Manager Coding Compliance (Hybrid) - Surgery

Washington University in St. Louis; United States; Sur place; USD 71 000 - 110 000; Plein temps

Avantages offerts par ce poste

Vacation time

Health insurance

Transit pass

Retirement plan

Résumé du poste

Washington University in St. Louis is seeking a supervisory professional to oversee charge capture operations, coding coordination and compliance, ensuring timely hospital-based billing and maximizing revenue.

Based in St. Louis, MO, this full-time role requires leading coding coordinators, developing educational materials, conducting audits, and maintaining compliance with Medicare/Medicaid and payer policies.

Qualifications

• Bachelor's degree or combination of education and/or experience may substitute for minimum education.
• Minimum 5 years of supervisory work experience.
• Experience with coding, charge capture and billing compliance.

Responsabilités

• Supervises Coding Coordinators to assure timely hospital-based services and maximize revenue.
• Interacts with faculty on coding, charge capture, compliance and billing issues.
• Performs compliance duties including physician audits and OPBC audits.
• Develops educational materials and conducts meetings to improve coding and documentation.
• Ensures staff attend scheduled training and stays updated on payer policies.
• Monitors charges, TES workfiles and write-offs per policy.
• Ensures compliance guidelines are applied to billed services.

Connaissances

Supervisory experience

Accounting

Code Compliance

Organizing

Supervisory Management

Trend Analysis

Trend Reporting

Formation

Bachelor's degree

Description du poste

Position Summary

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

Location: St.Louis,MO63110

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

Job Location/Working Conditions: Normal office environment. Physical Effort: Typically sitting at a desk or table. Equipment: Office equipment.

Required Qualifications

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


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


• Work Experience: Supervisory (5 Years)


• Skills: Not Applicable


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

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

Grade C13 Salary Range

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.

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

• 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.


• 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.