[Hiring] Sr. Compliance Coordinator-Billing & Coding @BJC HealthCare
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Role Description
The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG specialty provider documentation to ensure accuracy of services billed. This position prepares reports of findings to be presented to providers and develops educational opportunities for new and existing providers on federal and state regulations, documentation guidelines, and coding training.
• Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.
• Interacts with specialty providers regarding billing and documentation policies, procedures, and regulations.
• Develops and/or presents educational training material to specialty providers and coders based on findings and trends.
• Interacts with government agencies/contractors, management, employees, and others to ensure understanding of compliance initiatives.
• Conducts and coordinates routinely scheduled reviews of BJCMG specialty providers' documentation for accuracy of coding and physical presence.
• Conducts focused reviews based on the Compliance Department's annual work plan and/or trends identified.
• Provides guidance and serves as mentor to fellow coordinators related to the audit process, coding, billing, and compliance.
• Supports the HIPAA liaison by tracking and conducting employee investigations when requested.
Qualifications
• High School Diploma or GED
• 5-10 years of experience
• No supervisor experience required
• CCS/CPC certification
Preferred Qualifications
• Associate's Degree in Business/HC Admin/related field
• RHIA/RHIT certification
Benefits
• Comprehensive medical, dental, vision, 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
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Role Description
The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG specialty provider documentation to ensure accuracy of services billed. This position prepares reports of findings to be presented to providers and develops educational opportunities for new and existing providers on federal and state regulations, documentation guidelines, and coding training.
• Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.
• Interacts with specialty providers regarding billing and documentation policies, procedures, and regulations.
• Develops and/or presents educational training material to specialty providers and coders based on findings and trends.
• Interacts with government agencies/contractors, management, employees, and others to ensure understanding of compliance initiatives.
• Conducts and coordinates routinely scheduled reviews of BJCMG specialty providers' documentation for accuracy of coding and physical presence.
• Conducts focused reviews based on the Compliance Department's annual work plan and/or trends identified.
• Provides guidance and serves as mentor to fellow coordinators related to the audit process, coding, billing, and compliance.
• Supports the HIPAA liaison by tracking and conducting employee investigations when requested.
Qualifications
• High School Diploma or GED
• 5-10 years of experience
• No supervisor experience required
• CCS/CPC certification
Preferred Qualifications
• Associate's Degree in Business/HC Admin/related field
• RHIA/RHIT certification
Benefits
• Comprehensive medical, dental, vision, 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
Apply tot his job
Apply To this Job