Manager, Coding Compliance – Emergency Medicine

Role Overview

• Provides operational and managerial leadership for coding compliance and charge capture activities supporting hospital-based and professional services
• Handles day-to-day operations of charge capture activities, assuring regulatory compliance while maximizing appropriate revenue
• Partners directly with faculty, coders and operational leaders, conducts audits and education, and serves as a liaison to institutional compliance functions
• Exercises independent judgment within established policies and contributes to departmental performance, risk mitigation, and revenue integrity
• Ensures hospital-based services are captured timely, accurately, and compliantly to maximize appropriate revenue
• Works directly with external coding vendors to ensure adherence to coding and billing compliance requirements
• Serves as the primary compliance liaison with the coding vendor and oversees audit findings and corrective actions
• Collaborates with the coding vendor to identify and prevent compliance risks related to coding accuracy
• Performs compliance duties including medical record reviews, physician audits, and OPBC audits
• Communicates billing policies and procedures to staff to promote efficient, compliant workflows
• Prepares routine operational and compliance reports for departmental leadership

Requirements

• Bachelor’s degree or combination of education and/or experience may substitute for minimum education
• Supervisory experience (5 Years)
• Medical Billing/Coding experience (3 Years)
• Certified Coding Specialist (CCS)
• AHIMA
• Certified Coding Specialist
• Physician based (CCS-P)
• AHIMA
• Certified in Healthcare Compliance (CHC)
• HCCA
• Certified Professional Coder (CPC)
• AAPC
• Certified Professional Coder
• Hospital (CPC-H)
• AAPC
• Registered Health Information Administrator (RHIA)
• AHIMA
• Registered Health Information Technician (RHIT)
• AHIMA
• Analytical Problem Solving
• Audit Execution
• Audits Compliance
• Business Influence
• Charge Capture
• Chart Review
• Computer Literacy
• CPT Coding
• Ethical Behavior
• Healthcare Common Procedure Coding System (HCPCS)
• ICD-9-CM
• Medical Records Management
• Operational Leadership
• People Management
• Provider Education
• Regulatory Compliance
• Revenue Cycle
• Revenue Integrity
• Safety Supervision

Benefits

• Up to 22 days of vacation
• 10 recognized holidays
• Sick time
• Competitive health insurance packages with priority appointments and lower copays/coinsurance
• Free Metro transit U-Pass for eligible employees
• Defined contribution (403(b)) Retirement Savings Plan starting at 7%
• Wellness challenges
• Annual health screenings
• Mental health resources
• Mindfulness programs and courses
• Employee assistance program (EAP)
• Financial resources
• Access to dietitians
• 4 weeks of caregiver leave to bond with new child
• WashU covers 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