Manager Coding Compliance (Hybrid) - Surgery | Washington University in St. Louis at Washington[...]

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

Benefits offered by this job

Up to 22 days of vacation

Competitive health insurance packages

Free Metro transit U-Pass

Defined contribution retirement savings plan

Job summary

A reputable university in Missouri seeks a Manager of Coding Compliance to oversee charge capture operations and ensure regulatory compliance. The role includes supervising staff, interacting with medical faculty, and developing educational materials. A Bachelor's degree and 5 years of supervisory experience are required. The position offers a salary range of $68,100 to $105,500 annually, with hybrid working conditions.

Qualifications

• Bachelor's degree or equivalent experience may substitute for minimum education.
• Supervisory experience of at least 5 years is required.

Responsibilities

• Supervise Coding Coordinators to maximize revenue.
• Interact with faculty on coding and billing issues.
• Review medical documentation for compliance.
• Develop educational materials for faculty.

Skills

Accounting

Code Compliance

Organizing

Supervisory Management

Trend Analysis

Trend Reporting

Education

Bachelor's degree or equivalent experience

Job description

Manager Coding Compliance (Hybrid) - Surgery | Washington University in St. Louis job at Washington University in St. Louis. Saint Louis, MO.

Scheduled Hours

40

Position Summary

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

Job Description

Primary Duties & Responsibilities:

• Supervises Coding Coordinators to assure hospital based services 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 conducts regular meetings with faculty to determine methods of improving coding and documentation.
• Assure 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.
• Assures weekly completion of hospital missing charge lists and report physician in noncompliance of divisional/departmental missing operative note policy.
• Assures 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

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.

Required Qualifications

Education:

Bachelorâs degree or combination of education and/or experience may substitute for minimum education.

Certifications:

No specific certification 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.

More About This Job

Washington University seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.

Preferred Qualifications

Education:

No additional education beyond what is stated in the Required Qualifications section.

Certifications:

No additional certification beyond what is stated in the Required Qualifications section.

Work Experience:

No additional work experience beyond what is stated in the Required Qualifications section.

Skills:

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

Grade

C13

Salary Range

$68,100.00 - $105,500.00 / 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? Weâve 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:

EEO/AA Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the Universityâs policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

Diversity Statement

Washington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment â“ fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

About Washington University in St. Louis

Washington University in St. Louis, a medium-sized, independent university, is dedicated to challenging its faculty and students alike to seek new knowledge and greater understanding of an ever-changing, multicultural world. The University offers more than 90 programs and almost 1,500 courses leading to bachelor's, master's and doctoral degrees in a broad spectrum of traditional and interdisciplinary fields, with additional opportunities for minor concentrations and individualized programs. The faculty is composed of scholars, scientists, artists and members of the learned professions. They serve society by teaching; by adding to the store of human art, creativity, understanding, and wisdom; and by providing direct services, such as health care.

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