This role involves providing senior-level support for network systems, including complex troubleshooting, proactive investigation, and the coordination of installations and upgrades. The engineer will also maintain technical documentation, mentor junior staff, and act as a subject matter expert for specific technology tools and processes.
Review inpatient medical records and assign appropriate diagnosis, procedure, and DRG codes for billing, reporting, research, and regulatory compliance. Determine first-listed and secondary diagnoses, assign present-on-admission indicators, query providers when appropriate, abstract relevant data, and meet quality and productivity standards.
The Patient Accounts Representative is responsible for managing patient billing accounts and ensuring accurate financial records. They will handle account inquiries and facilitate the resolution of billing issues.
Improve charge capture accuracy through workflow assessments, coding reviews, process enhancements, and reporting, while monitoring coding performance across sections and business units. Coordinate with revenue cycle operations, IT, finance, providers, and operational leaders on charging processes, documentation, reconciliation, and denial trends.
Supervise the inpatient coding staff for BJC Health/Saint Luke's. Provide coding education and training while ensuring compliance with coding guidelines and policies.
Review and correct physician-clinic billing claims, perform straightforward coding, post and adjust payments, and manage accounts receivable activities. Research and resolve claim edits, denials, and coverage issues; communicate with patients, payors, and internal teams, and prepare appeals or escalate complex cases as needed.
The Buyer manages procurement processes, places orders, and resolves issues between vendors and internal customers. They also lead process improvement projects and provide expert advice on accounting and vendor management.
Manage billing, collections, and accounts receivable for the Physician Enterprise Central Billing Office, including account follow-up and reconciliation. Review charges, provide coding support, resolve payer issues, and identify and report billing or collections trends.
The Speech Pathologist provides screening, evaluation, and treatment for patients with speech, language, and cognitive-communication impairments. They also collaborate with the interdisciplinary health care team to develop individualized treatment plans and ensure timely documentation.
The Charge Audit Specialist supports charging accuracy by managing work queues, correcting charges, and serving as a liaison between clinical and patient account departments. They also perform charge capture for specific departments and collaborate on process improvement initiatives.
This position negotiates managed care contracts for hospitals, home health agencies, and employed physicians. It also involves maintaining relationships with managed care plans and overseeing the implementation and administration of these contracts.
