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Manager Coding Compliance (Hybrid) - Surgery
Washington University in St. LouisMid Campus Center, United Statesfull_timeVerifiedPosted 9 Dec 2024
💰 $105,500/yr($68,100/yr – $105,500/yr)
About the role
Scheduled Hours
40Position 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 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.
Working Conditions:
Job Location/Working Conditions
- 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:
Work Experience:
Skills:
Driver's License:
More About This Job
Washington University seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.Preferred Qualifications
Education:
No additional education beyond what is stated in the Required Qualifications section.
Certifications:
Work Experience:
Skills:
Accounting, Code Compliance, Organizing, Supervisory Management, Trend Analysis, Trend ReportingGrade
C13Salary Range
$68,100.00 - $105,500.00 / AnnuallyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu
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