Manager, Coding Compliance; Hybrid - Pediatrics

Scheduled Hours

40

The Department of Pediatrics is seeking a progressive and skilled Manager of Coding and Compliance. The Manager will oversee the billing cycle and coding function of a large, complex department of 15 clinical division with both inpatient and outpatient coding and coding review involved. Demonstrated excellence in the areas of ensuring coders are coding with accuracy, aligned with regulatory compliance rules, and supporting timeline reimbursement is required.

This role serves as the subject matter expert for coding guidelines and must stay current about CMS changes and payor policies as well as any healthcare regulations that may impact coding, billing, and reimbursement.

• Supervise 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.
• Communicate policies and procedures to staff on billing issues to promote efficient flow of billing process and maximum reimbursement, aligned with compliance.
• Monitor weekly charges and work files.
• Assure weekly completion of hospital missing charge lists and report physician in noncompliance of divisional/departmental missing operative note policy.
• Assure OPBC and Departmental compliance guidelines applied to billed services.
• Serve as compliance liaison to WU Office of Physician Billing Compliance.

• 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: No specific certification/professional license is required for this position.

Work Experience: Supervisory (5 Years)

Skills: Not Applicable

Driver's License: A driver's license is not required for this position.

• AAPC (American Academy of Professional Coders).
• CPC (Certified Professional Coder).
• CCC (Certified Cardiology Coder).
• RHIT (Registered Health Information Technician) from AHIMA.
• Ability to ask questions about conditions/diseases including understanding signs of deterioration and the risks of morbidity.

Education: No additional education unless stated elsewhere in the job posting.

Certifications / Professional Licenses: Certified Documentation Expert Outpatient (CDEO) - American Academy of Professional Coders (AAPC).

Work Experience: No additional work experience unless stated elsewhere in the job posting.

Skills: Accounting, Code Compliance, Organizing, Supervisory Management, Trend Analysis, Trend Reporting

C13

$68,100.00 - $ / Annually

The 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.

For 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 Candidate Questions or call the dedicated accommodation inquiry number at  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.

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.

• 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…