Apply on Employer Site

Washington University in St. Louis · 14 hours ago

Manager Coding Compliance (Hybrid) - Surgery

St Louis, MO

Full-time

Hybrid

Mid, Senior Level

$68K/yr - $106K/yr

5+ years exp

Washington University in St. Louis is seeking a Manager of Coding Compliance to oversee charge capture operations while ensuring compliance and maximizing revenue. The role involves supervising coding coordinators, communicating with faculty regarding coding and billing issues, and conducting compliance audits and educational sessions.

E-LearningEBooksEducationHigher Education

Responsibilities

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

Qualification

Supervisory ManagementAccountingCode ComplianceTrend AnalysisTrend ReportingOrganizing

Required

Bachelor's degree or combination of education and/or experience may substitute for minimum education

Supervisory (5 Years)

Preferred

Ability to recognize, analyze and report trends through accounting and organizational skills

Supervisory skills necessary

Accounting

Code Compliance

Organizing

Supervisory Management

Trend Analysis

Trend Reporting

Benefits

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 challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!

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.