Lincolnton, North Carolina
SOUTH SAN FRANCISCO, California
SOUTH SAN FRANCISCO, California
Orange, California
Ontario, California
Fredericksburg, Virginia
Fredericksburg, Virginia
Durham, North Carolina
Posted: 01-May-25
Location: Los Angeles, California
Internal Number: 147304277
UCLA Health is seeking a highly experienced Professional Coding Department Manager to oversee daily operations for a multi-specialty coding team within the Patient Billing Office. Reporting to the Director of Coding, this role manages coding workflows, supervises staff, ensures compliance with coding standards, and acts as a subject matter expert in specialties such as Anesthesia, Surgery, Radiology, Cardiology, and Internal Medicine. The manager will play a key role in optimizing performance, streamlining operations, enhancing resource tools, and leading training initiatives for both staff and supervisors. Responsibilities also include reviewing coding audits, resolving escalated issues, analyzing payer trends, and implementing departmental improvements in alignment with federal regulations and institutional goals.
Key Responsibilities:
- Oversee daily operations and resource allocation for a multi-specialty coding team
- Monitor productivity, workflow efficiency, coding accuracy, and ensure timely resolution of billing issues
- Serve as a subject matter expert for clinical departments and resolve complex coding and documentation questions
- Implement quality assurance initiatives, perform post-bill audits, and address payer denial trends
- Develop and deliver training programs for new and existing staff
- Prepare coder performance evaluations and manage corrective actions as needed
- Collaborate with IT, Compliance, and Billing teams to improve system edits and reduce denials
- Lead regular meetings with coding leadership to align team priorities and address department goals
- Contribute to team building, administrative planning, and support staff engagement initiatives
- Maintain advanced knowledge of coding regulations, AMA/CMS guidelines, and payer requirements
- CPC certification and at least one specialty (HCC, CPMA or CHC) certification required
- A minimum of five years in Coding or Billing Department Management or equivalent experience required
- Bachelor’s Degree or higher preferred
- Strong expertise in all facets of professional medical coding, including ICD-10, CPT, and HCPCS coding systems
- In-depth knowledge of CMS, Medicare, HIPAA, and payer-specific guidelines, especially for teaching hospitals
- Proficient in analyzing and summarizing data using Excel, Word, and PowerPoint
- Proven ability to develop training materials and educate staff on coding practices
- Excellent organizational, leadership, and team-building skills
- Demonstrated ability to manage multiple tasks, meet performance quotas, and adapt in a fast-paced environment
- Experience with electronic medical records, preferably UCLA Health systems
- Strong problem-solving skills, especially in resolving patient account and billing issues
- Effective written and verbal communication skills, including professional correspondence and documentation
- Ability to work independently, maintain confidentiality, and foster collaborative relationships across teams
