SSM Health

Through our exceptional health care services, we reveal the healing presence of God.

Quality Review and Coding Specialist – Continuum of Care

Medical Billing and CodingMedical Billing and CodingPart TimeRemoteTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Missouri

Posted

82 days ago

Salary

Not specified

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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