Coordinator Medical Coding/Claims (Remote) - Pediatrics Central Administration

Washington University in St. Louis

12d • Remote

About The Position

This position queries providers and works closely with the Pediatrics Coding Supervisors on coder and physician education as Lead Coder. Responsible for meeting with physicians and administrators as requested. Coding Coordinators are a resource to inpatient coders and assist in training new coders. Performs scheduled or Ad Hoc coder audits. Reviews and resolves Epic edits and assists with appeal requests for accurate and timely billing. Cover coding assignments as needed and cross-cover Coding Supervisor.

Requirements

• Associate degree or combination of education and experience may substitute for minimum education.
• Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA)
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)
• Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA)
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
• Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC)
• Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC)
• Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC)
• Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
• Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
• Relevant Experience (2 Years)
• Experience equivalent of Associate’s degree or 2 to 3 years of related experience in areas such as medical coding, claims processing, billing/collection practices and accounting.

Nice To Haves

• Working ability to use a variety of coding and claims systems.
• Communication
• Confidentiality
• CPT Coding
• Data Systems
• Effective Written Communication
• ICD-10 Procedure Coding System
• Interpersonal Communication
• Medical Terminology
• Office Equipment
• Oral Communications
• Professional Etiquette

Responsibilities

• Sends queries to providers, as well as, documentation feedback.
• Works closely with Pediatric Compliance Manager on coder and physician education.
• Pulls notes, creates spreadsheets, and meets with physicians and administrators as requested.
• Resource to inpatient coders and assists in training new coders.
• Performs quarterly scheduled coder and ad-hoc coder audits.
• Assists with in-patient coder assignments based on Epic daily Work Que volumes.
• Resolves Epic edits and other appeals requests to ensure timely billing and accurate billing.
• Reviews coding and billing reports to ensure accuracy.
• Identifies issues that require Epic ticket generation.
• Provides feedback to Supervisor on the status of outstanding physician deficiencies and other concerns that may affect daily workflow.
• Manages Epic Work Ques to identify encounters that drop out of the Coder’s filtered work que view; identifies coding topics/issues for monthly coder meetings.
• Acts as Lead Coder covering coding assignments as needed at multiple hospital locations and multiples divisions.
• Reviews documentation to determine proper CPT and ICD-10 codes for E & M services, procedures, and tests provided by department physicians.
• Cross-covers for Coding Supervisor as needed.
• Maintains coding certification.
• Develops/implements plan for information intake and claims processing from submission to payment.
• Coordinates with staff to determine special project needs, budget information; submits documentation and implements process modifications.
• Monitors schedules and processes to provide effective follow-up, system maintenance and claims completion.
• Reviews process maps and claims history and organizes and oversees training courses relative to process developments.
• Serves as liaison between department and associations, vendors, public relations offices, etc. regarding coding/claims and special project processes.
• Provides testing processes, test results review and secretarial support for routine and special projects.
• Establishes mailing list, filing and contact source lists.
• Provides backup for front desk, answering telephones, mailing out results and other duties.

Benefits

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Take advantage of our free Metro transit U-Pass for eligible employees.
• WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
• We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
• WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees