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JOB DESCRIPTION
It's more than a career, it's a calling
MO-REMOTE
Worker Type : Regular
Regular
Job Highlights :
Job Summary :
Primarily focuses on coding of high complexity, such as surgical, specialty service, higher than average cost services, evaluation and management services.
Responsible for resolving coding related denials.
Job Responsibilities and Requirements :
PRIMARY RESPONSIBILITIES
Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture.
Accurately deciphers charge error reasons and plans follow-up steps.
Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
Consults with physicians / providers as needed to clarify any documentation in the record that is inadequate, ambiguous, or unclear for coding purposes.
Provides education around documentation improvement for maximum patient care.
Assists physicians / providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician / provider documentation.
Identifies opportunities for education and communicates trends to lead
Assists coders with medical terminology, disease processes and complex surgical techniques.
EDUCATION
High school diploma or equivalent
EXPERIENCE
Two years' experience
PHYSICAL REQUIREMENTS
Work Shift :
Day Shift (United States of America)
Job Type : Employee
Employee
Department :
Scheduled Weekly Hours : 40
Benefits
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
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Last updated : 2024-04-27
Full Time
Ambulatory Healthcare Services
$47k-60k (estimate)
04/29/2024
05/09/2024
ssmhealth.com
MONONA, WI
15,000 - 50,000
1874
JAMES RICHARDSONL
$5B - $10B
Ambulatory Healthcare Services
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