Additional Information About the Role BJC is hiring for an Inpatient Coder I. This is a remote position. Must have one of the following certifications: - CCS or CCA or RHIA or RHIT 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 Inpatient Coder I assigns diagnosis and procedure codes for inpatient encounters, while adhering to all regulatory guidelines. Responsibilities - Accurately abstracts data elements as required. - Stays current of all changes in coding conventions, regulatory guidelines, code updates and BJC coding guidance. - Thoroughly reviews and analyzes patient encounters for compliant coding. Queries provider for clarification or additional information as required. - Accurately assigns codes in a timely manner. Interprets, assesses and evaluates provider documentation for appropriate DRG assignment. - Effectively collaborates with leadership, colleagues and customers (CDI, HIM Operations, and other departments) as appropriate to ensure the integrity of the medical record and coding compliance. Minimum Requirements Education - High School Diploma or GED Experience - No Experience Supervisor Experience - No Experience Licenses & Certifications - Cert/Lic in Area of Expertise - CCS or CCA or RHIA or RHIT Preferred Requirements Experience - 2-5 years 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

JOB DESCRIPTION Job Summary Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. JOB DUTIES - Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements. - Monitors sources to ensure all updates are aligned. - Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations. - Conducts analysis to identify root causes and assist with problem management as it relates to state requirements. - Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. - Provides support for requirement interpretation inconsistencies and complaints. - Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials. - Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes. KNOWLEDGE/SKILLS/ABILITIES - Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning. - Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas. - Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company. - Ability to concisely synthesize large and complex requirements. - Ability to organize and maintain regulatory data including real-time policy changes. - Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. - Ability to work independently in a remote environment. - Ability to work with those in other time zones than your own. JOB QUALIFICATIONS Required Qualifications - At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience along with Medical Billing and coding experience - Policy/government legislative review knowledge. - Strong analytical and problem-solving skills. - Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams. - Previous success in a dynamic and autonomous work environment. Preferred Qualifications - Project implementation experience - Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). - Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

• Receive hands-on training and feedback on assigning codes to patient accounts • Gain experience to become an independent medical coder • Reviews work queue assignments and prioritizes by date, charges and payors • Assigns and sequences diagnosis and procedure codes using appropriate classification systems • Follows coding guidelines and billing requirements to ensure compliance • Verify charge entries are accurate based on the documentation provided • Identify and escalate any obstacles to fulfilling job responsibilities

UPMC Corporate Revenue Cycle is hiring a Coder II- Profee to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. This role will have the same responsibilities as a Coder I. The position will review all pertinent physician, nursing, and ancillary documentation. Depending on the type of service and place of service, you will determine the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize reimbursement and address any potential bundling issues. The Coder II will apply modifiers as needed. The position will also handle LMRP/CCI edit and coding denial resolution. We are looking for coders with prior experience in ENT coding to join the team. If you are ready to take the next step in your coding career, look no further! Responsibilities: - Utilize computer applications and resources essential to completing the coding process efficiently. - Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff. - Refer problem accounts to appropriate coding or management personnel for resolution. - Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. - Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement. - Make forward progress within the period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. - Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc) and to determine the level of acuity. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. - Adhere to internal department and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics. - Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management. - High school graduate or equivalent. - In lieu of 2 years of coding experience with schooling, a minimum of 3 years experience or CPC certification required. - Graduate of an approved certified coding program preferred with a curriculum that includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures. - Proficient computer skills with MS excel knowledge preferred. Licensure, Certifications, and Clearances: - Eligible for CPC or CPC specialty certification. - Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran