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Compliance Manager

BJC
Saint Louis, MO Full Time
POSTED ON 12/22/2024
AVAILABLE BEFORE 8/22/2025
Additional Information About the Role

Do you have Outpatient Coding experience?  BJC is seeking an experienced people leader to join our Medical Group Compliance team.  The Compliance Manager will be the subject matter expert and assist the team with audits, disputes, etc.  This is a dynamic and hands on role where your expertise and leadership skills will be fully utilized. 

  • Full-Time; benefits eligible!
  • Monday - Friday; days only!
  • Hybrid position!  Primarily work from home with occasional onsite meetings, so must be within driving distance to St Louis Metro area.  The first month may be in person for training at our Mason Ridge location in West County.  
  • All candidates must have 5-10 years of outpatient coding and auditing experience, a previous history of Professional Evaluation and Management visits and procedures,
  • Ideal candidate should have at least 3 years of leadership experience, and a RHIA or CPC certification to be considered.  

Overview

BJC Medical Group is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with top-ranked hospitals in the Midwest region.

Since 1994, BJC Medical Group has provided access to extraordinary care in over 145 locations and over 25 specialties in the greater St. Louis, mid-Missouri and southern Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the communities we serve.

The Quality and Compliance Department provides support to the strategic and operational objectives of BJC Medical Group practices is located in Town & Country, MO.


Preferred Qualifications

Role Purpose

MGR COMPLIANCE 1) Operations & Investigations; 2) Process Improvement & Education: Provides management, leadership, and guidance in all matters concerning the Corporate Compliance Program. Ensures appropriate communication and information exchange with all levels of BJC and WUSM. Builds collaborative teams that strive to minimize organizational risk in an environment that focuses on continuous improvement and business results that meet or exceed every customer‘s expectation

 

Responsibilities

  • Develops, initiates, maintains, and revises policies and procedures for the general operation of the Compliance Program and ensures timely investigation of matters raised.
  • Monitors performance of the Compliance program, evaluates activities, and takes steps to improve effectiveness.
  • Develops, coordinates, and participates in educational programs.
  • Serves as a resource ensuring that compliance issues and concerns are being appropriately evaluated, investigated and resolved.
  • Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
  • Develops and adheres to departmental staffing, revenue and/or expense budgets. Responds to changes in the business which may affect the ability to achieve the budget goals.
  • Minimum Requirements

    Education

  • Associate's Degree
  • Experience

  • 5-10 years
  • Supervisor Experience

  • < 2 years
  • Preferred Requirements

    Education

  • Bachelor's Degree
  • - Business/HC Admin/related
  • Master's Degree
  • - Bus/HC Admin/Nursing/related

    Licenses & Certifications

  • CHC
  • RN

  • Benefits and Legal Statement

    BJC Total Rewards

    At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

    • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
    • Disability insurance* paid for by BJC
    • Pension Plan*/403(b) Plan funded by BJC
    • 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

    To learn more, go to www.bjctotalrewards.com/Benefits

    *Not all benefits apply to all jobs

    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

    Salary : $6,300 - $785,900

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