Compliance Partner

BJC HealthCare • St. Louis, MO

6d • Remote

About The Position

The Compliance Partner supports the yearly Corporate Compliance Workplan and serves as a resource to departments under review by government auditors including but not limited to Medicare Audit Contractors, Supplemental Review Medical Contractors and the Office of Inspector General. This individual would be responsible to educate, promote and reinforce compliance requirements with federal and state regulations.

Requirements

• Associate or Trade School Equi
• 10+ years of experience
• RN
• RHIA/RHIT
• Should reside in the Greater St. Louis area.

Nice To Haves

• Bachelor's Degree
• CHC
• Registered Health Info Tech

Responsibilities

• Conducts audit of medical records and healthcare claims. This includes but not limited to review of the medical record, assessment of the documentation and charging to ensure departments are meeting billing, coding and regulatory requirements in accordance with federal and state regulations. This includes coordinating the development of departmental action plans.
• Maintains current knowledge of federal and state billing, coding and medical necessity coverage requirements.
• Designs, develops, and implements education programs for clients and staff members in the organization to improve compliance outcomes using available regulatory guidance and resources.
• Identifies potential risk, tracts issues, and recommends opportunities for continued process improvement and controls or other risk mitigation strategies.
• Conducts appeals for post-payment denials.
• Writing appeals and audits.

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: Senior
• Education Level: Associate degree