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BJC HealthCare is one of the largest healthcare organizations in the U.S. focused on delivering "the world's best medicine," made better by its 30,000+ clinical
Professional I Coder
Location
United States
Posted
94 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Professional I Coder
BJC HealthCare
Additional Information About the Role Professional Fee Coder 1 - Evaluation and Management Coding experience preferred but not required. This remote coder will code office and hospital E/M visits for our internal medicine, family medicine, and hospitalist providers at BJCMG. CPC, RHIT, CCS, or CPC-A required. - Alabama Iowa North Carolina Wisconsin - Arkansas Kansas Ohio - Florida Kentucky Oklahoma - Georgia Louisiana South Carolina - Illinois Mississippi Tennessee - Indiana Missouri Texas Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. Preferred Qualifications Role Purpose The Professional Coder I works independently to assign diagnosis, procedure codes and modifiers for professional fee encounters while adhering to all regulatory guidelines. At least one of the following certifications is required for this position: CCA, CPC, CPC-A, CCS-P, RHIA,RHIT, or CCS. Responsibilities - Stays current of all changes in coding conventions, regulatory guidelines, code updates and BJC coding guidance. - Validates codes for all primary and secondary diagnoses. Assigns procedure codes (excluding surgical procedures). Validates E/M code assigned by provider. - Queries provider for clarification or additional information as required. - Effectively collaborates with leadership, providers and practice staff as appropriate to ensure the integrity of the medical record and coding compliance. - Using critical thinking skills, analyzes and resolves coding related billing edits and denials. Minimum Requirements Education - High School Diploma or GED Licenses & Certifications - Cert/Lic in Area of Expertise Preferred Requirements Experience - <2 years - No Experience Supervisor Experience - No Experience Benefits and Legal Statement BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. - Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date - Disability insurance* paid for by BJC - Annual 4% BJC Automatic Retirement Contribution - 401(k) plan with BJC match - Tuition Assistance available on first day - BJC Institute for Learning and Development - Health Care and Dependent Care Flexible Spending Accounts - Paid Time Off benefit combines vacation, sick days, holidays and personal time - Adoption assistance To learn more, go to our Benefits Summary. *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
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This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Senior Professional Coder performs at an advanced level medical coding position and serves as an expert utilizing ICD-10 and CPT4 classification system coding to all diagnoses, treatments, and procedures in all types of Hospital, Clinic, and Ambulatory Surgical Center (ASC) locations at stated minimum performance levels. In addition, the Senior Professional Coder provides coding insight and guidance to clinical staff, Clinical Documentation Improvement (CDI), Professional Coder 1 and Professional Coder II positions as well as Revenue Cycle leadership. Responsibilities - Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and completely. - Reconcile correct coding edits and discrepancies prior to final coding. - Maintain coding quality of 95% or higher while meeting established productivity requirements based on encounter type. - Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations. - Identify trends in documentation deficiencies and communicate areas of improvement opportunities to leadership and/or providers. - Act as a key liaison for the physicians and clinical staff as it relates to coding and compliance. - Interact with physicians and other professional staff on documentation issues relating to coding data. - Act as a mentor to Coder I and Coder II staff. - Provide system and workflow training to newly employed coders. - Prepare and present education in conjunction with the Revenue Integrity Professional Coding Educator. - Be the primary contact for the Revenue Cycle team throughout Shriners Hospitals for Children (SHC) system to assist with coding questions. - Act as backup for Revenue Integrity Professional Coding Lead. - This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications - Minimum 7 years of coding experience in inpatient/outpatient professional surgery. - Experience with Surgery Coding guidelines, E/M Coding Guidelines, CPT Coding, ICD-10, Modifiers, HCPCS, and CCI edits. - Pediatric, orthopedic and/or injury coding experience. - Experience with education and presentations. - Functional knowledge of Medical Terminology. - Functional knowledge of professional coding practice standards. - Functional knowledge of MS Office. - High School Diploma or GED. - Current CCS-P (AHIMA) or CPC (AAPC). Benefits - All employees are eligible for medical coverage on their first day. - Eligible for a 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. - Paid time off, life insurance, short-term and long-term disability for FT or PT status (40+ hours per pay period). - Flexible Spending Account (FSA) plans and Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. - Tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance, and more for FT and PT employees. - Coverage available to employees and their qualified dependents in accordance with the plans. - Benefits may vary based on state law.
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