Manager Coding Compliance (Hybrid) - Surgery

Washington University in St. Louis • St. Louis, MO

82d • $68,100 - $105,500

About The Position

Position handles the day to day operations of charge capture activities assuring compliance and maximizing revenue. The position supervises Coding Coordinators to assure hospital based services captured timely and to maximize revenue. It involves direct interaction and communication with faculty on coding, charge capture, compliance and other billing related issues. The role also includes performing compliance related duties such as review of medical documentation, completion of physician audits and OPBC audits. Additionally, the position develops educational materials and conducts regular meetings with faculty to determine methods of improving coding and documentation. The individual ensures staff attends scheduled training/in-services and keeps abreast of procedures and changes affecting Medicare, Medicaid, HMO, PPO and related health care operations. The position communicates policies and procedures to staff on billing issues to promote efficient flow of the billing process, monitors weekly charges, TES workfiles, MTC lists, approves write-offs per departmental policy, and ensures weekly completion of hospital missing charge lists. The role also reports physician noncompliance of divisional/departmental missing operative note policy and ensures OPBC and Departmental compliance guidelines are applied to billed services. The individual creates TES and Medicode edits to reduce reductions and monitors TES workfile for aging encounters, serving as compliance liaison to WU Office of Physician Billing Compliance.

Requirements

• Bachelor’s degree or combination of education and/or experience may substitute for minimum education.
• Supervisory experience of 5 years.

Nice To Haves

• Skills in Accounting, Code Compliance, Organizing, Supervisory Management, Trend Analysis, Trend Reporting.

Responsibilities

• Supervises Coding Coordinators to assure hospital based services captured timely and to maximize revenue.
• Directly interacts and communicates with faculty on coding, charge capture, compliance and other billing related issues.
• Performs compliance related duties such as review of medical documentation, completion of physician audits and OPBC audits.
• Develops educational materials and conducts regular meetings with faculty to determine methods of improving coding and documentation.
• Ensures staff attends scheduled training/in-services.
• Keeps abreast of procedures and changes affecting Medicare, Medicaid, HMO, PPO and related health care operations.
• Communicates policies and procedures to staff on billing issues to promote efficient flow of billing process.
• Monitors weekly charges, TES workfiles, MTC lists, approves write-offs per departmental policy.
• Ensures weekly completion of hospital missing charge lists and reports physician in noncompliance of divisional/departmental missing operative note policy.
• Ensures OPBC and Departmental compliance guidelines applied to billed services.
• Creates TES and Medicode edits to reduce reductions; monitors TES workfile for aging encounters.
• Serves as compliance liaison to WU Office of Physician Billing Compliance.

Benefits

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Free Metro transit U-Pass for eligible employees.
• Defined contribution (403(b)) Retirement Savings Plan with 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.
• 4 weeks of caregiver leave to bond with your new child.
• Tuition coverage for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree