It's more than a career, it's a calling
MO-REMOTE
Worker Type:
Regular
Job Highlights:
Qualifications: Ideal candidate has experience with inpatient coding and auditing. RHIT, RHIA, and CCS are preferred certifications.
Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance.
*Candidates to reside in MO, IL, OK, or WI (additional states my be considered)
Job Summary:
Performs periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
- Audits specified number of records per coder as defined in the system coding audit plan.
- Prepares audit reports that are issued to key stakeholders, as appropriate.
- Develops corrective action plans to address opportunities for coding, billing and documentation improvement.
- Identifies trends and educational opportunities. Prepares and presents educational programs related to coding.
- Assists in the management of the coding and billing auditing and monitoring program to address high risk compliance areas.
- Performs other duties as assigned.
EDUCATION
- Bachelor's degree in business, healthcare or related field, or equivalent years of experience and education
EXPERIENCE
- Three years' experience
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin
- Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA)
- Or
- Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA)
- Or
- Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC)
- Or
- Certified Professional Coder (CPC®) - American Academy of Professional Coders (AAPC)
- Or
- Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA)
- Or
- Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA)
Work Shift:
Day Shift (United States of America)
Job Type:
Employee
Department:
8702010033 HB Coding Quality Team
Scheduled Weekly Hours:
40
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
- 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.
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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.