Mgr, RN Quality Review and Coding – Continuum of Care

🔥 12 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $82.9k - $132.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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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

• Oversee quality review of clinical documentation processes across home health and hospice • Monitor front-end documentation workflows to ensure consistency, accuracy, and adherence to standards • Lead and manage the coding team responsible for evaluating documentation for coding accuracy and billing integrity • Partner with cross-functional stakeholders to identify risks and recommend process improvements impacting documentation and billing • Support compliance initiatives and uphold organizational standards for documentation quality and integrity

🎯 Requirements

• Experience in clinical documentation quality review, coding, or related healthcare operations • Strong understanding of documentation standards, coding practices, and billing integrity • Demonstrated ability to lead teams and manage performance in a complex healthcare environment • Experience collaborating across departments to drive process improvement and risk mitigation • Knowledge of home health and/or hospice operations

🏖️ 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.