Manager, Professional Coding Services

3 weeks ago


Burr Ridge, United States Biological Sciences Division at the University of Chicago Full time

OverviewBiological Sciences Division at the University of Chicago provided pay range. This range is provided by Biological Sciences Division at the University of Chicago. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.Base pay range$70,000.00/yr - $95,000.00/yrDepartmentBSD UCP - Professional Billing Coding - Surgical SpecialtyAbout The DepartmentThe Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University\u2019s main campus in Hyde Park, ten minutes south of downtown Chicago. BSD\u2019s patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty practicing at the University of Chicago. These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). The University of Chicago Physicians\' Group (UCPG) is a component of the physician practice plan for the University of Chicago. The UCPG department provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments. Each physician is a faculty member and is based in a specified department in the BSD.Job SummaryThe Clinical Revenue Supervisor supports the management of billing, coding, and compliance functions within the department to ensure accurate and timely revenue capture. This role oversees the day-to-day operations of charge posting, coding accuracy, and workflow efficiency, ensuring adherence to documentation standards and regulatory requirements for CPT and ICD-9-CM/ICD-10-CM coding. The supervisor provides guidance and oversight to Coders and Abstractors, reviews billing processes and performance, and collaborates with department leadership to identify and resolve revenue or compliance issues. They serve as a key liaison between physicians, administrative staff, and revenue cycle teams to communicate regulatory updates and maintain best practices. In addition, the Clinical Revenue Supervisor participates in and may lead training and auditing initiatives that support compliance and promote understanding of departmental policies and expectations. This position requires a strong working knowledge of medical coding, billing procedures, and healthcare compliance, along with the ability to manage multiple priorities while maintaining accuracy and accountability in all aspects of the revenue cycle. The job provides professional support and solves straightforward problems in projects related to revenue cycle operations, including activities related to charging, billing, and collecting. Coordinates the management of successful billing and compliance activities with department managerial and executive staff.ResponsibilitiesSupports and oversees departmental billing, coding, and compliance functions to ensure accuracy, timeliness, and adherence to institutional and regulatory standards.Ensures that all professional and hospital charges are posted accurately and promptly, meeting all chart documentation, CPT, and ICD-9-CM/ICD-10-CM requirements.Supervises Abstractors/Coders and other staff, providing performance feedback, and guidance to maintain quality, consistency, and productivity.Ability to mentor and coach coders to support ongoing learning, professional advancement, and readiness for increased responsibility or promotion within the department.Maintains a comprehensive understanding of coding procedures, billing workflows, and compliance regulations, ensuring timely communication of updates to physicians, administrators, and staff.Leads or participates in internal audits, compliance reviews, and training sessions to promote understanding of policies, documentation standards, and billing expectations.Collaborates with departmental leadership to evaluate and enhance billing infrastructure, address workflow inefficiencies, and resolve charge capture or coding discrepancies.Monitors key performance indicators such as charge lag, coding accuracy, and claim denial trends to identify opportunities for improvement and support revenue integrity initiatives.Prioritizes chart documentation review and ensures the completion of all processes involved in accurate professional fee posting.Communicates effectively with physicians and clinical teams to clarify documentation requirements and support compliance with established guidelines.Performs related duties and special projects as assigned to support departmental objectives and the overall success of the clinical revenue cycle.Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.Performs other related work as needed.Education and QualificationsMinimum QualificationsMinimum requirements include a college or university degree in related field.Work ExperienceMinimum ExperienceMinimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.Certifications and PreferencesPreferred QualificationsBachelors degree.5 years of experience in professional coding.Must have experience coding complex surgeries across multiple specialties.Experience coding Evaluation & Management services.Previous leadership or supervisory experience.Proficiency in Microsoft Excel.Auditing experience strongly preferred.Epic experience strongly preferred.Certification through a nationally accredited body (e.g., AACP or AHIMA).Registered Health Information Administrator [RHIA] or Registered Health Information Technician [RHIT].Certified Coding Specialist-Physician-based [CCS-P], Certified Professional Coder [CPC], or Certified Coding Specialist [CCS]).Strong analytical, problem solving, interpersonal, verbal/written communication, organizational, project management and team development skills are necessary as is knowledge of health information systems and database technology.Create coding-based curriculum and training materials, deliver effective oral presentations and prepare concise written reports for a variety of audiences and possess basic computer skills.Comfortable speaking to groups of physicians, coders, or other professional audiences.Interpret documents such as, but not limited to encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions, and policy/procedure manuals.Thorough working knowledge of federal and state regulations regarding reimbursement.Comprehensive knowledge of third-party payer rules, procedures, and policies in all areas of billing and collection.Expertise in decision-making and accountability.Creativity and ability to recommend new procedures and implementation of said procedures.PC experience which includes spreadsheets, word processing, presentations, and databases.Working knowledge of healthcare billing and clinical systems.Working ConditionsIn Office when needed or upon request with minimal notice, usually less than twice a month/ Otherwise, 100% Remote.Application DocumentsResume (required)Cover Letter (preferred)When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.Additional Posting DetailsThe posted pay rate and range represent the University’s good faith estimate of the possible compensation offer for this role at the time of posting.EEO and NoticesReferrals increase your chances of interviewing at Biological Sciences Division at the University of Chicago by 2xThe University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, age, disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University\u2019s Notice of Nondiscrimination. Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form. All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. The University of Chicago\u2019s Annual Security & Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: http://securityreport.uchicago.edu. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.Job Post DetailsSeniority levelMid-Senior levelEmployment typeFull-timeJob functionProject Management and Information TechnologyIndustriesHigher EducationPosting StatementsThe University of Chicago is an equal opportunity employer and does not discriminate. Referrals increase your chances of interviewing at Biological Sciences Division at the University of Chicago by 2x #J-18808-Ljbffr



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