Manager Coding Compliance (Hybrid) - Surgery

Position 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 interacts and communicates 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 materials and conducts regular meetings with faculty to determine methods of improving coding and documentation.
• Ensures 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.
• Ensures weekly completion of hospital missing charge lists and reports physician in noncompliance of divisional/departmental missing operative note policy.
• Ensures 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.

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.

Preferred Qualifications

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

Grade

C13

Salary Range

$68,100.00 - $105,500.00 / 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.

Scheduled Hours

40