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SSM Health

SSM Health is a faith-based healthcare system with hospitals, physician offices, nursing homes, and other care facilities across the Midwest. A Catholic, not-fo

Quality Review and Coding Specialist – Continuum of Care

Medical Billing and CodingMedical Billing and CodingPart TimeRemoteMid LevelTeam 10,001Company Site

Location

Missouri

Posted

84 days ago

Salary

Not specified

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

• Responsible for performing audits and coding patient charts at the appropriate timepoints in care. • Review assessments and plans of care to ensure that the coded diagnoses on patient charts are accurately reflected in assessment and plan of care documentation. • Utilizes computerized coding/abstracting equipment, codes all diagnoses/procedures in accordance with coding guidelines while meeting quality and productivity standards. • Provides necessary assistance to field staff and leadership to Outcome and Assessment Information Set (OASIS), Healthy Outcomes from Positive Experiences (HOPE), and/or ICD-10 queries. • Assists coders and quality review staff in performance of duties. • Maintains and reports statistical information when applicable. • Reviews daily reports to ensure all records are processed. • Consults with field clinical staff regarding appropriate ICD codes and sequencing. • Performs other duties as assigned.

Job Requirements

  • High School diploma/GED or 10 years of work experience
  • Two years' experience
  • 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.
  • Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board
  • Or
  • Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance
  • Or
  • Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance
  • Or
  • Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance
  • Or
  • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)

Benefits

  • 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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