NEOGOV · 19 hours ago
CalAIM Billing and Coding Manager
Santa Barbara, CA
Full-time
Hybrid
Mid, Senior Level
$104K/yr - $133K/yr
4+ years expNEOGOV is seeking a CalAIM Billing and Coding Manager to join the County of Santa Barbara Health Department. This role involves managing medical coding and billing compliance, conducting audits, providing training, and ensuring adherence to relevant coding regulations.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Reviews medical records and documentation to ensure accurate and compliant use of CPT, HCPCS, ICD-10, and CalAIM Justice Involved code sets
Conducts routine and targeted coding audits, including monthly reviews of medical encounters for each Wellpath billing service provider; identifies errors, discrepancies, and potential compliance issues; and provides corrective feedback
Develops, delivers, and maintains a comprehensive medical coding training program for Wellpath billing service providers, including presentations, manuals, job aids, and one-on-one training sessions
Provides ongoing training on coding updates, documentation requirements, regulatory changes, and industry best practices; supports providers in improving coding accuracy and documentation quality
Analyzes coding and billing data to identify trends, risk areas, and opportunities for improvement; prepares detailed audit reports and presents findings to management and stakeholders
Participates in the development and review of policies, procedures, and standards related to coding, documentation, billing operations, and revenue cycle compliance
Supports operational strategies by identifying and resolving documentation or workflow issues, recommending improvements, and monitoring corrective action plans
Plans and implements special projects and initiatives aligned with CalAIM and County Health goals; coordinates activities with internal teams, contractors, and external partners
Builds and maintains positive working relationships with Wellpath billing providers, department staff, consultants, and external agencies using principles of excellent customer service
Represents the department in meetings, trainings, and discussions with internal and external partners regarding coding practices, compliance requirements, and audit findings
May oversee or coordinate the work of consultants or staff, including setting expectations, reviewing deliverables, and ensuring project quality and timelines
Conducts research and prepares reports, presentations, and recommendations related to coding operations, documentation standards, regulatory impacts, and program performance
Maintains current knowledge of CPT, HCPCS, ICD-10, CMS, HIPAA, CalAIM Justice Involved guidance, and other applicable state and federal regulations; evaluates how changes impact County Health operations and recommends appropriate actions
Performs other related duties as required
Qualification
Required
Equivalent of a bachelor's degree from an accredited four-year college or university a field related to Medical Billing, Health Information Management, and/ or Finance
Four (4) years of progressively responsible experience involving planning, analysis, coordination, and evaluation in a field related to Medical Medical Billing, Health Information Management, and/ or Finance
Extensive knowledge of CPT, HCPCS, ICD-10, and Medi-Cal/CalAIM Justice Involved coding requirements, including documentation standards and billing regulations
Experience conducting medical coding audits, identifying discrepancies, and providing constructive feedback to improve accuracy and compliance
Demonstrated skill in developing and delivering training programs, including creating clear instructional materials and providing one-on-one coaching
Strong analytical abilities to review coding data, identify trends, assess risk areas, and prepare clear, actionable reports for leadership
Familiarity with healthcare regulatory requirements including CMS and state billing guidelines
Excellent written and verbal communication skills, with the ability to explain complex coding concepts to diverse audiences
Strong organizational and time-management skills, including the ability to manage multiple ongoing audits, training schedules, and project deadlines
Ability to build positive working relationships with medical staff, billing service providers, contractors, and internal teams
A proactive, solutions-oriented approach to identifying operational issues and implementing process improvements
Commitment to accuracy, high-quality data, and ensuring full compliance in support of effective revenue cycle management
Professionalism, discretion, and strong customer-service skills when interacting with internal and external partners
Benefits
Generous County Defined Benefit Plan
Eligible to participate in 457(b) Deferred Compensation Plan
Retirement Reciprocity with CalPERS, CalSTRS, and 1937 Act plans
Choice of dental, vision and medical plans.
On-Site Employee Health Clinics in Santa Barbara and Santa Maria which provide ongoing and episodic services to eligible employees and their eligible dependents
Employee Assistance Program (EAP) offers free, confidential assistance with personal and workplace problems to employees and their immediate family members
Healthcare Advocacy Program to help employees navigate the complexities of health plan benefits
Available Health Care and Dependent Care Flexible Spending Accounts, Health Savings Account (HSA), Supplemental Term or Whole Life Insurance, Personal Accident Insurance, Critical Illness Insurance, Accident Insurance and more!
Vacation Leave 12 to 25 days per year depending on length of public employment
Sick Leave 12 days annually with unlimited accumulation, one year of which can be converted to service credit upon retirement
Paid Holidays based on bargaining unit
Alternative Transportation Benefit (TDM) up to 2 days of additional vacation for using alternative methods of commuting
County Paid Term Life Insurance
County Paid Long Term Disability Insurance
Childcare and Employee Discounts
Relocation Assistance may apply
Flexible work schedule may apply
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
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