Coding Analyst - Denial

BJC HealthCare • St. Louis, MO

1d

About The Position

BJC is currently seeking a Coding Analyst - Denial. The ideal candidate will possess 2-5 years of experience in coding Professional Evaluation and Management (E/M) as well as surgical coding in specialties such as Cardiology, Orthopedics, ENT, OBGYN, and General Surgery, along with billing and denial management.
Certification as a CPC, CCS, or RHIT is required. The primary responsibility of this role includes reviewing coding denials for E/M and surgical claims for our providers at the Medical Group.

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.

Requirements

• High School Diploma or GED
• 2-5 years
• No Experience
• Cert/Lic in Area of Expertise

Nice To Haves

• 5-10 years

Responsibilities

• Stays current of all changes in coding conventions, regulatory guidelines, code updates and BJC coding guidance.
• Using critical thinking skills, analyzes and resolves coding related billing edits and denials.
• Reviews and analyzes patient encounters for compliant coding as needed.
• Effectively collaborates with leadership and customers (Revenue Cycle Management, Hospital Departments, and other departments) as appropriate to resolve edits.
• Determines need for and executes escalation procedures.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED