For the protection of patients, team members and all who enter our facilities, BJC has made the decision to require COVID-19 vaccination for all team members, unless granted medical or religious exemption, as a condition of employment.

Check the Status of your Application
Back

Compliance Specialist

Job Description


Job ID: 1220019
Employment Status: Full-Time
More Information:

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 mid-Missouri regions. 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.


Overview


Role Purpose

Perform insurance billing and process audits and assists with special projects. Serve as a regulatory consultant and resource to management and departments at all levels and assist in developing appropriate action plans. Requires a high degree of analytical skills, the ability to work independently, the ability to maintain confidentiality and to be a catalyst for change.


Responsibilities

  • Performs detailed compliance, process and insurance billing audits in the hospital and outpatient facilities.
  • Prepares audit work papers to document billing exceptions or patient care documentation issues.
  • Identifies problems or critical issues in billing and patient care documentation.
  • Assists with the identification of problems, analysis of problems and development of solutions.
  • Assists in the preparation of formal written reports which detail audit findings and recommendations.

  • Minimum Requirements

     

    Degree

  • Associate's Degree
  •  

    Experience

  • 2-5 years
  •  

    Supervisor Experience

  • No Experience

  •  

    Preferred Requirements and Additional Job Information

     

    Licenses & Certifications

  • RN
  • RHIA/RHIT/CCS

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description 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 all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer