Washington University in St. Louis
Manager Coding Compliance (Hybrid) - Surgery
Washington University in St. Louis, Northfield, Vermont, us, 05663
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 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. Typically sitting at a desk or table. Office equipment. Required Qualifications
Education:
Bachelor’s 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) Preferred Qualifications
Skills:
Accounting, Code Compliance, Organizing, Supervisory Management, Trend Analysis, Trend Reporting Benefits Statement
Personal benefits include: Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Free Metro transit U-Pass for eligible employees. Defined contribution (403(b)) Retirement Savings Plan. Wellness benefits include: Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family benefits include: 4 weeks of caregiver leave to bond with your new child. Family care resources for continued childcare needs. WashU covers the cost of tuition for you and your family. EEO 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.
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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 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. Typically sitting at a desk or table. Office equipment. Required Qualifications
Education:
Bachelor’s 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) Preferred Qualifications
Skills:
Accounting, Code Compliance, Organizing, Supervisory Management, Trend Analysis, Trend Reporting Benefits Statement
Personal benefits include: Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Free Metro transit U-Pass for eligible employees. Defined contribution (403(b)) Retirement Savings Plan. Wellness benefits include: Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family benefits include: 4 weeks of caregiver leave to bond with your new child. Family care resources for continued childcare needs. WashU covers the cost of tuition for you and your family. EEO 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.
#J-18808-Ljbffr