Quality Review and Coding Specialist – Continuum of Care

🔥 0 minutes ago

🐊 Florida, Illinois, +3 more states – Remote

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

⏰ Full 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 care timepoints • Review assessments and plans of care to verify 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 • 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 • Ability to use computerized coding/abstracting equipment • Knowledge of coding guidelines • Required certification or license depending on work location: COS-C, HCS-O, HCS-D, HCS-H, or applicable Registered Nurse (RN) license • Frequent keyboard use/data entry • Ability to perform stated physical requirements, including lifting/carrying and pushing/pulling objects up to 25 lbs frequently and 25–50 lbs occasionally

🏖️ Benefits

• Full-time, 40-hour position • Remote work with flexible hours • Day shift • Equal employment opportunities

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