County of Santa Barbara · 11 hours ago
CalAIM Billing and Coding Manager
Santa Barbara, CA
Full-time
Onsite
Mid, Senior Level
$104K/yr - $133K/yr
4+ years expThe County of Santa Barbara Health is seeking a full-time Billing, Trainer, Coding and Compliance Manager to join their Fiscal division. This role will serve as the department’s subject matter expert for medical coding, billing compliance, and CalAIM Justice Involved code sets, while conducting audits, providing education, and supporting revenue cycle management.
ConsultingGovernmentNon Profit
Responsibilities
Reviews medical records and documentation to ensure accurate and compliant use of CPT, HCPCS, ICD-10, and CalAIM Justice Involved code sets
Conducts routine and targeted coding audits, including monthly reviews of medical encounters for each Wellpath billing service provider; identifies errors, discrepancies, and potential compliance issues; and provides corrective feedback
Develops, delivers, and maintains a comprehensive medical coding training program for Wellpath billing service providers, including presentations, manuals, job aids, and one-on-one training sessions
Provides ongoing training on coding updates, documentation requirements, regulatory changes, and industry best practices; supports providers in improving coding accuracy and documentation quality
Analyzes coding and billing data to identify trends, risk areas, and opportunities for improvement; prepares detailed audit reports and presents findings to management and stakeholders
Participates in the development and review of policies, procedures, and standards related to coding, documentation, billing operations, and revenue cycle compliance
Supports operational strategies by identifying and resolving documentation or workflow issues, recommending improvements, and monitoring corrective action plans
Plans and implements special projects and initiatives aligned with CalAIM and County Health goals; coordinates activities with internal teams, contractors, and external partners
Builds and maintains positive working relationships with Wellpath billing providers, department staff, consultants, and external agencies using principles of excellent customer service
Represents the department in meetings, trainings, and discussions with internal and external partners regarding coding practices, compliance requirements, and audit findings
May oversee or coordinate the work of consultants or staff, including setting expectations, reviewing deliverables, and ensuring project quality and timelines
Conducts research and prepares reports, presentations, and recommendations related to coding operations, documentation standards, regulatory impacts, and program performance
Maintains current knowledge of CPT, HCPCS, ICD-10, CMS, HIPAA, CalAIM Justice Involved guidance, and other applicable state and federal regulations; evaluates how changes impact County Health operations and recommends appropriate actions
Performs other related duties as required
Qualification
Required
Equivalent of a bachelor's degree from an accredited four-year college or university a field related to Medical Billing, Health Information Management, and/ or Finance
Four (4) years of progressively responsible experience involving planning, analysis, coordination, and evaluation in a field related to Medical Billing, Health Information Management, and/ or Finance
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
Benefits
Retirement reciprocity
Time and service credit towards an advanced vacation accrual rate
Company
County of Santa Barbara
County of Santa Barbara is a government administration platform that offers public and government services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Lael Wageneck
Public Information Officer
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