Manager Coding Compliance (Hybrid) - Surgery

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

2d • Hybrid

About The Position

Position handles the day to day operations of charge capture activities assuring compliance and maximizing revenue. Job Description Primary Duties & Responsibilities: Supervise Coding Coordinators to ensure hospital based services are captured timely and to maximize revenue. Directly interact and communicate with faculty on coding, charge capture, compliance and other billing related issues. Perform compliance related duties such as review of medical documentation, completion of physician audits and OPBC audits. Develop educational material and conduct regular meetings with faculty to determine methods of improving coding and documentation. Ensure staff attends scheduled training/in-services. Keeps abreast of procedures and changes affecting Medicare, Medicaid, HMO, PPO and related health care operations. Communicate policies and procedures to staff on billing issues to promote efficient flow of billing process. Monitor weekly charges, TES workfiles, MTC lists, approve write-offs per departmental policy. Ensure weekly completion of hospital missing charge lists and report physician in noncompliance of divisional/departmental missing operative note policy. Ensure OPBC and Departmental compliance guidelines applied to billed services. Create TES and Medicode edits to reduce reductions; monitor TES workfile for aging encounters. Serve as compliance liaison to WU Office of Physician Billing Compliance. Working Conditions: Job Location/Working Conditions: Normal office environment. Physical Effort: Typically sitting at a desk or table. Equipment: Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Requirements

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

Nice To Haves

• Ability to recognize, analyze and report trends through accounting and organizational skills.
• Supervisory skills necessary.

Responsibilities

• Supervise Coding Coordinators to ensure hospital based services are captured timely and to maximize revenue.
• Directly interact and communicate with faculty on coding, charge capture, compliance and other billing related issues.
• Perform compliance related duties such as review of medical documentation, completion of physician audits and OPBC audits.
• Develop educational material and conduct regular meetings with faculty to determine methods of improving coding and documentation.
• Ensure staff attends scheduled training/in-services.
• Keeps abreast of procedures and changes affecting Medicare, Medicaid, HMO, PPO and related health care operations.
• Communicate policies and procedures to staff on billing issues to promote efficient flow of billing process.
• Monitor weekly charges, TES workfiles, MTC lists, approve write-offs per departmental policy.
• Ensure weekly completion of hospital missing charge lists and report physician in noncompliance of divisional/departmental missing operative note policy.
• Ensure OPBC and Departmental compliance guidelines applied to billed services.
• Create TES and Medicode edits to reduce reductions; monitor TES workfile for aging encounters.
• Serve 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.
• 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