Manager Coding Compliance (Remote) - Neurology
Scheduled Hours
40
Position Summary
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 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.
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, 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 Reporting
Grade
C13
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