Manager Coding Compliance (Hybrid) - Surgery

Scheduled Hours

40

Position Summary

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

Job Description

Primary Duties & Responsibilities:

• Supervise Coding Coordinators to ensure hospital based services are 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.
• 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.
• 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; monitor 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.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

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.

More About This Job

Preferred Qualifications

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

Preferred Qualifications

Education:

No additional education unless stated elsewhere in the job posting.

Certifications/Professional Licenses:

No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience:

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

Skills:

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

Grade

C13

Salary 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.