Remote Medical Coder II — Denials & Coding Expert

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

Job summary

SSM Health is hiring a remote Coder II Professional to accurately code and abstract medical records for billing. This role focuses on high-complexity coding, including surgical and evaluation and management services, with denials resolution and adherence to payer guidelines.

Eligible for remote work, with state limitations consulting HR. Requires 2+ years of coding experience and a high school diploma; MO, IL, OK or WI residency is preferred.

Qualifications

• Two years of professional coding experience required.
• Experience with CPT-4 and ICD-10 coding.
• Ability to review medical records and assign codes.
• Knowledge of Medicare and payer guidelines.
• Strong communication with physicians for documentation improvement.

Responsibilities

• Manages charge review and coding-related claim edits to ensure timely, accurate charge capture.
• Identifies billable services through review of data sources (EHR, ADT, operative logs, etc.).
• Reviews documentation and posts CPT-4 and ICD-10 codes; requests records as needed.
• Consults with physicians for documentation clarification to improve coding accuracy.
• Trains others and shares education on coding policies and procedures.
• Resolves charge sessions failing edits and follows up on denials.
• Performs other duties as assigned.

Skills

Medical coding

CPT-4 ICD-10

Charge review

Documentation guidance

Physician collaboration

Education

High school diploma

Tools

EHR systems

NCCI guidelines

Coding software

Job description

SSM Health is hiring a remote Coder II Professional to accurately code and abstract medical records for billing. This role focuses on high-complexity coding, including surgical and evaluation and management services, with denials resolution and adherence to payer guidelines.

Eligible for remote work, with state limitations consulting HR. Requires 2+ years of coding experience and a high school diploma; MO, IL, OK or WI residency is preferred.