Manager Coding Compliance (Hybrid) - Surgery

• →Supervises Coding Coordinators to ensure 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.

Job Location/Working Conditions:

• Normal office environment.

Physical Effort:

• Typically sitting at a desk or table.

Equipment:

• Office equipment.

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