CalAIM Billing and Coding Manager

Overview

SALARY: $ - $ Annually

County of Santa Barbara Health is accepting applications for a full-time Billing, Trainer, Coding and Compliance Manager to join the Fiscal division and serve as the department’s subject matter expert for medical coding, billing compliance, and CalAIM Justice Involved code sets. This position will be located in Santa Barbara
. County classification title is Financial Services Management Professional Senior
.

Under general direction, this role will conduct coding audits, provide ongoing education to Wellpath billing service providers, and ensure adherence to CPT, HCPCS, ICD-10, and CalAIM coding requirements. The position is responsible for analyzing coding trends, identifying opportunities for improvement, developing training programs, and supporting revenue cycle management while maintaining full compliance with federal, state, and County regulations. The ideal candidate will have extensive experience in medical coding and billing compliance, strong analytical and organizational skills, and the ability to effectively lead training and collaborate with internal teams and external partners.

All County leaders are expected to uphold the values of accountability, customer-focus, and efficiency. Incumbents lead others and model behaviors that exemplify quality customer service; provide effective and ethical leadership; creatively and strategically plan, develop, and implement programs that use human and financial resources to achieve results; are accountable for strategy and goal formation consistent with the County’s mission and key business objectives;

engage stakeholders; communicate and collaborate effectively at multiple levels; develop employees; analyze issues and data; and efficiently use public resources.

The CalAIM (California Advancing and Innovating Medi-Cal) initiative is a multi-year effort by the California Department of Health Care Services to transform Medi-Cal into a more coordinated, person-centered, equitable health system. CalAIM expands and integrates services that address physical, behavioral, and social needs, improves access to care, reduces disparities, and supports whole-person health for Medi-Cal members across the lifespan. Local implementation aligns with state goals to enhance care management, address social determinants of health, and strengthen outcomes for vulnerable populations.

• Extensive knowledge of CPT, HCPCS, ICD-10, and Medi-Cal/CalAIM Justice Involved coding requirements, including documentation standards and billing regulations.
• Experience conducting medical coding audits, identifying discrepancies, and providing constructive feedback to improve accuracy and compliance.
• Demonstrated skill in developing and delivering training programs, including creating clear instructional materials and providing one-on-one coaching.
• Strong analytical abilities to review coding data, identify trends, assess risk areas, and prepare clear, actionable reports for leadership.
• Familiarity with healthcare regulatory requirements including CMS and state billing guidelines.
• Excellent written and verbal communication skills, with the ability to explain complex coding concepts to diverse audiences.
• Strong organizational and time-management skills, including the ability to manage multiple ongoing audits, training schedules, and project deadlines.
• Ability to build positive working relationships with medical staff, billing service providers, contractors, and internal teams.
• A proactive, solutions-oriented approach to identifying operational issues and implementing process improvements.
• Commitment to accuracy, high-quality data, and ensuring full compliance in support of effective revenue cycle management.
• Professionalism, discretion, and strong customer-service skills when interacting with internal and external partners.

This is the third (advanced journey) level in the Management Professional job family. This class is distinguished from subordinate classes within the series by the greater level of responsibility assumed, complexity of duties assigned, independence of action taken, and…