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 Neurology. The position is located at the Mid Campus Center. This position is for the Medical School Campus.
Position is responsible for overseeing all aspects of the Department of Neurology’s medical coding & compliance programs. Position is also responsible for ensuring compliance with federal & state regulations, third party requirements and WUSM policies as they relate to professional fee billing & HIPAA.
PRIMARY DUTIES AND RESPONSIBILITIES:
Ensure the Department of Neurology’s coding protocols adheres to standards consistent with official CPT procedural and ICD-10-CM diagnosis coding standards, University policy and government & third party regulations. Keeps abreast of changes to CPT and ICD-10-CM. Organize, interpret, condense and disseminate changes and procedures to the appropriate supervisors, staff, physicians and physician staff in a timely manner.
Schedules & performs medical chart audits for correct coding and compliance with governmental and third party regulations. Provide feedback to practitioners regarding audit results and education on proper coding techniques and/or compliance regulations. Provide education to new providers and residents on proper documentation & billing compliance.
Monitors physician note completion and provide reports to providers on regular basis.
Ensure all eligible employees in the department complete their annual billing compliance training.� Liaison with School of Medicine’s Office of Physician Billing & Compliance. Assist with development of ICD-10 and serve as university contact for ICD-10 sub-committee.
Maintain up-to date coding and compliance files on each practitioner including departmental signature log.
Assist clinical services staff with policy interpretation, coding questions, and appeal letters as needed.
Assist with investigating & pursuing new billing opportunities specific to neurological sciences.
Miscellaneous duties as assigned.
Associate’s degree with 3 years of experience in health-related field or combined education and experience in a health-related field of 5 years.
Current RHIT/RHIA certification, or CPC/CCS-P certification and a minimum of 3 years of experience in physician coding and compliance.
Expertise in CPT-4, HCPCS, and ICD-10 Coding & compliance regulations.
Knowledge of compliance and third party regulations.
Ability to communicate effectively with healthcare practitioners and co-workers.
Working knowledge of computers, medical terminology, and medical claims review.
Ability to work with a high degree of independence.
Applicant Special Instructions:
Frequent short distance travel to physicians’ offices/affiliated institutions, otherwise normal office environment with variable pressures and time constraints.
The hiring range for this position is $56,472 - $72,010 annually.
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.
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. Current employees applying for a new position within the university may be subject to this requirement. The screenings will include a criminal background check and, as applicable for the position, other background checks, drug screen, employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
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.