Job description

Position Summary

Position handles the day to day operations of charge capture activities assuring compliance and maximizing revenue.

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.
• 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 file for aging encounters.
• Serves as compliance liaison to WU Office of Physician Billing Compliance.

Working Conditions

Normal office environment with occasional pressure and assignment flexibility.

Preferred Qualifications

• Ability to recognize, analyze and report trends through accounting and organizational skills.
• Supervisory skills necessary.

Required Qualifications

Equivalent of Bachelor’s degree in related field with five plus year’s experience in supervision preferably in coding and/or compliance.

Pre-Employment Screening

All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

Benefits Statement

Washington University in St. Louis is committed to providing a comprehensive and competitive benefits package to our employees. Benefits eligibility is subject to employment status, full-time equivalent (FTE) workload, and weekly standard hours. Please visit our website at https://hr.wustl.edu/benefits/ to view a summary of benefits.

EEO/AA Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. 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, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

Diversity Statement

Washington University is dedicated to building a diverse community of individuals who are committed to contributing to an inclusive environment – fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

Job Type: Full-time

Pay: $65,200.00 - $101,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Work Location: Hybrid remote in St. Louis, MO 63110

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