Manager Coding Compliance - Surgery

Location

St. Louis, MO 63110



Scheduled Hours

40

Position Summary

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

Job Description

• Supervise Coding Coordinators to ensure hospital based services are 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 conduct regular meetings with faculty to determine methods of improving coding and documentation.
• Ensure staff attends scheduled training/in-services.
• Keep abreast of procedures and changes affecting Medicare, Medicaid, HMO, PPO and related health care operations.
• Communicate policies and procedures to staff on billing issues to promote efficient flow of billing process.
• Monitor weekly charges, TES workfiles, MTC lists, approve write-offs per departmental policy.
• Ensure weekly completion of hospital missing charge lists and report physician in noncompliance of divisional/departmental missing operative note policy.
• Ensure OPBC and Departmental compliance guidelines applied to billed services.
• Create TES and Medicode edits to reduce reductions; monitor TES workfile for aging encounters.
• Serve 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:

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.

More About This Job

Preferred Qualifications:

• Ability to recognize, analyze and report trends through accounting and organizational skills.
• Supervisory skills necessary.

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

$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[email protected]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 or shared ancestry, 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. As a federal contractor, the university maintains affirmative action programs to implement its equal employment opportunity policy for individuals with disabilities and protected veterans, in accordance with Section 503 of the Rehabilitation Act of 1973, as amended, and the Vietnam Era Veterans’ Readjustment Assistance Act of 1974 (VEVRAA), as amended.