Scheduled Hours
40
Position Summary
This position queries providers and works closely with the Pediatrics Coding Supervisors on coder and physician education as Lead Coder. Responsible for meeting with physicians and administrators as requested. Coding Coordinators are a resource to inpatient coders and assist in training new coders. Performs scheduled or Ad Hoc coder audits. Reviews and resolves Epic edits and assists with appeal requests for accurate and timely billing. Cover coding assignments as needed and cross-cover Coding Supervisor.
Job Description
Primary Duties & Responsibilities:
- Sends queries to providers, as well as, documentation feedback. Works closely with Pediatric Compliance Manager on coder and physician education. Pulls notes, creates spreadsheets, and meets with physicians and administrators as requested.
- Resource to inpatient coders and assists in training new coders. Performs quarterly scheduled coder and ad-hoc coder audits. Assists with in-patient coder assignments based on Epic daily Work Que volumes.
- Resolves Epic edits and other appeals requests to ensure timely billing and accurate billing. Reviews coding and billing reports to ensure accuracy. Identifies issues that require Epic ticket generation.
- Provides feedback to Supervisor on the status of outstanding physician deficiencies and other concerns that may affect daily workflow.
- Manages Epic Work Ques to identify encounters that drop out of the Coder’s filtered work que view; identifies coding topics/issues for monthly coder meetings.
- Acts as Lead Coder covering coding assignments as needed at multiple hospital locations and multiples divisions. Reviews documentation to determine proper CPT and ICD-10 codes for E & M services, procedures, and tests provided by department physicians. Cross-covers for Coding Supervisor as needed.
- Maintains coding certification.
- Develops/implements plan for information intake and claims processing from submission to payment.
- Coordinates with staff to determine special project needs, budget information; submits documentation and implements process modifications.
- Monitors schedules and processes to provide effective follow-up, system maintenance and claims completion.
- Reviews process maps and claims history and organizes and oversees training courses relative to process developments.
- Serves as liaison between department and associations, vendors, public relations offices, etc. regarding coding/claims and special project processes.
- Provides testing processes, test results review and secretarial support for routine and special projects.
- Establishes mailing list, filing and contact source lists.
- Provides backup for front desk, answering telephones, mailing out results and other duties.
Working Conditions:
Job Location/Working Conditions:
- Work is performed Monday-Friday. Some weekends or evenings may be required to meet business needs, as well as, extra hours on a daily/weekly basis during peak times. Daily work is utilized by a laptop (position is eligible for work-from-home).
Physical Effort:
- Typically sitting at a desk or table.
Equipment:
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Required Qualifications
Education:
Associate degree or combination of education and experience may substitute for minimum education.
Certifications/Professional Licenses:
The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
Work Experience:
Relevant Experience (2 Years)
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.
More About This Job
Required Qualifications:
- Experience equivalent of Associate’s degree or 2 to 3 years of related experience in areas such as medical coding, claims processing, billing/collection practices and accounting.
Preferred Qualifications:
- Working ability to use a variety of coding and claims systems.
Preferred Qualifications
Education:
No additional education unless stated elsewhere in the job posting.
Certifications/Professional Licenses:
No additional certification/professional licenses unless stated elsewhere in the job posting.
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Communication, Confidentiality, CPT Coding, Data Systems, Effective Written Communication, ICD-10 Procedure Coding System, Interpersonal Communication, Medical Terminology, Office Equipment, Oral Communications, Professional Etiquette
Grade
C11
Salary Range
$56,200.00 - $87,100.00 / AnnuallyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please emailCandidateQuestions@wustl.eduor call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an 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.
Benefits Statement
Personal
Up to 22 days of vacation, 10 recognized holidays, and sick time.
Competitive health insurance packages with priority appointments and lower copays/coinsurance.
Take advantage of our free Metro transit U-Pass for eligible employees.
WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/
EEO Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment – fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
