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University of Chicago · 1 day ago

Supervisor, Professional Coding, Audit & Education

United States

Full-time

Remote

Entry, Mid Level

$70K/yr - $95K/yr

2+ years exp

The University of Chicago is a leading institution in the field of medical education and healthcare. The Supervisor, Professional Coding, Audit & Education is responsible for improving coding accuracy and compliance through audits and education, while also managing day-to-day coding operations and serving as a liaison between various stakeholders.

Higher Education

H1B Sponsor Likely

Responsibilities

Provide guidance and supports surgical coders in day-to-day revenue cycle activities of charge capture and coding; monitor WQs for charge lag, delays in documentation and serve as the first point of escalation for coding or billing questions

Independently conducts coding and documentation audits, including review of external audit findings, to identify trends, risks, and improvement opportunities

Translate audit findings into practical, provider-friendly feedback

Monitor post-education outcomes to assess effectiveness and adjust strategies as needed

Partner with departmental leadership, revenue integrity, compliance and other operational teams on revenue cycle initiatives with a focus on efficiency, education, and continuous improvement

Ensures that all professional and hospital charges are posted accurately and promptly, meeting all chart documentation, CPT and ICD-10-CM requirements

Thorough working knowledge of federal and state regulations as well as payer and other guidelines regarding reimbursement

Serve as a subject matter expert for professional coding and documentation standards

Ability to mentor and coach coders to support ongoing learning, professional advancement, and readiness for increased responsibility or promotion within the department

Lead or participate in compliance reviews and training sessions to promote understanding of policies, documentation standards, and billing expectations

Lead or participate in new provider coding orientation

Maintains a comprehensive understanding of coding procedures, billing workflows, and compliance regulations, ensuring timely communication of updates to physicians, administrators, and staff

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

Surgical codingHealthcare complianceCoding auditsEpic experienceExcel proficiencyPowerPoint proficiencyMedical coding softwareAnalytical skillsCommunication skillsCollaboration skillsProblem-solving skills

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

Registered Health Information Administrator [RHIA] or Registered Health Information Technician [RHIT]

Additional certification or credential in auditing or compliance from a nationally accredited organization (eg., Certified Professional Medical Auditor [CPMA], Auditing-Outpatient Coding [AOC], Certified E&M Auditor[CEMA])