Manager, Inpatient Coding - Revenue Cycle

UPMC; Pittsburgh (Allegheny County); Remote; USD 45,000 - 50,000; Full time

Job summary

A leading healthcare provider seeks a Manager for their Inpatient Coding team. This fully remote position involves providing leadership and ensuring effective workflow while overseeing staff training, compliance with coding guidelines, and collaborating with medical professionals to optimize coding accuracy and reimbursement.

Qualifications

• 2 years of relevant experience required with a Bachelor’s degree.
• 4 years of relevant experience required with a High School diploma.
• Previous supervisory or management experience required.

Responsibilities

• Oversee inpatient coding staff and coordinate training.
• Ensure accuracy and timeliness of coding data.
• Conduct coding audits to maintain quality indicators.

Skills

Interpersonal skills

Organizational skills

Communication skills

Problem solving

Education

Bachelor's degree

High School diploma

Tools

Excel

Word

Job description

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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.
• Bachelor's degree and two years of relevant experience, OR High School and four years of relevant experience required.
• Previous supervisory or management experience required.
• Extensive knowledge of ICD-10-CM and CPT-4/HCPCS coding.
• Knowledge of medical terminology, payer-specific coding requirements, third-party payer billing and reimbursement guidelines, and OIG regulations.
• Excellent interpersonal, organizational, and communication skills.
• Ability to effectively problem solve and make independent decisions.
• Extensive knowledge of office-related work applications (Word/Excel).
  
  

Licensure, Certifications, and Clearances:

• RHIT or CCS or CPC or RHIA preferred
• Act 34
  
  

UPMC is an Equal Opportunity Employer/Disability/Veteran

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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