Manager Coding Compliance (Remote) - Orthopedic Surgery

Position Summary Handles the day-to-day operations of charge capture activities assuring compliance and maximizing revenue. 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 material and conducts regular meetings with faculty to determine methods of improving coding and documentation. Assures 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 work files, 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 work files for aging encounters. Serves as compliance liaison to WU Office of Physician Billing Compliance. Performs other duties as assigned. Working Conditions Normal office environment. Physical Effort Typically sitting at a desk or table. Equipment Office equipment. Education Bachelor’s degree or combination of education and/or experience may substitute for minimum education. Certifications No specific certification/professional license required. Work Experience Supervisory (5 Years). Skills Accounting Code Compliance Coding Compliance Compliance Management Healthcare Auditing Health Care Regulation Health Insurance Portability & Accountability Act (HIPAA) ICD Coding Medical Billing and Coding Organizing Supervisory Management Trend Analysis Trend Reporting Driver's License A driver's license is not required for this position. Grade C13 Salary Range $68,100.00 - $105,500.00 / Annually 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. 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. #J-18808-Ljbffr Washington University in St. Louis