Coder - Hospital Outpatient
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SSM Health
MO
Summary
Responsible for assigning accurate diagnostic and procedure codes for outpatient hospital accounts based on clinical documentation. The role involves reviewing HCPCS charges, monitoring work queues, and generating queries for physician clarification.
Job Description
It's more than a career, it's a calling.
MO-REMOTE
Worker Type:
Regular
Job Summary:
Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
- Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital accounts.
- Reviews HCPCS charges and codes for appropriateness of modifiers in relation to NCCI/CCI edits. Enters in accurate charge information, when appropriate
- Monitors assigned work queues to ensure all records are charged in a timely matter.
- Generates coding queries for clarification regarding physician documentation as needed
- Stays abreast of all changes in coding conventions and coding updates
- Performs other duties as assigned.
EDUCATION
-
High School diploma/GED or 10 years of work experience
EXPERIENCE
- No experience required
PHYSICAL REQUIREMENTS
- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
- Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
- Frequent keyboard use/data entry.
- Occasional bending, stooping, kneeling, squatting, twisting and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
- Rare climbing.
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 (CCS) - American Health Information Management Assoc (AHIMA)
Or
Certified Professional Coder (CPC®) - American Academy of Professional Coders (AAPC)
Or
Certified Professional Coder Apprentice (CPC-A) - 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:
8702000033 HB Coding
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.
SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law. Click here to learn more.
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.
Founded
1872
Company size
10,001+ employees
Industry
Healthcare
Org type
Nonprofit
Headquarters
St Louis, Missouri
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.
Founded
1872
Company size
10,001+ employees
Industry
Healthcare
Org type
Nonprofit
Headquarters
St Louis, Missouri