Scheduled Hours

40

Position Summary

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.

Job Description

• 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.

Working Conditions:
Job Location/Working Conditions

• Normal office environment.

Physical Effort

• Typically sitting at desk or table.
• Typically standing or walking.
• Repetitive wrist, hand or finger movement (PC Typing).

Equipment

• Office 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:

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:

Accounting (3 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 degree or 3-5 years’ experience in medical coding.
• 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. REQUIRED LICENSURE/CERTIFICATION/REGISTRATION: The RHIT or RHIA (or eligible) certification in health information management may be recognized in lieu of coding credential.

Preferred Qualifications:

• Working ability to use a variety of coding and claims systems.

Preferred Qualifications

Education:

No additional education beyond what is stated in the Required Qualifications section.

Certifications:

No additional certification beyond what is stated in the Required Qualifications section.

Work Experience:

No additional work experience beyond what is stated in the Required Qualifications section.

Skills:

Communication, Data Systems, Interpersonal Communication, Office Equipment, Telephone Communications

Grade

C12

Salary Range

$62,000.00 - $96,100.00 / Annually

The 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 email [email protected] or 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.

• Want to Live Near Your Work and/or improve your commute? Take advantage of our free Metro transit U-Pass for eligible employees. We also offer a forgivable home loan of up to $12,500 for closing costs and a down payment for homes in eligible neighborhoods.

• 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/AA 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.

Diversity Statement

Washington University is dedicated to building a diverse 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.