Manager, Coding

UPMC

2d•Remote

About The Position

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.

Requirements

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.
Act 34

Nice To Haves

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.

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.