Manager, Inpatient Coding - Revenue Cycle

UPMC; Pittsburgh (Allegheny County); Remote; USD 80,000 - 120,000; Full time

Job summary

UPMC is seeking a Manager for Inpatient Coding to oversee a remote team. This role includes training staff, ensuring compliance with coding standards, and leading coding initiatives to optimize reimbursement. Ideal candidates will have strong leadership skills and a background in coding management.

Qualifications

• Experience in inpatient coding management.
• Strong knowledge of OIG coding guidelines and standards.

Responsibilities

• Oversee inpatient coding staff and provide training.
• Ensure compliance with coding guidelines and conduct audits.
• Manage daily operations and staff performance reviews.

Skills

Leadership

Training

Coding Compliance

Performance Review

Quality Assurance

Job description

UPMC Corporate Revenue Cycle is currently seeking a Manager for Inpatient Coding to join our Coding Department. This is a fully remote position, operating during standard business hours from Monday through Friday.

The individual in this role will be responsible for overseeing the inpatient coding staff, including the coordination of training and educational initiatives, and/or the management of outsourced coding functions. The Manager will provide leadership and direction to ensure effective workflow coordination across relevant hospital departments. Key responsibilities also include ensuring the accuracy and timeliness of coding data to support optimal reimbursement from payers, as well as collaborating with physicians and third-party payers to resolve coding-related inquiries.

Responsibilities:

• Assist with training of new coding staff, coding interns, and the coding trainee program. Assist Information Services in the development and implementation of computer enhancements. Adhere to human resource policies and procedures.
• Ensure compliance with OIG coding guidelines. Investigate staff issues and provide feedback as appropriate on resolution. Develop and implement policies and procedures for processes performed for the coding area. Provide support, training, development, and guidance to staff in their daily activities. Review workflow to maximize automated systems.
• Provide one-on-one education with coders identified as having quality deficits based on audits conducted within the department.
• Manage the day to day functions to ensure work is available for outsource personnel.
• Provide education-related duties to enhance the coding knowledge of all inpatient coding and outsource personnel.
• Provide education-related sessions on coding requirements during staff meetings and other sessions as applicable.
• Provide timely performance reviews for all direct reports. Assist in the development and management of an annual unit budget. Establish quarterly and annual goals and objectives for the Coding staff.
• Perform duties and responsibilities in a fashion that coincides with the service management philosophy of UPMC, including the demonstration of the basics of service excellence towards patients, visitors, staff, peers, physicians and other departments within the medical center.
• Conduct coding audits on staff and/or outsource personnel to ensure quality indicators are met. Review findings with appropriate personnel.
• Review third party payments to ensure accuracy of coding and maximum reimbursement for services provided.