Coder I, Professional

SSM Health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Join a forward-thinking healthcare organization as a Coder I, where you'll play a vital role in ensuring accurate medical coding from the comfort of your home. This remote position allows you to contribute significantly to patient care by reviewing patient information and applying coding guidelines. You'll be part of a supportive team focused on continuous improvement and education, ensuring compliance with industry standards. If you're detail-oriented and passionate about healthcare, this opportunity offers a fulfilling career path with the potential for growth and development.

Benefits

Paid Parental Leave

Flexible Payment Options

Upfront Tuition Coverage

$1,000 Sign-On Bonus

Qualifications

• Knowledge of medical coding guidelines is essential.
• Strong attention to detail required for accurate coding.

Responsibilities

• Manage charge review and coding-related claims for accuracy.
• Review medical records and assign appropriate codes.

Skills

Medical Coding

Attention to Detail

Compliance Knowledge

Communication Skills

Education

High School Diploma or Equivalent

Job description

It's more than a career, it's a calling

Location: MO-REMOTE

Worker Type: Regular

Job Highlights:

Come join us as a 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. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of our organization.

• Department: Coding
• Schedule: Full Time, Day Shift
• Starting Pay: $23.86 (Offers are based on years of experience and internal equity for this role)
• $1,000 sign on bonus available (Check with recruiter for eligibility)
• Shift Differentials: Available for night, weekend, and additional shifts

Job Summary:

Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• 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 record, inpatient admit, discharge and transfer (ADT) reports, operative logs (aka Op Logs), nursing home visit documentation, procedure reports generated from non-the 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 to the electronic health record. 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, claim edits, and follow up denials. Works to improve billing based on findings/resolution of errors.
• Is watchful for 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

Work Shift: Day Shift (United States of America)

Job Type: Employee

Department: Coding

Scheduled Weekly Hours: 40

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.

Explore All Benefits

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.