Revenue Cycle Manager (Coding Manager) - Professional Coding Division (PCD) - Patient Financial Services (PFS)

University of Iowa•Iowa City, IA

5d•Hybrid

About The Position

University of Iowa Health Care’s Professional Coding Division (PCD) is seeking a Coding Manager (Revenue Cycle Manager) to directly manage Coding Coordinators who typically supervise teams of 10 to 30 medical coders responsible for professional and hospital outpatient charges. This position will primarily oversee PCD’s Surgical Specialty Coding Production teams (general surgery, interventional radiology, orthopedics, neurology, transplant, and additional service lines). Serving as a resource for coding staff, the Coding Manager will provide expertise on departmental coding functions, coding guidelines, and payor regulations/policies. The Coding Manager is responsible for ensuring the completion, accuracy, and compliance of all medical coding functions, which may include, but are not limited to, promoting a positive and productive work environment, tailoring and/or creating coding policies and procedures, analyzing and presenting data to internal and external stakeholders, and developing or implementing process improvement initiatives. The Coding Manager will provide exceptional customer service to both our internal and external customers by demonstrating professionalism, excellent communication skills, and the ability to prioritize and coordinate inquiries. This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via Hybrid (Onsite/Microsoft Teams) from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location. The University of Iowa Health Care—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.® WE CARE Core Values: Welcoming - We have an environment where everyone has a voice that is heard; that promotes the dignity of our patients, trainees, and employees; and allows all to thrive in their health, work, research, and education. Excellence - We achieve and deliver our personal and collective best in the pursuit of quality and accessible health care, education, and research. Collaboration - We collaborate with health care systems, providers, and communities across Iowa and the region as well as within our UI community. We believe teamwork—guided by compassion—is the best way to work. Accountability - We behave ethically, act with fairness and integrity, take responsibility for our own actions, and respond when errors in behavior or judgment occur. Respect - We create an environment where every individual feels safe, valued, and respected, supporting the well-being and success of all members of our community. Empowerment - We commit to fair access to research, health care, and education for our community and opportunities for personal and professional growth for our staff and learners.

Requirements

Bachelor’s degree in healthcare administration, business administration, or a related field (or combination of relevant education and direct coding experience).
Coding certification (e.g., RHIT, RHIA, CPC, CCS) through a nationally recognized credentialing body such as AHIMA or AAPC.
5 or more years medical coding experience.
Specifically, experience coding for complex surgical/procedural areas.
2 or more years supervisory experience.
Proficiency with standard office computer software (i.e., Microsoft) applications.
Ability to learn and apply new software or coding knowledge quickly.
Ability to take initiative in identifying problems or opportunities for improvement, conceptualizing resolutions, and implementing change to workflow/processes.
Excellent written and interpersonal communication, customer service, and conflict resolution skills.
Detail oriented, with strong planning and organizational skills.
Strong understanding of Centers for Medicare and Medicaid Services (CMS) regulations and industry standards.
Demonstrated experience with maintaining confidentiality with information received.

Nice To Haves

Experience with Epic Systems.
Knowledge of University Human Resources policies and procedures, as well as UI Health Care coding policies and procedures.

Responsibilities

Plan, organize, and direct the coding operational and technical activities of assigned divisions for both physician and outpatient hospital coding within PCD.
Assist the Associate Director with administration of PCD by providing direction and oversight to Coding Representatives and Coding Coordinators within PCD.
Assist with planning unit goals and monitor progress to ensure established goals are being met.
Monitor the coding and billing performed for the centralized departments within PCD to ensure compliance with all regulations and billing practices.
Prepare and present periodic and recurring reports for administrators within UI Health Care.
Maintain the confidentiality of patient information.
Prepare and maintain appropriate reports to summarize the results of the department coding and billing activities.
Assist with budget preparation, projections, and monitoring.
Provide information and serve as a resource regarding coding and billing guidelines for physicians, clinical department administrators, and billing staff.
Obtain, prepare, assemble, and distribute educational materials regarding coding.
Perform human resource functions such as: interviewing, selection, training, performance evaluation, promotion, and disciplinary action; daily direct supervision for assigned staff; maintain personnel records: timecard management including vacation and sick leave approvals.
Provide additional education and training when opportunities are identified, or new processes are implemented.
Assist with the development and implementation of staff performance standards including development of motivational incentives within the institutional and state guidelines.
Assist with the coordination of intra-unit and inter-unit operations and procedures and participate in regular department meetings to discuss and assist in developing operational policies and procedures.
Advise staff and others requiring interpretation of policies and regulations of specific projects or programs in assigned work area.
Assist in the orientation, training, and education of new employees. Assist in review of work performed by new employee to ensure accurate and consistent coding and billing.
Assist in planning, developing, and implementing computer applications, upgrades to coding and billing systems, dictionary databases, claims submission, and other bolt on software products. Review payor policies and relay coding updates to appropriate departments.
Monitor statistical data including payer denial data to recommend and implement operational procedures and protocols to improve services, reduce costs, decrease days of revenue, and increase cash flow.
Assists with preparing and compiling special and periodic statistical and financial reports for the Director of PFS and/or Associate Director of PCD, as well as hospital and clinical department administrators.
Collaborate with internal stakeholders, such as hospital and clinical department administrators, clinical support staff, and healthcare practitioners.
Collaborate with allied staff in Human Resources, Health Care Information Systems, Health Information Management, Joint Office for Compliance, Revenue Integrity, and Patient Financial Services.
Collaborate with external stakeholders, such as third-party payors or coding vendors, professional healthcare organizations, and governmental agencies.