Department
BSD UCP - Professional Billing Coding - Surgical Specialty
About the Department
The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises 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.
Responsibilities
- 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 infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
- Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
- Performs other related work as needed.
Minimum Qualifications Education: Minimum requirements include a college or university degree in related field.
Work Experience: Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.
Certifications: --- Preferred Qualifications Education: Experience: - 3 years of coding and/or audit experience, with experience coding highly complex surgical cases strongly preferred.
- Prior experience in an academic medical center or large, complex hospital-physician billing group strongly preferred.
- Experiencing using applications such as Excel and Powerpoint to review or prepare reports and presentations.
- Epic experience strongly preferred.
- Experience with medical coding audit software a plus.
- Experience with AI-Assisted or NLP coding tools a plus.
Licenses and Certifications: - Registered Health Information Administrator [RHIA] or Registered Health Information Technician [RHIT].
- Additional certification or credential in auditing or compliance from a nationally accredited organization (eg., Certified Professional Medical Auditor [CPMA], Auditing-Outpatient Coding [AOC], Certified E&M Auditor[CEMA]).
Preferred Competencies - Able to manage multiple priorities in a fast-paced environment.
- Strong attention to detail with analytical and problem solving skills with a drive for continuous improvement.
- Excellent verbal and written communication skills; comfortable speaking to groups of physicians, coders, or other professional audiences.
- Able to navigate challenging situations with professionalism and tact.
- Strong proficiency in Excel, PowerPoint and other office applications to analyze data, prepare reports and delivery presentations.
- Able to collaborate across interdisciplinary teams.
Working Conditions - This position is remote, with limited on-site presence required for meetings, training, team events.
Application Documents - Resume (required)
- Cover Letter (preferred)
When applying, the document(s)
MUST be uploaded via the
My Experience page, in the section titled
Application Documents of the application.
Job Family Financial Management
Role Impact Individual Contributor
Scheduled Weekly Hours 40
Drug Test Required No
Health Screen Required No
Motor Vehicle Record Inquiry Required No
Pay Rate Type Salary
FLSA Status Exempt
Pay Range $70,000.00 - $95,000.00
The included pay rate or range represents the University's good faith estimate of the possible compensation offer for this role at the time of posting.
Benefits Eligible Yes
The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook.
Posting Statement The University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, shared ancestry, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.
Job seekers in need of a reasonable accommodation to complete the application process should call 773-###-#### or submit a request via Applicant Inquiry Form.
All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.
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