Manager, Coding

UPMC Senior Communities • $75K — $95K *
US-AnywhereRemote in Pittsburgh, PA
Healthcare
Less than 5 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's Degree in healthcare administration, business, or related field; Health Information or Medical Insurance certification preferred.
  • 3+ years of experience in clinical/procedural coding for physician and/or hospital.
  • Basic knowledge of managed care delivery systems.
  • Experience interacting with physician/provider practices across various insurance/network products (HMO, POS, PPO).
  • Strong written and verbal communication skills.
  • Ability to manage multiple priorities and projects professionally.
  • Proficiency in PC-based systems.

Responsibilities

  • Meet regularly with clients and team to communicate project status.
  • Oversee the resolution of claims issues related to correct coding initiatives.
  • Conduct a satisfaction survey for the coding client base.
  • Facilitate coding project implementations from preparation to full production.
  • Engage in client development activities, including relationship building and identifying up-selling opportunities.
  • Coordinate training and educational sessions for coding staff.
  • Develop presentations for client visits.

Benefits

  • Work-from-home flexibility with occasional in-person work in Pittsburgh, PA.
  • Standard Monday to Friday business hours schedule.
  • Opportunity for personal growth and development through training responsibilities.
Full Job Description
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.


Qualifications:

  • 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

About UPMC Senior Communities

UPMC Senior Communities Careers

There has never been a better time to explore the diverse job opportunities at UPMC Senior Communities—the leading network of senior living facilities focused on innovative care and professional excellence.

Work You’ll Do

Join UPMC Senior Communities to assist in transforming the experience of aging through top-tier care and wellness programs. This is an opportunity to be part of a team that values leadership, diversity, and innovation in the healthcare sector. Lead in a unique role where skills in healthcare, empathy, and leadership converge to enhance the lives of seniors. UPMC Senior Communities stands at the forefront of the industry, integrating advanced technology and personalized care practices. Engage with a professional network of healthcare providers and administrators dedicated to pioneering improvements in senior living. Collaborate with over 3,000 dedicated professionals across various facilities.

Introducing the UPMC Senior Communities Professional Development Program

The program is designed to foster career growth through comprehensive training, leadership development, and diversity training. UPMC Senior Communities is committed to nurturing the professional growth of its team members through continuous education and opportunities for advancement.

Do Innovative Work

Be part of a culture that thrives on innovation and continuous improvement. UPMC Senior Communities employs a vast array of healthcare professionals and support staff, all dedicated to setting new standards in senior care.

Drive Change in Senior Healthcare

Deliver targeted solutions and personalized care that significantly improve the quality of life for residents. UPMC Senior Communities offers a platform for professionals to apply their expertise in a meaningful and impactful way.

Be Part of a Great Team

Work alongside a team that values compassion and professionalism, harnessing the collective capabilities to deliver exceptional care. UPMC Senior Communities promotes a collaborative environment where every team member’s contribution is valued.

Future-Proof Your Career

Advance your career within UPMC Senior Communities through a variety of pathways, from direct care positions to administrative roles. Enjoy robust benefits, professional development programs, and a supportive work environment that encourages long-term career growth.

Explore

Discover how UPMC Senior Communities leads the way in senior healthcare innovation: - Implementing cutting-edge health technology to enhance resident care - Developing community-based programs that support holistic wellness

The UPMC Senior Communities Employment Promise

With a commitment to employee satisfaction and career development, UPMC Senior Communities ensures that all team members have the resources and support to succeed. Clients and their families rely on UPMC Senior Communities for compassionate and skilled care, making it a prime choice for those seeking meaningful employment in the healthcare sector.

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