Professional I Coder

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, including $410.6 million in charity care and other financial assistance to ensure medical care regardless of ability to pay. Additional community benefits include research, emergency preparedness, regional health care safety net services, health literacy, community outreach, 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 Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

About the role

The Professional Coder I works independently to assign diagnosis, procedure codes, and modifiers for professional fee encounters while adhering to all regulatory guidelines. This is a remote position. Eligible states: Alabama, Arkansas, Florida, Georgia, Indiana, Iowa, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Wisconsin.

Responsibilities

• Stays current on 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 to ensure the integrity of the medical record and coding compliance.
• Using critical thinking skills, analyzes and resolves coding-related billing edits and denials.

Requirements

• High School Diploma or GED.
• At least one of the following certifications: CCA, CPC, CPC-A, CCS-P, RHIA, RHIT, or CCS.
• E/M coding experience is highly preferred but not required.

Benefits

• Comprehensive medical, dental, vision, life insurance, and legal services available the 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 combining vacation, sick days, holidays, and personal time.
• Adoption assistance.

Not all benefits apply to all jobs.