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Certified Coder (Hybrid) - Physician Billing Service
Washington University in St. Louis
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Certified Coder (Hybrid) - Physician Billing Service

Washington University in St. Louis

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Details
Posted:
January 29, 2025
Location:
ST. LOUIS, Missouri
Category:
Healthcare

Scheduled Hours

40

Position Summary

Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; completes charge corrections.

Job Description

Primary Duties & Responsibilities:

  • Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers. Creates appropriate letters to substantiate the validity of claims.
  • Meets with physicians to review documentation, resolve coding, and secure signature of unsigned dates of service, tagging files for follow-up. Investigate and problem-solve reimbursement issues in collaboration with other coding staff and faculty. Works directly with compliance or physicians and other clinical staff as needed to provide documentation feedback and to develop appeals.
  • Researches payer policies and processes.
  • Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment.
  • May act as a lead person and assists coders with IBC staff with medical terminology and policy interpretation as required
  • Works assigned Epic Work queues and CRM tasks and reviews remittance advice for rejections and accuracy of payment amounts as needed. Identifies invoices that have been rejected per department criteria.
  • Performs accounts receivable (AR) functions in the Epic billing system, including updating insurance information and demographics.
  • Performs other duties as assigned.

Working Conditions:
Job Location/Working Conditions

  • Normal office environment.

  • This position is primarily remote with working in the office one day per month and/or as required. 


Physical Effort

  • Typically sitting at desk or table.


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:

A diploma, certification or degree is not required.


Certifications:

The list below may include all acceptable certifications and issuers. More than one credential or certification 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:

No specific work experience is required for this position.


Skills:

Not Applicable


Driver's License:

A driver's license is not required for this position.

More About This Job

Required Qualifications:

  • 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).

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Preferred Qualifications:

  • Previous coding experience or experience equivalent to an associateâ™s degree in a related field.
  • Knowledge of ICD-10 and CPT coding.

Preferred Qualifications

Education:

Associate degree - Medical Coding & Billing


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:

Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical Terminology

Grade

C10-H

Salary Range

$25.30 - $37.94 / Hourly

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 CandidateQuestions@wustl.edu 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.

  • 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? Weâ™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 Universityâ™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 â“ fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

Internal Number: JR86927
About Washington University in St. Louis
Washington University in St. Louis, a medium-sized, independent university, is dedicated to challenging its faculty and students alike to seek new knowledge and greater understanding of an ever-changing, multicultural world. The University offers more than 90 programs and almost 1,500 courses leading to bachelor's, master's and doctoral degrees in a broad spectrum of traditional and interdisciplinary fields, with additional opportunities for minor concentrations and individualized programs. The faculty is composed of scholars, scientists, artists and members of the learned professions. They serve society by teaching; by adding to the store of human art, creativity, understanding, and wisdom; and by providing direct services, such as health care.
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