Documentation and Coding Manager

University of California, San Francisco • San Francisco, CA

9d

About The Position

The Documentation and Coding Manager manages the Department of Emergency Medicine’s documentation integrity responsibilities in conjunction with the UCSF Health Faculty Practice Revenue Management Organization and the Clinical Practice Group at Zuckerberg San Francisco General Hospital. The position also provides analytical support to the DEM leadership team. The manager leads projects and/or team members, proposes programs and policies based on best practices, and manages projects of varying complexity and scope. The role calls for independent judgment, organization, initiative, prioritization, professionalism, diplomacy, advanced technical skills, and the ability to work with little or no supervision. The incumbent manages project-based problem solving from information gathering and analysis through written recommendations or completed projects, anticipates issues and stakeholder needs, and takes independent action to resolve problems.

The position oversees professional-fee coding operations and documentation integrity across DEM sites, supporting accurate, compliant documentation and timely billing and reimbursement. It works with clinical, technical, administrative, and financial leaders to improve workflows, monitor revenue-cycle performance, maintain compliance, and recommend operational and system improvements.

The Department of Emergency Medicine provides care to more than 177,000 patients annually at UCSF Medical Center at Parnassus, UCSF Benioff Children’s Hospitals at Mission Bay and Oakland, and Zuckerberg San Francisco General Hospital and Trauma Center. Its administrative and research staff supports faculty, residency and fellowship programs, housestaff, and students.

Requirements

• At least 5 years of related experience.
• In-depth knowledge of healthcare revenue-cycle practices and operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
• In-depth understanding of revenue-cycle measurement and analysis, including processes, reporting instruments, metrics, dashboard design, and related tools and techniques.
• Advanced organizational and project-management skills, including ability to lead a team, prioritize tasks, and complete projects on schedule.
• Advanced report-development and dashboard-design skills, and experience with software tools specific to healthcare revenue-cycle management.
• Skills with common database, spreadsheet, and presentation software.
• Advanced communication skills and ability to explain complex clinical-finance information clearly and concisely.
• Ability to prepare informative reports and presentations for staff and management at all levels.
• Advanced analytical and problem-solving skills to evaluate workflows and systems, identify weaknesses, and develop solutions and process improvements.
• Advanced interpersonal skills and ability to collaborate on complex projects with diverse business and clinical areas.
• Ability to advise management as a technical expert and provide improvement proposals and guidance on regulatory changes and industry trends.
• Bachelor’s degree in a related area and/or equivalent experience or training.
• Certified Professional Coder (CPC) certification.

Nice To Haves

• Master’s degree in a related area and/or equivalent experience or training.

Responsibilities

• Participate in establishing quality standards, expectations, and benchmarks for billing and collections documentation.
• Design models using departmental input, operational experience, and best-practice research.
• Analyze statistical and financial results and assess revenue-cycle workflows and system efficiencies.
• Collaborate with clinical, technical, administrative, and financial leaders to develop or improve documentation workflows that support revenue management.
• Oversee physician documentation reviews at DEM sites, identify non-compliant charts, and communicate with physicians to promote timely completion and accurate, compliant documentation.
• Manage compliance activities, including education and training for faculty and staff and updates on coding rules, regulations, University Compliance Office guidelines, CMS requirements, and payer policies.
• Perform chart-review audits at DEM sites as needed and propose remediation and improvement strategies.
• Analyze complex financial data, identify revenue-cycle trends, and prepare reports and presentations for leadership with proposals to maximize revenue.
• Lead or monitor project progress and priorities.
• Work with departments across the system to define needs, goals, metrics, system requirements, and capabilities.
• Evaluate revenue-cycle workflows as a technical leader and recommend improvements to efficiency and timeliness.
• Guide development of complex workflow improvements that integrate revenue-cycle practices and maximize revenue.
• Recommend and implement processes and systems to improve charge integrity, reconciliation, and charge linkages from ancillary charging systems.
• Develop and implement system, policy, and procedure changes to maintain compliance with government regulations, reimbursement requirements, and other financially consequential matters.
• Monitor government regulations and third-party carrier requirements and provide information about trends, best practices, and internal or external compliance issues.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager