SSM Health
Job Highlights
$1,000 sign on bonus available (Check with recruiter for eligibility)
Come join us as a Coder I, Professional at SSM Health! You will play a crucial role in ensuring accurate and timely coding of medical records. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position.
Department: Coding
Schedule: Full Time, Day Shift
Starting Pay: $23.86 (Offers are based on years of experience and internal equity for this role)
Remote Work Eligibility This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance.
Candidates must reside in MO, IL, OK, or WI (additional states may be considered).
Job Summary Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures.
Job Responsibilities
Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps.
Identifies all billable services. Reviews all applicable data sources, including but not limited to, electronic health record, inpatient admit, discharge and transfer (ADT) reports, operative logs (aka Op Logs), nursing home visit documentation, procedure reports generated from non-the electronic health record systems, etc.
Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
Consults with physicians/providers as needed to clarify any documentation in the record that is inadequate, ambiguous, or unclear for coding purposes. Provides education around documentation improvement for maximum patient care.
Assists physicians/providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician/provider documentation. Identifies opportunities for education and communicates trends to leaders.
Reviews and resolves charge sessions that fail charge review edits, claim edits, and follow up denials. Works to improve billing based on findings/resolution of errors.
Is watchful for charge review, claim edit, and coding-related denial trends and shares trends with supervisor, managers, and team members to facilitate root cause analysis and continuous process improvement.
Manages assigned charge review, claim edit, and coding follow up work queues.
Performs other duties as assigned.
Education
High school diploma or equivalent
Experience and Certifications Required professional license and/or certifications:
Certified Coding Associate (CCA) – AHIMA
or Certified Coding Specialist – CCS-P – AHIMA
or Certified Outpatient Coder (COC) – AAPC
or Certified Professional Coder (CPC®) – AAPC
or Registered Health Information Administrator (RHIA) – AHIMA
or Registered Health Information Technician (RHIT) – AHIMA
or Certified Professional Coder Apprentice (CPC-A) – AAPC
or Certified Coding Specialist (CCS) – AHIMA
Work Shift Day Shift (United States of America)
Job Type Employee
Benefits
Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
SSM Health is an equal opportunity employer.
SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.
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Come join us as a Coder I, Professional at SSM Health! You will play a crucial role in ensuring accurate and timely coding of medical records. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position.
Department: Coding
Schedule: Full Time, Day Shift
Starting Pay: $23.86 (Offers are based on years of experience and internal equity for this role)
Remote Work Eligibility This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance.
Candidates must reside in MO, IL, OK, or WI (additional states may be considered).
Job Summary Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures.
Job Responsibilities
Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps.
Identifies all billable services. Reviews all applicable data sources, including but not limited to, electronic health record, inpatient admit, discharge and transfer (ADT) reports, operative logs (aka Op Logs), nursing home visit documentation, procedure reports generated from non-the electronic health record systems, etc.
Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
Consults with physicians/providers as needed to clarify any documentation in the record that is inadequate, ambiguous, or unclear for coding purposes. Provides education around documentation improvement for maximum patient care.
Assists physicians/providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician/provider documentation. Identifies opportunities for education and communicates trends to leaders.
Reviews and resolves charge sessions that fail charge review edits, claim edits, and follow up denials. Works to improve billing based on findings/resolution of errors.
Is watchful for charge review, claim edit, and coding-related denial trends and shares trends with supervisor, managers, and team members to facilitate root cause analysis and continuous process improvement.
Manages assigned charge review, claim edit, and coding follow up work queues.
Performs other duties as assigned.
Education
High school diploma or equivalent
Experience and Certifications Required professional license and/or certifications:
Certified Coding Associate (CCA) – AHIMA
or Certified Coding Specialist – CCS-P – AHIMA
or Certified Outpatient Coder (COC) – AAPC
or Certified Professional Coder (CPC®) – AAPC
or Registered Health Information Administrator (RHIA) – AHIMA
or Registered Health Information Technician (RHIT) – AHIMA
or Certified Professional Coder Apprentice (CPC-A) – AAPC
or Certified Coding Specialist (CCS) – AHIMA
Work Shift Day Shift (United States of America)
Job Type Employee
Benefits
Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
SSM Health is an equal opportunity employer.
SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.
#J-18808-Ljbffr