Manager Coding Compliance (Hybrid) - Surgery

Position Summary Position handles the day to day operations of charge capture activities assuring compliance and maximizing revenue. 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: 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: 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: No additional certification/professional license unless stated elsewhere in the post. Work Experience: No additional work experience unless stated elsewhere in the post. Skills: Accounting, Code Compliance, Organizing, Supervisory Management, Trend Analysis, Trend Reporting. Grade & Salary Grade: C13. Salary Range: $68,100.00 - $105,500.00 annually. 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. #J-18808-Ljbffr ARMA International