The UPMC Coding Department is hiring a Coding Manager to support outpatient and inpatient coding. This position will be a work-from-home position, working Monday through Friday during business hours. On occasion, there may be in-person work in Pittsburgh, PA.
The Manager, Coding is a mid-level professional position that is responsible for handling routine, day-to-day coding and rate inquiries from provider practices and hospitals. Specifically, coding components that impact reimbursement, fee schedules, capitation and claims payment issues. In this role, a key responsibility will be the onboarding and training of new hires.
Responsibilities:
- Meet regularly with client and team to monitor and communicate project status.
- Oversee the review, analysis, and resolution of claims issues related to correct coding initiatives.
- Conduct client satisfaction survey assessments for coding client base.
- Facilitate client coding project implementations from pre-production, to ramp up through full production.
- Engage in client development activities. Activities include but are not limited to establishing contact relationships and identifying up-selling and cross-selling opportunities.
- Coordinate training and educational sessions as required for coding operations staff.
- Develop value-driven presentations for delivery during client visits.
- Work on special projects that involve coding.
- Ensure completion of inquiries and requests for researching and providing fee schedule and rate information as they relate to correct coding.
- Establish client expectations and effectively communicate to appropriate parties.
- Work closely with the coding operations team to meet client productivity and quality outcomes.
- Bachelor's Degree in health care administration, business and/or other related discipline; OR graduate of an approved Health Information program or Medical Insurance Certificate Program preferred.
- Three years of experience in physician and/or hospital clinical/procedural coding.
- Basic understanding of managed care delivery systems.
- Direct experience in dealing with physician/provider practices with HMO, POS, PPO or other insurance/network products.
- Excellent written and verbal communication skills.
- Ability to handle multiple priorities/projects in a professional manner.
- Proficiency in utilizing PC based system applications.
Licensure, Certifications, and Clearances:
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran