Supervisor, Professional Coding, Audit & Education

Overview

Department BSD UCP - Professional Billing Coding - Surgical Specialty

The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprise the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes.

The BSD is located on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty practicing at the University of Chicago.

These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). The University of Chicago Physicians' Group (UCPG) is a component of the physician practice plan for the University of Chicago. The UCPG department provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments.

Each physician is a faculty member and is based in a specified department in the BSD.

Job Summary

The job provides professional support and solves straightforward problems in projects related to revenue cycle operations, including activities related to charging, billing, and collecting. Coordinates the management of successful billing and compliance activities with department managerial and executive staff. The Supervisor, Professional Coding, Audit & Education is responsible for improving the accuracy, consistency, and quality of professional coding and provider documentation through targeted audits, data-driven feedback, and provider education.

This role partners closely with coders, providers, and operational leaders to identify trends, reduce risk, optimize revenue and support compliant, high-quality coding practices. This role oversees the day-to-day operations of charge posting, coding accuracy, and workflow efficiency, ensuring adherence to documentation standards and regulatory requirements for CPT and ICD-10-CM coding. They serve as a key liaison between physicians, administrative staff, and revenue cycle teams to communicate regulatory updates and maintain best practices.

This position requires a strong working knowledge of surgical coding, billing procedures, and healthcare compliance, along with the ability to manage multiple priorities while maintaining accuracy and accountability in all aspects of the revenue cycle.

• Provide guidance and supports surgical coders in day-to-day revenue cycle activities of charge capture and coding; monitor WQs for charge lag, delays in documentation and serve as the first point of escalation for coding or billing questions.
• Independently conducts coding and documentation audits, including review of external audit findings, to identify trends, risks, and improvement opportunities.
• Translate audit findings into practical, provider-friendly feedback.
• Monitor post-education outcomes to assess effectiveness and adjust strategies as needed.
• Partner with departmental leadership, revenue integrity, compliance and other operational teams on revenue cycle initiatives with a focus on efficiency, education, and continuous improvement.
• Ensures that all professional and hospital charges are posted accurately and promptly, meeting all chart documentation, CPT and ICD-10-CM requirements.
• Thorough working knowledge of federal and state regulations as well as payer and other guidelines regarding reimbursement.
• Serve as a subject matter expert for professional coding and documentation standards.
• Ability to mentor and coach coders to support ongoing learning, professional advancement, and readiness for increased responsibility or promotion within the department.
• Lead or participate in compliance reviews and training sessions to promote understanding of policies, documentation standards, and billing expectations.
• Lead or participate in new provider coding orientation.
• Maintains a comprehensive understanding of coding procedures, billing workflows, and compliance regulations, ensuring timely communication of updates to physicians, administrators, and staff.
• Performs related duties and special projects as assigned to support departmental objectives and the overall success of the clinical revenue cycle.
• Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.
• Has a moderate/solid understanding of coding procedures, workflow issues, billing…