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 in the Department of Internal Medicine, Division of Medical Oncology. This position is for the Medical School Campus.
Position is responsible for claim review for proper coding documentation, assisting in review of medical charts to determine physician compliance with Government/third-party payer regulations, provider on-going education for documentation, ICD-10 codes and CPT codes, along with auditing and assisting with pre claim processing to avoid denied medical claims.
PRIMARY DUTIES AND RESPONSIBILITIES:
Reviews and analyzes high volume of medical charts/ documentation for physician coding/billing compliance for government and third-party billing regulations. Ensures diagnosis alignment and accuracy within all elements of the chart and drug orders prior to claim release.
Educates, trains and audits coding/billing regulations with Billing Staff, Attending IP physician/ providers, Clinic/OP Providers, NP’s, Nurse Coordinators, RN’s and other team staff at all Siteman Cancer Center locations to ensure accuracy and proper education on billing/coding/documentation policy regulations.
Assists Billing Team Staff, Supervisor and/or Manager with any on-the-spot insurance coding denial review or education; achieving timely coordination and guidance with any staff/provider to align consistent and complete documentation that supports our services for all locations to successfully achieve clean and accurate claim billing to avoid back-end denials.
Assists/defines appropriate CPT codes and ICD-10 diagnosis for existing and new services and all other services as requested by Manager.
Experience equivalent of Associate’s degree or 3-5 years’ experience in medical coding. Also requires 3-5 years’ experience in claims processing, billing/collection practices and accounting.
Must also have one of the following coding credentials: AHIMA (CCS or CCS-P); AAPC (CPC, CPC-H, or one of the AAPC specialty-specific coding credentials). The specialty-specific credential is only valid for that employee’s department.
The RHIT or RHIA (or eligible) certification in health information management may be recognized in lieu of coding credential.
Developed office skills, including use of variety of data systems, general office equipment, effective telephone, interpersonal, and communication skills, with working ability to use a variety of coding and claims systems.
The hiring range for this position is $55,370 - $70,595 annually.
-Retirement Savings Plan -22 vacation days -8 Paid Holidays -Sick Time -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 -Other Benefits
Med School HR website (medschoolhr.wustl.edu)
Internal Applicant Instruction:
This position is grade C12.
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.
Washington University in St. Louis, a medium-sized, independent university, is dedicated to challenging its faculty and students alike to seek new knowledge and greater understanding of an ever-changing, multicultural world. The University offers more than 90 programs and almost 1,500 courses leading to bachelor's, master's and doctoral degrees in a broad spectrum of traditional and interdisciplinary fields, with additional opportunities for minor concentrations and individualized programs. The faculty is composed of scholars, scientists, artists and members of the learned professions. They serve society by teaching; by adding to the store of human art, creativity, understanding, and wisdom; and by providing direct services, such as health care.