Biological Sciences Division at the University of Chicago ยท 2 months ago
Manager, Professional Coding Services
The Biological Sciences Division at the University of Chicago is seeking a Manager for Professional Coding Services to oversee billing, coding, and compliance functions. This role ensures accurate revenue capture and provides guidance to coders while collaborating with departmental leadership to enhance billing infrastructure and address compliance issues.
Higher Education
Responsibilities
Supports 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
Qualification
Required
Minimum requirements include a college or university degree in related field
Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline
Strong working knowledge of medical coding, billing procedures, and healthcare compliance
Ability to manage multiple priorities while maintaining accuracy and accountability in all aspects of the revenue cycle
Ability to mentor and coach coders to support ongoing learning, professional advancement, and readiness for increased responsibility or promotion within the department
Moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff
Ability to communicate effectively with physicians and clinical teams to clarify documentation requirements and support compliance with established guidelines
Ability to perform related duties and special projects as assigned to support departmental objectives and the overall success of the clinical revenue cycle
Preferred
Bachelor's 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
Knowledge of health information systems and database technology
Ability to create coding-based curriculum and training materials, deliver effective oral presentations and prepare concise written reports for a variety of audiences
Comfortable speaking to groups of physicians, coders, or other professional audiences
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
Benefits
Health, retirement, and paid time off
Company
Biological Sciences Division at the University of Chicago
As part of the University of Chicago, the Biological Sciences Division (BSD) pursues globally impactful solutions to seemingly unsolvable challenges.
Funding
Current Stage
Late StageCompany data provided by crunchbase