specialists
• Monitor regulatory changes to ensure compliance
• Oversee data analysis and reporting of charge capture
• Coordinate development of statistics, protocols, production and quality materials
• Organize meetings, site visits and events
• Oversee training for charge capture employees
• Coordinate liaison with stakeholders and report updates
• Participate in committees and other duties as assigned

Skills

Communication skills

Critical thinking

Computer skills

Interpersonal skills

Medical coding knowledge

Education

Bachelor's degree

Tools

Epic

Job description

Summary

Work 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 Responsibilities

• Maintain 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 - Abilities

• Excellent 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.

Qualifications

Appropriate experience may be substituted for education on an equivalent basis.

Minimum Required Education: Bachelor's degree

Minimum Required Experience: 8 years' experience in multi-payer physician reimbursement with equivalent size scope.

Required Experience: Experience within an academic medical setting

Preferred Certification/Licensure(s):Certification in coding and/or healthcare compliance strongly preferred (RHIA, RHIT, CPC, CCS-P, CHC).

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Physical Requirements

Work requires occasionally lifting moderate weight materials, standing, or walking continuously.

Work Environment

Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.

Sensory Acuity

Ability 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 options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• Employee & Family Assistance Program (EFAP)
• Pet Insurance
• On campus Fitness Facility, offering onsite classes
• Additional 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 Overview

For a full list of positions see: MCW Careers

At 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.