Scheduled Hours

40

Position Summary

This position queries providers and works closely with pediatric manager coding compliance on coder and provider education. Responsible for meeting with coders, providers and administrators as requested. Coding Coordinator assists with training new providers and assists, manager coding compliance as a resource to providers, coders, other coding coordinators, pediatric coding supervisors, and A/R staff. Performs audits, reviews OPBC audits/OPBC WQ, and payer audits for inpatient, emergency medicine and clinic services. Reviews and helps with appeals request for accurate and timely billing.

Job Description

Primary Duties & Responsibilities

• Performs yearly audits on all pediatric divisions for all E&M services and procedures. Sends queries to providers as well as documentation feedback. Sends queries to coders and provides coding feedback. Works closely with pediatric manager coding compliance on coder and provider education. Pulls notes, create spreadsheets, creates audit reports and assists with meetings with coders, providers, and administrators as requested.
• Assists as resource to providers, appeals team, and coding team.
• Resolves Epic edits and appeals requests to ensure timely billing and accurate billing. Reviews coding and billing reports to ensure accuracy.
• Reviews OPBC and payer audits to identify opportunities for appeal as well as education opportunities for providers and coders. Reports all issues identified to the Compliance Coordinator and assists with feedback to providers and coding staff.
• Assists in identifying proper CPT and ICD-10 codes for new E&M services and procedures. Reviews documentation to determine proper CPT and ICD-10 codes for E & M services and procedures performed by department providers upon request by division leaders as well as during scheduled audits.
• Maintains coding certification.
• Other duties as assigned.

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 performed utilizing a computer and position is eligible for work-from-home.
• Some presentations, training, and meetings may require coding coordinator to be on campus/in the office.

Preferred Qualifications

• Knowledge of Pediatric non-surgical pediatric subspecialties services including Neonatology, Pediatric Critical Care, and Intensive Care, Sedations and Emergency Room services.
• Also, experience with procedures by GI, Renal, and Pulmonary specialists.
• Proficient in medical terminology, evaluation and management CPT codes and ICD-10 coding.
• Organized in material, thought, and action.
• Maintains patient confidentiality.
• Excellent written and oral communications.
• Exhibit professional behavior at all times.

Required Qualifications

• Experience equivalent of Associate’s degree or two to three years of related experience in areas such as medical coding, claims processing, billing/collection practices and accounting; must 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 a coding credential.

Grade

C11

Salary Range

$53,900.00 - $83,500.00 / 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.

Accommodation

If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.

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.