Physician Coding Manager

University of California - San Francisco; Emeryville (CA); On-site; USD 110,000 - 170,000; Full time

Job summary

University of California, San Francisco is seeking a Physician Coding Manager to lead daily revenue management for faculty practice across multiple departments. You will supervise coding staff, ensure accuracy in charge capture, coding, and audits, and collaborate with clinicians and administrators to improve data quality and compliance.

The role requires deep knowledge of ICD-10-CM, CPT, HCPCS, and related regulations, with strong leadership and communication skills to drive performance and

Qualifications

• Bachelor’s degree or four years of relevant experience and five+ years in professional medical coding, with supervisory/managerial experience.
• Coding Certification: RHIT, RHIA, CPC or CCS-P.
• Strong communication, writing and interpersonal abilities, including diplomacy and analytical skills.

Responsibilities

• Provide direction, set priorities, and analyze workflow for revenue cycle activities according to policies and guidance.
• Oversee daily activities to meet revenue cycle targets and collaborate across departments.
• Coordinate provider training and ensure charge capture and coding setup for new lines of business; generate reports to monitor deficiencies.
• Communicate regulations for professional fee coding (ICD-10-CM, CPT, HCPCS, LCDs, NCDs) to faculty and staff.
• Oversee coding staff quality reviews and provide follow-up education to staff and providers.

Skills

Communication skills

Leadership

Analytical thinking

Managerial skills

Education

Bachelor's degree or four years of relevant experience

Coding Certification: RHIT, RHIA, CPC or CCS-P

Tools

RHIT, RHIA, CPC or CCS-P

Job description

The Physician Coding Manager, under the direction of their Associate Director, will provide daily management of Faculty Practice revenue management operations functions related to charge capture, coding, edit resolution, reporting, and collection of patient service revenue for assigned clinical departments. Providing coding functions for approximately 6,000 providers, approximately 150,000 encounters per year, and generating $16.5m in revenue for UCSF. The role operates within a healthcare records or billing team and requires close liaison with clinicians, clinical coders, and administrative staff to resolve documentation queries. Coders must maintain currency with coding updates, compliance requirements, and professional standards, and participate in regular audits to monitor coding quality. Expectations include timely processing of case volumes while maintaining high accuracy, adherence to confidentiality and information governance standards, and contribution to process improvements that enhance data quality and coding efficiency.

The Physician Coding Manager, will handle the following:

• Provides direction, sets priorities, and analyzes workflow for subordinate revenue cycle activities, according to established policies and management guidance. Recommends, develops and implements new and revised procedures as needed.
• Oversee daily internal activities to ensure that their departments meet revenue cycle targets, performance metrics and engage in best practices. The incumbent will collaborate with various members of the Faculty Practice revenue management operations management and staff to ensure that new revenue related projects are rolled out across their department(s), compliance requirements are met, unit initiatives are implemented and cross staff/departmental training is complete.
• Will also be heavily engaged with their departments to ensure that provider training is coordinated, new lines of business have appropriate charge capture and coding set up, and that various reports are made available to keep the department, along with outstanding deficiencies.
• Should be knowledgeable with all applicable professional fee coding regulations, ICD-10-CM, CPT, HCPCS, LCDs, and NCDs. They should be able to effectively communicate these regulations to all levels of faculty, management, and staff.
• Responsible for providing day-to-day oversight of professional fee coding staff. The Supervisor will coordinate and conduct coding quality reviews, analyze findings, and provide follow up education to coding staff and providers. The Revenue Manager must be facile and knowledgeable of all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management, and staff.

The Physician Coding Manager, under the direction of their Associate Director, will provide daily management of Faculty Practice revenue management operations functions related to charge capture, coding, edit resolution, reporting, and collection of patient service revenue for assigned clinical departments. Providing coding functions for approximately 6,000 providers, approximately 150,000 encounters per year, and generating $16.5m in revenue for UCSF. The role operates within a healthcare records or billing team and requires close liaison with clinicians, clinical coders, and administrative staff to resolve documentation queries. Coders must maintain currency with coding updates, compliance requirements, and professional standards, and participate in regular audits to monitor coding quality. Expectations include timely processing of case volumes while maintaining high accuracy, adherence to confidentiality and information governance standards, and contribution to process improvements that enhance data quality and coding efficiency.

The Physician Coding Manager, will handle the following:

• Provides direction, sets priorities, and analyzes workflow for subordinate revenue cycle activities, according to established policies and management guidance. Recommends, develops and implements new and revised procedures as needed.
• Oversee daily internal activities to ensure that their departments meet revenue cycle targets, performance metrics and engage in best practices. The incumbent will collaborate with various members of the Faculty Practice revenue management operations management and staff to ensure that new revenue related projects are rolled out across their department(s), compliance requirements are met, unit initiatives are implemented and cross staff/departmental training is complete.
• Will also be heavily engaged with their departments to ensure that provider training is coordinated, new lines of business have appropriate charge capture and coding set up, and that various reports are made available to keep the department, along with outstanding deficiencies.
• Should be knowledgeable with all applicable professional fee coding regulations, ICD-10-CM, CPT, HCPCS, LCDs, and NCDs. They should be able to effectively communicate these regulations to all levels of faculty, management, and staff.
• Responsible for providing day-to-day oversight of professional fee coding staff. The Supervisor will coordinate and conduct coding quality reviews, analyze findings, and provide follow up education to coding staff and providers. The Revenue Manager must be facile and knowledgeable of all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management, and staff.

REQUIRED QUALIFICATIONS

• Bachelor's degree or four years of relevant experience; and five or more years of professional medical coding experience, with three or more years of experience working in a supervisory or managerial role.
• Coding Certification: RHIT, RHIA, CPC or CCS-P.
• Excellent communication, writing, and inter-personal abilities, including skills such as attitude, diplomacy and persuasiveness, analytical ability, strong judgment, and managerial skills.
• Strong leadership and team management skills to include strong analytic and critical thinking skills.
• Moderate to advanced knowledge of all facets of the billing and revenue cycle process; including knowledge of ICD-10-CM, CPT, HCPCS, LCD, and NCDs.
• Knowledge of the federal and state Medicare and Medi-Cal policies and how these programs impact billing and collections.

Intermediate or higher level functionality with Microsoft Office suite of programs, presentation generation, reporting and analysis.

PREFERRED QUALIFICATIONS

Epic Experience

REQUIRED QUALIFICATIONS

• Bachelor's degree or four years of relevant experience; and five or more years of professional medical coding experience, with three or more years of experience working in a supervisory or managerial role.
• Coding Certification: RHIT, RHIA, CPC or CCS-P.