Billing & Coding Manager
Billing & Coding Manager
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$ 4962 - 6669
1 Vacancy
Job Description
Western Washington University with over 15000 students in seven colleges and the graduate school is nationally recognized for its educational programs students and faculty. The campus is located in Bellingham Washington a coastal community of 90000 overlooking Bellingham Bay the San Juan Islands and the North Cascades Mountain range. The city lies 90 miles north of Seattle and 60 miles south of Vancouver British Columbia. Western has additional sites in Anacortes Bremerton Everett Port Angeles and Poulsbo. Western is recognized nationally for its successes such as being named one of the top public mastersgranting institutions in the Pacific Northwest for 25 years in a row by U.S. News & World Report.
Western Washington University is committed to achieving excellence through advancing inclusive success increasing our Washington impact and focusing on transformational education grounded in the liberal arts and sciences and based on innovative scholarship research and creative activity. Westerns greatest strength is the outstanding students faculty staff and alumni/ae who make up its community. Western supports an inclusive governance structure for all and provides a learning and working environment in which everyone can thrive. In pursuit of this excellence individual employees are expected to establish and maintain productive and effective inclusive working relationships amongst diverse populations including staff faculty administration student and external constituents. Further individual employees are expected to have the ability to operationalize sustainability concepts (economic societal environmental) into all aspects of performing their job duties.
The Billing & Coding Manager reports to the Administrative Services Manager of the WWU Student Health Center.
Responsibilities include:
- Serves as advisor to leadership providers and staff on all aspects of billing and reimbursement trends.
- Develops billing strategy processes and policies.
- Posts payments accurately and timely to stay in compliance with federal state and insurance company contracts and regulations.
- Ensures compliance and completeness of claims for electronic submission.
- Ensures proper billing by State and Federal regulations by overseeing coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy Identifies reports and implements corrective action for compliance issues detected through auditing and monitoring.
- Conducts trends analyses to identify patterns and variations in coding practices.
- Verifies financial payer and patient information.
- Works closely with the all staff involved with billing for seamless flow between services and to increase knowledge of the relationship between charge behavior billing flow and reimbursement.
- Works closely with Clearinghouse(s) RCM consultants and electronic health record vendor to set up processes and protocols to process revenue.
- Analyzes and resolves complex billing related claim denials in a manner that ensures accurate and optimal reimbursement.
- Responsible for collections activity and payment denials including account resolution with insurance companies and/or patients.
- Monitors process to ensure regulatory compliance sound billing practices are being followed and to protect the revenue cycle.
- Performs annual analysis and updates for fee schedules.
- Assists in obtaining managed care contracting; monitors contracts for compliance and any legal updates or other considerations.
- Reviews claims denials and rejections pertaining to coding and medical necessity issues and when necessary implements corrective action plan to prevent similar denials and rejections from recurring.
- Keep abreast of new developments in billing updates technology research and regulatory data.
- Training Billing and coding staff
- Trains SHC and Billing and Coding staff on billing and coding functions and work flow.
- Supervises Billing and Coding staff billing services and integration with other departments.
- Delegates or responds to patient and insurance company inquiries.
- Responsible for training and updating all SHC clinical areas to understand and mitigate impacts of billing and coding in response to newly implemented workflows or laws/regulations.
- Review spreadsheets for coding compliance to ensure accurate and legal charge posting.
- Insurance Credentialing and Contracting
- Responsible for implementing systems and processes for billing that abide by all laws and contractual agreements.
- Participates in contract negotiations with insurance companies.
- Oversees insurance credentialing of providers.
- Auditing Reporting and Compliance
- Works closely with providers to audit monitor and train for yearly coding and fee updates.
- Create and sustain auditing schedule for insurance billing process
- Review and manage aging reports daily to ensure timely billing and payments to enhance the revenue and performance of SHC billing program.
- Creates reports dashboards and benchmarks for trending budget projections and identify areas of concern.
- Develops and monitors daily billing edit reports for claims to ensure our contractual obligations are upheld and that we are following the terms to optimize revenue generation and regulatory compliance.
