Manager Coding Compliance – Surgery

Manager Coding Compliance – Surgery

Requirements

• Bachelor’s degree or combination of education and/or experience may substitute for minimum education.
• Supervisory (5 Years)

Responsibilities

• Supervises Coding Coordinators to assure hospital based services 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 conducts regular meetings with faculty to determine methods of improving coding and documentation.
• Assure 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.
• Assures weekly completion of hospital missing charge lists and report physician in noncompliance of divisional/departmental missing operative note policy.
• Assures 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.

Preferred Qualifications

• Accounting
• Code Compliance
• Organizing
• Supervisory Management
• Trend Analysis
• Trend Reporting