Manager Coding Compliance (Remote) - Orthopedic Surgery

Washington University in St. Louis

8d • Remote

About The Position

Handles the day-to-day operations of charge capture activities assuring compliance and maximizing revenue.

Requirements

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

Nice To Haves

• Accounting
• Code Compliance
• Coding Compliance
• Compliance Management
• Healthcare Auditing
• Health Care Regulation
• Health Insurance Portability & Accountability Act (HIPAA)
• ICD Coding
• Medical Billing and Coding
• 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 material and conducts regular meetings with faculty to determine methods of improving coding and documentation.
• Assures 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 work files, MTC lists, approves write-offs per departmental policy.
• Assures weekly completion of hospital missing charge lists and report physician in noncompliance of divisional/departmental missing operative note policy.
• Assures OPBC and Departmental compliance guidelines applied to billed services.
• Creates TES and Medicode edits to reduce reductions, monitors TES work files for aging encounters.
• Serves as compliance liaison to WU Office of Physician Billing Compliance.
• Performs other duties as assigned.

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: Manager
• Number of Employees: 1,001-5,000 employees