Primary Duties & Responsibilities:
Supervise Coding Coordinators to ensure 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 conduct regular meetings with faculty to determine methods of improving coding and documentation.
Ensure staff attends scheduled training/in-services.
Keep abreast of procedures and changes affecting Medicare, Medicaid, HMO, PPO and related health care operations.
Communicate policies and procedures to staff on billing issues to promote efficient flow of billing process.
Monitor weekly charges, TES workfiles, MTC lists, approve write-offs per departmental policy.
Ensure weekly completion of hospital missing charge lists and report physician in noncompliance of divisional/departmental missing operative note policy.
Ensure OPBC and departmental compliance guidelines applied to billed services.
Create TES and Medicode edits to reduce reductions; monitors TES workfile for aging encounters.
Serve 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.
Education:
Bachelor’s degree or combination of education and/or experience may substitute for minimum education.
Certifications/Professional Licenses:
Work Experience:
Skills:
Driver's License:
Education:
No additional education unless stated elsewhere in the job posting.
Certifications/Professional Licenses:
Work Experience:
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 ReportingFor frequently asked questions about the application process, please refer to our External Applicant FAQ.
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.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.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/