Remote Medical Coder I | Coding Specialist (AHIMA/CPC)

SSM Health; St. Louis (MO); Remote; USD 55,000 - 75,000; Full time

Job summary

SSM Health is seeking a Coder I, Professional in a remote capacity. You will review patient information, assign CPT-4 and ICD-10 codes, and ensure compliance with coding guidelines, contributing to timely and accurate charge capture from home.

Responsibilities include analyzing documentation from EHR and other sources, consulting with physicians for clarification, supporting education on documentation improvement, and resolving coding and denial trends to support revenue integrity.

Qualifications

• High school diploma or equivalent

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 and reviews data sources such as EHR, ADT, Op Logs, nursing home documentation, and procedure reports.
• Posts CPT-4 and ICD-10 codes in the EHR and coordinates record requests as needed to ensure compliance with guidelines.
• Consults with physicians/providers to clarify documentation for accurate coding and provides education on documentation improvement.
• Assists physicians/providers with questions regarding coding and documentation guidelines and communicates trends to leaders.
• Reviews and resolves charge sessions that fail edits and follows up on denials to improve billing.
• Monitors denial trends and shares findings to facilitate root-cause analysis and process improvement.
• Manages charge review, claim edit, and coding follow-up queues.
• Performs other duties as assigned.

Education

High school diploma or equivalent

Job description

SSM Health is seeking a Coder I, Professional in a remote capacity. You will review patient information, assign CPT-4 and ICD-10 codes, and ensure compliance with coding guidelines, contributing to timely and accurate charge capture from home.

Responsibilities include analyzing documentation from EHR and other sources, consulting with physicians for clarification, supporting education on documentation improvement, and resolving coding and denial trends to support revenue integrity.