SSM Health

Coding Auditor - Inpatient

SSM Health  •  Missouri (Remote)  •  2 months ago
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Job Description

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)

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.

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.

SSM Health

About SSM Health

SSM Health is a Catholic, not-for-profit, fully integrated health system dedicated to advancing innovative, sustainable, and compassionate care for patients and communities throughout the Midwest and beyond. The organization’s 40,000 team members and 13,900 providers are committed to fulfilling SSM Health’s Mission: “Through our exceptional health care services, we reveal the healing presence of God.”

With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes hospitals, physician offices, outpatient and virtual care services, comprehensive home care and hospice services, a fully transparent pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. For more information, visit ssmhealth.com

Visit jobs.ssmhealth.com to fulfill your calling with SSM Health. Together – We Care.

Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
St Louis, Missouri
Year Founded
1872
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