- Manage checks and balances for billing and coding processes as it relates to external audits.
- Analyze policies programs and initiatives to make recommendations for quality improvement.
- Student Health Center Collaborations
- Participate in SHC staff meetings
- Assist Administrative Services Manager with training and development for Patient Services Coordinators
- Work with SHC committees as needed Other duties as assigned.
The State HR classification for this position is Program Manager A.
- Bachelors degree in Business Administration Health Information Management or relevant field OR Certified Professional Biller; equivalent experience may be in lieu of Bachelors degree.
- Five years of billing experience in a medical practice or ambulatory services setting.
- Experience with data analysis revenue cycle management and CPT and ICD10 coding.
- Two years of experience training staff in billing practices and on electronic health record usage.
- Demonstrated ability to locate research comprehend and appropriately apply third party payer rules and regulations.
- A personal or professional commitment to diversity equity and inclusion through active planning and purposeful effort.
- Experience working with clearinghouse(s).
- Experience with coding compliance.
- Ability to maintain confidentiality of patient information in accordance with policies of the WWU Student Health Center Western Washington University FERPA state federal and HIPAA requirements.
- Demonstrates strong decision making and problemsolving skills.
- Detail oriented and ability to meet deadlines.
- Ability to adjust successfully to changing priorities and workload volume.
- Demonstrates clear and concise verbal and written communication skills.
WWU SHC follows CDC guidelines for Employee Health in a healthcare setting including proof of several vaccinations and annual vaccinations during employment. Employees must show proof of compliance/willingness to comply by start date.
- Experience and ability to apply FERPA (and HIPAA) standards/rules/requirements.
- Three years of supervisory experience in Billing.
- Experience in establishing a billing department including denials charge posting payment posting and appropriate resource management.
- Ability to advance the departments commitment to diversity equity and inclusion.
- Demonstrates autonomous decisionmaking ability.
- Experience in obtaining and negotiating managed care contracts.
Application materials should address your experience related to the position responsibilities and the required and preferred qualifications.
Position open to PSE DCA and permanent internal (including project) WWU employees; PSE candidates will receive priority consideration. Position closes 05/15/2025 at 11:55 pm.
Western Washington University (WWU) is an equal opportunity and affirmative action employer committed to assembling a diverse broadly trained faculty and staff. Women minorities people with disabilities and veterans are strongly encouraged to apply. In compliance with applicable laws and in furtherance of its commitment to fostering an environment that welcomes and embraces diversity WWU does not discriminate on the basis of race color creed religion national origin sex (including pregnancy and parenting status) disability age veteran status sexual orientation gender identity or expression marital status or genetic information in its programs or activities including employment admissions and educational programs. See WWUs Policy onEnsuring Equal Opportunity and Prohibiting Discrimination and Retaliation. Inquiries may be directed to the Office of Civil Rights and Title IX Compliance Title IX and ADA Coordinator Western Washington University Old Main 126 (MS 9021) 516 High Street Bellingham WA 98225; 360.650.3307 (voice) or 711 (Washington Relay);
WWU is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request an accommodation please contactHuman Resources Disability Services 360.650.3751 or 711 (Washington Relay).
Annual Security and Fire Safety Report: This report is provided pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (The Clery Act). It includes statistics for the previous three calendar years concerning reported crimes that occurred on Westerns campus; in certain offcampus buildings or property owned or controlled by Western; and on public property within or immediately adjacent to and accessible from the campus. The report also includes institutional policies concerning campus security such as policies concerning alcohol and drug use crime prevention the reporting of crimes sexual assault and other matters. You can obtain a copy of this report in printed or alternate formats by contacting the Office of the Vice President for Enrollment and Student Services at . The report can be found at: Annual Security and Fire Safety Report.
All new employees must comply with the immunization policy and show employment eligibility verification as required by the U.S. Citizen and Immigration Service before beginning work at WWU. A thorough background check will be conducted on all new hires which includes a sexual misconduct background check.
Required Experience:
Manager
Employment Type
Full-Time
