Compliance Coordinator (Hybrid) - Pediatrics Central Administration

Washington University; Missouri; On-site; USD 71,000 - 110,000; Full time

Benefits offered by this job

Vacation & holidays

Health insurance

Metro transit U‑Pass

Retirement plan (403(b))

Wellness programs

Caregiver leave

Tuition assistance

Job summary

Washington University in Saint Louis seeks a Compliance Coordinator (Hybrid) for the Pediatrics Central Administration to supervise coding staff and lead compliance initiatives. The role develops chart review processes, educates providers and staff on government and payer regulations, and coordinates with the Compliance Office and BCHS on coding issues.

Responsibilities include advising physicians on billing problems, addressing third‑party denials with the Reimbursement Supervisor, and

Qualifications

• Graduated from an accredited school of nursing.
• RHIT certification (AHIMA) or RN license is required.
• No specific prior work experience required for this position.

Responsibilities

• Supervises coding and implements the division's compliance efforts, providing training and assistance.
• Develops and implements a chart review process for provider compliance with regulations.
• Conducts sessions with providers and staff to educate on carrier compliance rules.
• Leads documentation policy development for the division.
• Acts as liaison between providers, Compliance Office, and WUSBCS on coding issues.
• Advises physicians on billing problems and works with Reimbursement Supervisor to address denials.
• Performs chart extraction duties to maintain workflow.
• Ensures float coverage for supervised roles.

Skills

Chart Review

Computer Literacy

Employee Supervision

Interpersonal Communication

Medical Records Management

Education

RHIT - AHIMA

Missouri RN License

Job description

## Compliance Coordinator (Hybrid) - Pediatrics Central AdministrationApplyremote type: Hybridlocations: Washington University Medical Campustime type: Full timeposted on: Posted Todayjob requisition id: JR96669# **Location**SAINT LOUIS, MO 63110# **Scheduled Hours**40# **Position Summary**Responsible for supervising chart abstraction by coding staff, assisting in resolving related billing activities, developing and implementing medical review processes for determining provider and non-physician provider compliance with government and other third-party payer regulations.# **Job Description****Primary Duties & Responsibilities:*** Supervises coding and implements the division’s compliance efforts, providing training and assistance as required.* Develops/implements a review process of medical charts for provider compliance with government and third-party regulations.* Conducts review sessions with providers and coding staff to educate them on compliance with carrier regulations.* Assumes a leadership role in developing documentation policies and procedures for the division.* Serves as liaison between providers, the School’s Compliance Office, and WUSBCS concerning coding issues.* Consult/advise physicians with billing problems.* Works with the Reimbursement Supervisor to address and resolve third-party denials.* Performs chart extraction duties as needed to maintain a timely and consistent workflow.* Assures available float coverage for all supervised positions. **Working Conditions:**Job Location/Working Conditions* Normal office environment Physical Effort* Typically sitting at a desk or a table Equipment* Office equipmentThe 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.# **Required Qualifications****Education:**High school diploma or equivalent high school certification or combination of education and/or experience.**Certifications****/Professional Licenses****:**The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA), Registered Nurse - Missouri Division of Professional Registration**Work Experience:**No specific work experience is required for this position.**Skills:**Not Applicable**Driver's License:**A driver's license is not required for this position.# **More About This Job**## Required Qualifications:* Graduate of accredited school of nursing.## Preferred Qualifications:* Work with physicians one-on-one and in a committee setting.# **Preferred Qualifications****Education:**No additional education unless stated elsewhere in the job posting.**Certifications****/Professional Licenses****:**No additional certification/professional licenses unless stated elsewhere in the job posting.**Work Experience:**No additional work experience unless stated elsewhere in the job posting.**Skills:**Chart Review, Computer Literacy, Employee Supervision, Interpersonal Communication, Medical Records Management# **Grade**C13# **Salary Range**$70,600.00 - $109,500.00 / AnnuallyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.# **Questions**For frequently asked questions about the application process, please refer to our External Applicant FAQ.# **Accommodation**If you are unable to use our online application system and would like an accommodation, please email [e-mail] or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.# **Pre-Employment Screening**All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.# **Benefits Statement**Personal* 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* Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!Family* 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.For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/