| EOE Statement:|
Washington University is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, genetic information, disability, or protected veteran status.
This position is full-time and works approximately 40 hours per week.
Department Name/Job Location:
This position is for the Business Office in Internal Medicine. This position is located at 1020 North Mason Road (West County) and at the Northwest Tower.
Supervisor position for Division of Cardiology focused on coding with related billing and charge capture functions for selected providers at West County Office, BJ West County Hospital, BJC Premier, South County, and all entities of the Heart Care Institute. The position ensures that coding policies, procedures, and compliance standards are communicated and implemented. Remains knowledgeable on all aspects of Cardiology coding. Provides education to physicians and fellows and residents on billing documentation meeting one-on-one and conducting training sessions as needed. Works closely with the Cardiology billing manager and other Cardiology and Department of Medicine leadership in performance of job functions. Will provide assistance, coaching, direction, and feedback to staff. Will approve time, coordinate vacation/leave requests, and be responsible for performance reviews in conjunction with billing manager.
PRIMARY DUTIES & RESPONSIBILITIES:
- Provides oversight of the day to day activities of the coding staff to ensure timely and accurate capture of services for respective Cardiology/HCI sites, adherence to policies and procedures, and setting work schedules.
- Communicates policies, educates staff, and manages workflow on coding, charge capture, and billing issues to promote efficient flow of billing processes.
- Ensures compliance standards are met and actively participates in the implementation of the department/division coding compliance plan and billing/coding guidelines.
- Reviews billing documentation in the medical chart or on respective documentation systems for the identification and capture of Cardiology services.
- Codes evaluation and management services and testing and procedure services per physician documentation.
- Codes tests and procedures with accurate CPT code(s) after review of test or procedure note.
- Determines proper ICD-10 codes.
- Meets regularly with physicians, individually or in group settings, to provide education on documentation requirements and timely feedback on documentation quality issues, such as not documenting services which were performed or billing for services not fully documented.
- Reviews monthly inpatient reports for analysis of focus for physician education sessions and holds follow up meetings as needed to review outcomes with providers.
- Participates in special education and training seminars or sessions for physicians and staff.
- Applies appropriate coding rules, teaching physician regulations, other billing guidelines, and department policies.
- Helps coordinate the resolution of missing charges and delayed Allscripts charges.
- Makes recommendations for process improvements related to billing, documentation and coding. Examples include work processes and updates for charge tickets, Allscripts charge capture, and chart flow.
- Works closely with the Cardiology Billing Manager and other Cardiology/HCI management team members and staff as appropriate to resolve coding, billing, and reimbursement issues.
- Works closely with the Cardiology Billing Manager and the Department Compliance Manager on reviews and audits.
- Identifies coding issues and trends and follows-up with appropriate research, recommendations for training and/or process changes and provides direct feedback to providers and staff as appropriate.
- Holds charges in TES by using patient type ICC-Internal Medicine Cardiology Compliance-pending completion and signature by physician as needed with goal to minimize workfile edits by providing feedback as necessary to physicians, support staff, and/or manager. May perform or request write offs as needed for incomplete documentation. Oversees staff’s workfiles to ensure timely and accurate handling.
- Provides timely feedback to the Cardiology Billing Manager for all personnel and operational issues.
- Participates in AR analyses and performance improvement initiatives focused on charge capture, coding, insurance, billing, and collection for all aspects of the revenue cycle as needed.
- Participates in the selection process of new coding employees, training, supervising and evaluating employees.
- Ensures staff is cross trained in all job functions. Performs audits of staff’s work on as needed basis to ensure complete understanding of coding guidelines.
- Other duties as assigned.
Equivalent of Associate’s degree with 5 years related experience, preferably in medical insurance setting with supervisory duties.
- Five years physician coding with three years supervisory experience preferred or equivalent total experience.
- CPC or equivalent coding certification required (RHIA, RHIT, CCS-P).
- Proficient in medical terminology, evaluation and management CPT-4 codes and ICD-10 diagnoses coding.
- Excellent organizational, financial, communication and interpersonal skills.
- Projects professional and strong leadership behavior at all times.
- Excellent established attendance record.
- Working knowledge of CPT and ICD-10 codes for Cardiology specific visits, testing and procedures preferred.
The hiring range for this position is $48,318 - $61,609 annually.
Applicant Special Instructions:
Ordinary office environment with some pressure of deadlines. Ability to work in more than one location.
-Retirement Savings Plan
-22 vacation days
-8 Paid Holidays
-Tuition benefits for employee, spouse and dependent children
-Free Metro Link/ Bus pass
-Free Life Insurance
-Health, Dental, Vision
-Health Savings Accounts (HSA)
-Long Term Disability Insurance
-Flex Spending Plan
Med School HR website (medschoolhr.wustl.edu)
Internal Applicant Instruction:
This position is grade C11.
Please attach a copy of your most current signed performance evaluation (completed within the last 18 months) to your online account. If you have not received a performance evaluation, you may provide two current signed letters of recommendation (written within the last 18 months), preferably to include one letter from either a current or recent former supervisor. To attach these documents, go to: My Career Tools, Add Attachment, Attachment Type – Performance Reviews or Letters of Recommendation.