Director Professional Billing Coding

Description

The Opportunity

UCHlth Admin Lowry, Denver, CO, UCHealth Professional Coding

Pay: $52.33 - $83.73 / hour. Pay is dependent on applicant's relevant experience

Summary:
The Director of Professional Billing Coding is a strategic leadership role responsible for overseeing PB coding operations at UCHealth. This includes ensuring the accuracy, completeness, and consistency of medical coding for all professional services, in compliance with all regulations. The Director will lead a team of coding professionals, implement best practices, leverage technology, and collaborate cross-functionally to optimize revenue integrity, mitigate compliance risks, and support the overall financial health of the organization.

Key Responsibilities

The Director Coding plays a key role in the health system's strategic and operational efforts:

· Develop, implement, and monitor coding strategies, policies, and procedures that align with organizational goals and regulatory requirements.

· Foster a culture of continuous improvement, accountability, and excellence within the professional coding department.

· Oversee the daily operations of the professional coding team.

· Establish and maintain robust quality assurance programs, including regular audits, feedback mechanisms, and targeted education to ensure coding accuracy rates meet or exceed organizational and industry standards.

· Evaluate, implement, and optimize coding technologies.

· Leverage data analytics to identify coding trends, opportunities for improvement, and potential compliance risks.

· Partner closely with Revenue Integrity, Business Services, Clinical Operations, and IT to ensure a cohesive and effective revenue cycle.

· Mentor and develop team leaders, supporting staff retention, growth, and succession planning

Candidate Qualifications

The successful candidate will meet the following requirements:

· Minimum Required Education: High school diploma or GED.

· Required Licensure/Certification: Coding-related certification from AHIMA or AAPC.

· Preferred: Bachelor’s degree or certified as a Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA).

· Minimum Experience: 5 years of relevant experience in professional coding management

Skills and Traits

• Expert knowledge of coding guidelines: ICD-10-CM/PCS, CPT, HCPCS, and official coding clinic guidelines.
• Strong leadership and management skills: Ability to inspire, motivate, and develop a high-performing team.
• Analytical and problem-solving skills: Ability to analyze complex data, identify trends, and implement effective solutions.
• Excellent communication skills: Verbal, written, and presentation skills to effectively interact with all levels of staff, management, and external partners.
• Regulatory compliance: In-depth understanding of healthcare compliance principles and risk management related to coding.
• Project management: Ability to manage multiple projects, prioritize tasks, and meet deadlines.
• Technical proficiency: Comfortable with various healthcare IT systems and data analytics tools.

UCHealth invests in its Workforce.

UCHealth offers an Annual Incentive Bonus to recognize employee’s contributions to our success in quality, patient experience, organizational growth, and financial goals. 

UCHealth offers their employees a competitive and comprehensive total rewards package (benefit eligibility is based off of FTE status):

• Medical, dental and vision coverage including coverage for eligible dependents
• 403(b) with employer matching contributions
• Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI)
• Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options
• Employer paid short term disability and long-term disability with buy-up coverage options
• Wellness benefits
• Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs
• Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year

Loan Repayment:

• UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization. 

Who We Are (uchealth.org)