Pro Fee Coder II (PRN)
Additional Information About the Role
Join BJC HealthCare as a physican professional fee coder within cardio or OB/GYN!
Hours: PRN on an as needed basis
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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 $5.5 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 15 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.
The Professional Coder II works independently to assign diagnosis, procedure codes and modifiers for professional fee encounters while adhering to all regulatory guidelines. This coder is responsible for assigning diagnosis and surgical procedures for professional services. At least one of the following certifications is required for this position: CCA, CPC, CPC-A, CCS-P, RHIA, RHIT or CCS.
ResponsibilitiesStays 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.
EducationHigh School Diploma or GED