Coder I

🕒 May 21

🌽 Illinois, Oklahoma, +2 more states – Remote

🌽 Illinois – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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SSM Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Debt Financing on 2019-11

Healthcare Insurance

SSM Health is a Catholic, not-for-profit health system serving communities across the Midwest. It is one of the largest Catholic health care systems in the United States, operating 23 hospitals and over 650 physician offices, along with other outpatient and virtual care services in Illinois, Missouri, Oklahoma, and Wisconsin. SSM Health is dedicated to providing high-quality care through a comprehensive, integrated health care delivery system. The organization values diversity, inclusion, and the professional growth of its 40,000 team members. SSM Health is committed to exceptional patient care, showcasing a rich heritage of service for over 150 years.

📋 Description

• Come join us as a Coder I, Professional at SSM Health! • Play a crucial role in ensuring accurate and timely coding of medical records. • Responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. • 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 records, inpatient admits, discharge and transfer (ADT) reports, operative logs, nursing home visit documentation, procedure reports generated from non-electronic health record systems, etc. • 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 and claim edits.

🎯 Requirements

• High school diploma or equivalent • Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA) • Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA) • Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) • Certified Professional Coder (CPC®) - American Academy of Professional Coders (AAPC) • Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA) • Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA) • Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) • Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA)

🏖️ Benefits

• Paid Parental Leave : we offer eligible team members 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.