Manager II Coding Practice Services

The Medical College of Wisconsin, Inc.; Wisconsin; Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Healthcare coverage

403B retirement plan

Paid time off

Job summary

The Medical College of Wisconsin, Inc. is seeking a senior manager to lead the charge capture and coding operations. The role directs a team, ensures regulatory compliance, and identifies process improvements, with primarily remote work and occasional onsite presence as needed.

Responsibilities include overseeing pre-AR coding, budgeting, staff development, and adherence to revenue cycle best practices in a large academic medical setting.

Qualifications

• Minimum required education: Bachelor’s degree.
• 8 years’ experience in multi-payer physician reimbursement with equivalent size scope.
• Experience within an academic medical setting.
• Certification in coding and/or healthcare compliance strongly preferred (RHIA, RHIT, CPC, CCS-P, CHC).

Responsibilities

• Maintain charge capture timelines and track charge lags.
• Oversee Epic pre-AR coding, claims and edits/work-queues.
• Develop and manage budget; schedule resources.
• Coach and mentor staff; conduct performance reviews.

Skills

Communication

Critical thinking

Attention to detail

Leadership

Coaching

Medical billing

Revenue cycle

Education

Bachelor’s degree

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).

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.
• 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

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination

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.

About Us

Together, we can build a healthier world. A student, an educator, a scientist and a community leader — alone, they can do many things. Together, the question isn’t what they can do, but what can’t they. The Medical College of Wisconsin (MCW) brings together the most inquisitive, passionate minds in science, medicine, education and community engagement to tackle today’s toughest challenges in health and society. Academic medicine is at the center of where scientists, physicians and students work hand-in-hand with the community to ask the most important questions and fuel the cycle of innovation that shapes the future of medicine. Medical College of Wisconsin The tireless pursuit of knowledge and the power of academic medicine is at the core of everything we do at MCW. Bringing together the world’s top scientists and clinicians, inspired students and invested communities, we are driven to solve the most complex challenges in health and society. With around 1,600 full-time and part-time faculty and approximately 3,500 full-time employees, MCW is home to a diverse group of thought leaders working in collaboration to pioneer pathways to a healthier world and drive a continuous cycle of life-changing discovery.