Manager Coding Compliance (Hybrid) - Surgery

• →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.
• →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; monitor TES workfile for aging encounters.
• →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.

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

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