Manager Coding Compliance (Hybrid) - Surgery

Washington University in St. Louis; St. Louis (MO); On-site; USD 68,100 - 105,500; Full time

Benefits offered by this job

22 days of vacation

Competitive health insurance

Tuition assistance

Free Metro transit U-Pass

Retirement Savings Plan with contributions

Job summary

A prominent university in St. Louis is seeking an experienced operations supervisor to oversee charge capture activities. The role involves supervising coding coordinators, interacting with faculty on billing and coding compliance, and performing audits. Candidates should possess a Bachelor's degree and supervisory experience. Generous benefits, including vacation days and educational assistance, make this a rewarding position in a supportive environment.

Qualifications

• Bachelor's degree or combination of education and/or experience may substitute for minimum education.
• No specific certification/professional license is required.
• Supervisory experience of at least 5 years.

Responsibilities

• Supervises Coding Coordinators to maximize revenue.
• Interacts with faculty on coding and compliance issues.
• Performs compliance-related duties such as audits.
• Develops educational materials for faculty.
• Ensures staff attends scheduled training.
• Keeps informed on Medicare and Medicaid procedures.

Skills

Accounting

Code Compliance

Organizing

Supervisory Management

Trend Analysis

Trend Reporting

Education

Bachelor's degree or equivalent experience

Job description

Position Summary

Position handles the day to day operations of charge capture activities assuring compliance and maximizing revenue.

Scheduled Hours

40

Primary Duties & 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.

Working Conditions

• Normal office environment.

Physical Effort

• Typically sitting at a desk or table.

Equipment

• Office equipment.

Education & Qualifications

Education: Bachelor’s degree or combination of education and/or experience may substitute for minimum education.

Certification/Professional Licenses: No specific certification/professional license is required for this position.

Schedule: Supervisory (5 Years)

Skills: Accounting, Code Compliance, Organizing, Supervisory Management, Trend Analysis, Trend Reporting

Driver’s License: A driver’s license is not required for this position.

Grade: C13

Salary Range: $68,100.00 - $105,500.00 / Annually

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.

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.