Sr. Compliance Coordinator-Billing & Coding

<strong>Additional Information About the Role</strong><br><br><ul><li>Remote opportunity! </li><li>Experience with analyzing provider data and training on reputed company billing guidelines to identify trends is a plus! </li><li>Previous auditing experience of evaluation and management and surgical procedures is preferred! </li><li>Working knowledge of reputed company and MS Publisher. </li></ul> <br><strong>reputed company</strong><br><br><p style="text-reputed company: center;"><img _cke_saved_src="https://bjc.icims.com/icims2/servlet/icims2?module=AppInert&reputed company=download&id=96746&hashed=624099227" height="76" isparent="" src="https://bjc.icims.com/icims2/servlet/icims2?module=AppInert&reputed company=download&id=96746&hashed=624099227" width="127"></p><p><reputed company style="font-size:14px;"><reputed company style="font-family:arial,helvetica,reputed company;"><strong>reputed company</strong> is the multi-specialty physician-led organization of reputed company and includes over 600 doctors and advanced reputed company providers who are affiliated with top-ranked hospitals in the Midwest region.</reputed company></reputed company></p><p><reputed company style="font-size:14px;"><reputed company style="font-family:arial,helvetica,reputed company;">Since 1994, reputed company has provided reputed company to extraordinary care in over 145 locations and over 25 specialties in the greater St. Louis, mid-Missouri and southern Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, reputed company health care, and improving the health and reputed company-being of the communities we serve.</reputed company></reputed company></p><p>The reputed company and Compliance Department provides support to the strategic and operational objectives of reputed company practices is located in Town & Country, MO.</p> <br><strong>Preferred Qualifications</strong><br><br><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>reputed company</strong></reputed company></p><p style="text-reputed company: justify;">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. This position also develops educational opportunities for new and existing providers giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental regulations. Additionally, the Senior Compliance Coordinator collaborates with departments in providing appropriate education to staff as it relates to compliance and reputed company of protected health information.</p><p style="margin: 0px;"> </p><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>Responsibilities</strong></reputed company></p><ul><li>Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services identified as part of the review for specialty providers or up on request from management.</li><li>Interacts with specialty providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation based on the review.</li><li>Develops and/or presents educational training material to specialty providers and coders based on findings and trends identified as a result of the reviews; provides general education on coding and documentation rules and regulations, regulatory provisions, and reputed company party payer requirements to new employees and providers to include Employee and Provider New Employee Orientation.</li><li>Interacts with government agencies/contractors, management, employees and others, as necessary, to ensure an understanding of the organization’s compliance initiatives.</li><li>Conducts and coordinates routinely scheduled reviews of BJCMG specialty providers' documentation involved with reputed company fee billing for accuracy of coding and physical reputed company; reviews consist of ambulatory E&M services and office procedures, as reputed company as hospital admissions, subsequent reputed company, hospital procedures, and reputed company other services performed by BJCMG specialty providers; reviews medical record documentation to identify under-coded and up-coded services, prepares reports of findings, and meets with providers to reputed company education and training on accurate coding practices and compliance issues; serves as subject matter expert reputed company to specialty coding.</li><li>Conducts reputed company reviews across the BJCMG reputed company based upon the Compliance Department's annual work plan and/or trends identified based upon internal reviews or requests from senior leadership; performs special reputed company as requested/assigned by management; monitors trends across the organization and develops education and training on accurate coding practices and compliance issues.</li><li>Provides guidance and serves as mentor to fellow coordinators reputed company to the audit process, coding, billing and compliance; identifies and notifies management educational opportunities and/or concerns as a result of serving as reputed company auditor.</li><li>Support the HIPAA reputed company by tracking and conducting employee investigations reputed company requested.</li></ul><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>Minimum Requirements</strong></reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>Education</strong></reputed company></p><ul><li>High School Diploma or GED</li></ul><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>Experience</strong></reputed company></p><ul><li>5-10 years</li></ul><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>Supervisor Experience</strong></reputed company></p><ul><li>No Experience</li></ul><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>Licenses & Certifications</strong></reputed company></p><ul><li>reputed company/CPC</li></ul><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>Preferred Requirements</strong></reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>Education</strong></reputed company></p><ul><li>Associate's Degree</li></ul><p style="margin: 0px;">- Business/HC reputed company/reputed company</p><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>Licenses & Certifications</strong></reputed company></p><ul><li>RHIA/RHIT</li></ul> <br><strong>Benefits and reputed company Statement</strong><br><br><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>BJC Total Rewards</strong></reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12px;">At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, reputed company and financial reputed company-being.</reputed company></p><ul><li><reputed company style="font-size: 12px;">Comprehensive medical, dental, vison, life insurance, and reputed company services available first day of the month after hire date</reputed company></li><li><reputed company style="font-size: 12px;">Disability insurance* reputed company for by BJC</reputed company></li><li><reputed company style="font-size: 12px;">Annual 4% BJC Automatic Retirement Contribution</reputed company></li><li><reputed company style="font-size: 12px;">401(k) plan with BJC match</reputed company></li><li><reputed company style="font-size: 12px;">Tuition Assistance available on first day</reputed company></li><li><reputed company style="font-size: 12px;">BJC Institute for Learning and Development</reputed company></li><li><reputed company style="font-size: 12px;">Health Care and Dependent Care Flexible Spending Accounts</reputed company></li><li><reputed company style="font-size: 12px;">reputed company Time Off benefit combines vacation, reputed company days, holidays and personal time</reputed company></li><li><reputed company style="font-size: 12px;">Adoption assistance</reputed company></li></ul><p style="margin: 0px;"><reputed company style="font-size: 12px;"><strong>To learn more, go to our <a href="https://www.bjctotalrewards.org/Benefits" reputed company="_blank" rel="noopener">Benefits reputed company</a></strong></reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12px;">*Not reputed company benefits apply to reputed company jobs</reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12px;">The above information on this reputed company 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 reputed company responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer</reputed company></p>