SSM Health
Overview
It's more than a career, it's a calling Job location: Remote eligible. Worker Type: Regular. Job Highlights: $1,000 sign on bonus available (Check with recruiter for eligibility) Come join us as 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. 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:
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 to reside in MO, IL, OK, or WI (additional states may be considered) Responsibilities
Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately decipheres 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, nursing home visit documentation, procedure reports from non-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. 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 to clarify documentation 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. Monitors 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: State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA) Or Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA) Or Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) Or Certified Professional Coder (CPC®) - American Academy of Professional Coders (AAPC) Or Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA) Or Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA) Or Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) Or Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA) Work Details
Work Shift:
Day Shift (United States of America) Job Type:
Employee Department:
Coding Scheduled Weekly Hours:
40 Benefits
Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: DailyPay offers eligible hourly team members instant access to earned pay before payday (fees may apply). Upfront Tuition Coverage: FlexPath Funded for eligible team members. Equal Employment Opportunity
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. Click here to learn more.
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It's more than a career, it's a calling Job location: Remote eligible. Worker Type: Regular. Job Highlights: $1,000 sign on bonus available (Check with recruiter for eligibility) Come join us as 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. 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:
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 to reside in MO, IL, OK, or WI (additional states may be considered) Responsibilities
Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately decipheres 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, nursing home visit documentation, procedure reports from non-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. 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 to clarify documentation 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. Monitors 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: State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA) Or Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA) Or Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) Or Certified Professional Coder (CPC®) - American Academy of Professional Coders (AAPC) Or Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA) Or Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA) Or Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) Or Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA) Work Details
Work Shift:
Day Shift (United States of America) Job Type:
Employee Department:
Coding Scheduled Weekly Hours:
40 Benefits
Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: DailyPay offers eligible hourly team members instant access to earned pay before payday (fees may apply). Upfront Tuition Coverage: FlexPath Funded for eligible team members. Equal Employment Opportunity
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. Click here to learn more.
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