Quality Review and Coding Specialist – Continuum of Care

🔥 15 hours ago

🐊 Florida, Illinois, +3 more states – Remote

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

⏱ Part Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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SSM Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1872

🏥 Healthcare

🤝 Non-profit

💰 Grant on 2023-12

Healthcare • Non-profit

SSM Health is a Catholic, not-for-profit health system serving communities across the U. S. Midwest through an integrated network of hospitals, clinics, and care services. With locations in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health operates acute-care and specialty services (including teaching hospitals and level‑one trauma centers), emphasizes mission-driven, compassionate care, workforce development, and employee benefits, and supports flexible nursing and other clinical roles.

📋 Description

• Perform audits and code patient charts at appropriate timepoints in care • Review assessments and plans of care to ensure coded diagnoses accurately reflect documentation • Code diagnoses and procedures in accordance with coding guidelines while meeting quality and productivity standards • Assist field staff and leadership with OASIS, HOPE, and/or ICD-10 queries • Assist coders and quality review staff in performing their duties • Maintain and report statistical information when applicable • Review daily reports to ensure all records are processed • Consult with field clinical staff regarding ICD codes and sequencing • Perform other assigned duties

🎯 Requirements

• Must reside in Missouri, Wisconsin, Oklahoma, Illinois, or Florida • High School diploma/GED or 10 years of work experience • Two years' experience • Certificate for OASIS Specialist-Clinical (COS-C), or Home Care Clinical Specialist - OASIS (HCS-O), or Home Care Coding Specialist - Diagnosis (HCS-D), or Home Care Coding Specialist- Hospice (HCS-H), or applicable Registered Nurse (RN) license/certification for the state of work location • Ability to commit to a minimum of 8 hours per pay period • Ability to use computerized coding/abstracting equipment • Knowledge of coding guidelines, OASIS, HOPE, and/or ICD-10 • Ability to perform frequent keyboard use/data entry • Ability to meet physical requirements including lifting/carrying and pushing/pulling objects

🏖️ Benefits

• Remote work arrangement • PRN schedule with fill-in work as needed • Equal employment opportunity

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