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Physician Coding Manager Jobs in Virginia (NOW HIRING)

Valley Health

Manager, Physician Practice

Winchester, VA

$27.42 - $42.50/hr

... coding, billing or revenue cycle preferred Certification & Licensures American College of Medical ... management and strong interpersonal skills are essential Strong written and verbal communication ...

Valley Health

Manager, Physician Practice

Winchester, VA · On-site

$27.42 - $42.50/hr

... coding, billing or revenue cycle preferred Certification & Licensures American College of Medical ... management and strong interpersonal skills are essential Strong written and verbal communication ...

Valley Health

Manager, Physician Practice

Front Royal, VA · On-site

$27.42 - $42.50/hr

... coding, billing or revenue cycle preferred Certification & Licensures American College of Medical ... management and strong interpersonal skills are essential Strong written and verbal communication ...

Valley Health

Manager, Physician Practice

Front Royal, VA · On-site

$27.42 - $42.50/hr

... coding, billing or revenue cycle preferred Certification & Licensures American College of Medical ... management and strong interpersonal skills are essential Strong written and verbal communication ...

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Physician Coding Manager information

What are the key skills and qualifications needed to thrive as a physician coding manager?

To thrive as a Physician Coding Manager, you need expertise in medical coding, strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems, and often a credential such as CCS, CPC, or RHIA. Familiarity with electronic health record (EHR) systems, coding audit tools, and coding compliance software is typically required. Excellent leadership, attention to detail, and effective communication skills help manage coding teams and ensure accurate documentation. These abilities are crucial for ensuring regulatory compliance, optimizing revenue cycles, and maintaining data integrity in healthcare organizations.

What is the difference between Physician Coding Manager vs Medical Coding Specialist?

AspectPhysician Coding ManagerMedical Coding Specialist
CertificationsAHIMA or AAPC CPC, CCS, or CPC-HAHIMA or AAPC CPC, CCS, or CPC-H
Work EnvironmentHealthcare facilities, hospitals, clinicsMedical offices, billing companies, healthcare providers
Job FocusOversees coding teams, ensures compliance, manages coding processesPerforms detailed medical coding, reviews records, assigns codes
Common UsageHealthcare management, coding departmentsMedical billing, coding departments, healthcare providers

The Physician Coding Manager and Medical Coding Specialist roles both require coding certifications and work within healthcare settings. The manager oversees coding teams and ensures compliance, while the specialist focuses on detailed coding tasks. Both roles are essential in healthcare revenue cycle management, but differ mainly in responsibility level and scope.

What is a physician coding manager?

A Physician Coding Manager is a healthcare professional responsible for overseeing the medical coding process for physician services within a healthcare organization. They manage a team of coders, ensure compliance with coding regulations, and work to optimize coding accuracy and efficiency. Their role is crucial in ensuring that physicians are properly reimbursed for their services and that the organization avoids legal and financial risks related to coding errors. Physician Coding Managers also provide training, conduct audits, and collaborate with other departments to maintain high standards of coding practices.

How does a physician coding manager typically collaborate with clinical staff to ensure accurate documentation and coding compliance?

A Physician Coding Manager regularly works closely with physicians, nurses, and other clinical staff to clarify documentation and ensure that medical records accurately reflect the care provided. This collaboration often involves conducting training sessions, providing feedback on documentation practices, and addressing coding queries. By fostering open communication, the manager helps reduce coding errors, supports compliance with regulatory standards, and improves overall revenue cycle performance. Effective partnerships with clinical teams are essential for maintaining both the accuracy and integrity of medical coding.
What are the most commonly searched types of Physician Coding jobs in Virginia? The most popular types of Physician Coding jobs in Virginia are:
Physician Coding Manager jobs near you

Senior Billing and Coding Compliance Analyst & Educator

University of Virginia

Charlottesville, VA • On-site

$71K - $127K/yr

Full-time

Re-posted 10 days ago

University Of Virginia rating

7.9

Company rating: 7.9 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

208th of 618 rated colleges and universities

Job description

Reporting to the Director of Compliance and Privacy, the Sr Billing and Coding Compliance Analyst and Educator is responsible for working to ensure that UVA Health complies with the laws and regulations governing Federal healthcare programs (e.g., Medicare, Medicaid). This position is responsible for managing and/or conducting UVA Health's professional and facility billing and coding investigations and reviews and conducting post-review education for UVA Health billing providers and departments. The position monitors and collaborates with compliance and operational staff across UVA Health entities (e.g., UVA Medical Center, UVA Community Health, UPG) and any external vendors hired to conduct compliance reviews relating to billing investigations or compliance work plans.
  • Works to prepare the annual risk assessment and compliance work plan.
  • Conducts billing and coding-related investigations at UVA Health entities.
  • Conducts and/or manages billing and coding reviews conducted pursuant to the Compliance and Privacy Office's compliance work plan.
  • Designs and performs billing and coding-related education and training.
  • Collaborates with regulatory/compliance functions and staff throughout UVA Health to ensure that the compliance risk assessment captures operational risks and that mitigation plans are created and implemented as necessary.
  • Manages (as applicable) billing and coding related reviews conducted by external vendors/auditors.
  • Serves as the UVA Health Corporate Compliance and Privacy Office's primary contact for billing and coding related questions and advice.
  • Provides oversight and guidance to the development of policies and procedures surrounding documentation, charge capture, coding, and charge entry to ensure compliance with government and payer requirements and to ensure optimization of clinician revenue.
  • Works with UVA Health departments to ensure timely refunds of any overpayments to Federal program payors.
  • Prepares reports for the entity compliance steering committees, and recommends improvements / solutions, guidance, and remedies.
  • Works in cooperation with the executive staff, physicians, and clinical department management to enhance billing quality in a manner that will ensure compliance with government regulations, payer requirements and optimize revenue for the clinical practice.
  • Completes other projects and duties as assigned by Director and the Chief Corporate Compliance and Privacy Officer.

MINIMUM REQUIREMENTS
Education: Bachelor's degree required.
Experience: In lieu of a bachelor's degree, 9 years' experience in direct compliance audit and/or investigation experience in a physician and/or hospital billing environment or similar setting required. Experience in compliance hospital and physician billing required.
Licensure: Certified Professional Coder (CPC), AAPC or Certified Coding Specialist (CCS), AHIMA, required.
Other similar coding certifications may be considered.
PHYSICAL DEMANDS
This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.
The pay range for this role is $71,988.80 - $127,890.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.
Job Profile
J1694 - Medical Coding Professional 3
Career Stream and Level
Professional-P3
The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non-discrimination and equal opportunity employment .

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About University of Virginia

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The University of Virginia is distinctive among institutions of higher education. Founded by Thomas Jefferson in 1819, the University sustains the ideal of developing, through education, leaders who are well-prepared to shape the future of the nation.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Charlottesville, VA, US

Year founded

1819

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