Compliance Coordinator (Hybrid) - Pediatrics Central Administration

Washington University in St. Louis; St. Louis (MO); On-site; USD 71,000 - 110,000; Full time

Benefits offered by this job

Vacation and holidays

Sick time

Metro U-Pass transit benefits

403(b) Retirement Savings Plan

Job summary

Washington University in St. Louis seeks a seasoned supervisor to oversee chart abstraction and compliance, training staff and coordinating with the University’s Compliance Office to ensure government and third-party payer regulations are met.

The role requires leadership in documenting policies, collaborating with providers and coding staff, and occasional chart extraction duties to maintain a timely workflow. Competitive benefits support long-term well-being.

Qualifications

• Graduate of an accredited school of nursing.
• RHIT and RN licenses may be required per role.
• No specific work experience required for this position.
• Demonstrated leadership and training abilities in chart abstraction/compliance.
• Ability to develop and implement medical review processes.

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.

Skills

Chart Review

Computer Literacy

Employee Supervision

Interpersonal Communication

Medical Records Management

Education

Graduate of accredited school of nursing

Job description

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.

Location

SAINT LOUIS, MO 63110

Scheduled Hours

40

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 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.

Education

Required Qualifications: 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

• Graduate of accredited school of nursing.

Preferred Qualifications

• Work with physicians one-on-one and in a committee setting.

Preferred Qualifications

No additional education unless stated elsewhere in the job posting.

No additional certification/professional licenses unless stated elsewhere in the job posting.

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 / Annually

The 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/

EEO Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.