Manager, Coding Compliance – Surgery
WashU IT
full-time
Posted on:
Location Type: Hybrid
Location: Washington • Washington • 🇺🇸 United States
Visit company websiteSalary
💰 $68,100 - $105,500 per year
Job Level
Mid-LevelSenior
About the role
- 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
Requirements
- Bachelor’s degree or combination of education and/or experience may substitute for minimum education
- Supervisory experience (5 Years)
- No specific certification/professional license is required for this position
- Skills: Accounting, Code Compliance, Organizing, Supervisory Management, Trend Analysis, Trend Reporting
Benefits
- Up to 22 days of vacation
- 10 recognized holidays
- 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 starting at 7%
- Wellness challenges
- Annual health screenings
- Mental health resources
- Mindfulness programs and courses
- Employee assistance program (EAP)
- Financial resources
- Access to dietitians
- 4 weeks of caregiver leave to bond with new child
- Coverage 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
codingcharge capturecompliancemedical documentation reviewphysician auditsOPBC auditstrend analysistrend reportingbilling
Soft skills
supervisory managementcommunicationorganization