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SSM Health · 1 day ago

Coder II, Professional - Cardiology

United States

Full-time

Remote

Entry, Mid Level

2+ years exp

SSM Health is seeking a remote Coder II Professional who will play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes. The ideal candidate will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations.

Health Care

H1B Sponsor Likely

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 all billable services through review of all applicable data sources, including but not limited to: electronic health record, inpatient admit, discharge and transfer (ADT) reports, operative logs, nursing home visit documentation, procedure reports generated from non-the electronic health record systems, etc

Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. 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

Reviews and resolves charge sessions that fail charge review edits, claim edits, and follow up denials. Works to improve billing based on findings/resolution of errors

Trains and mentors coding staff to effectively perform their job responsibilities following current coding policies and procedures. Assists coders with medical terminology, disease processes and complex surgical techniques

Manages assigned charge review, claim edit, and coding follow up work ques

Performs other duties as assigned

Qualification

Cardiology experienceCPT-4 codingICD-10 codingCertified Coding AssociateCertified Professional CoderMedical terminologyDocumentation improvementMentoring

Required

Ideal candidate has experience with cardiology

High School diploma/GED or 10 years of work experience

Two years' experience

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)

Or Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC)

Or Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA)

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

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.

Company

SSM Health

Glassdoor3.4

SSM Health is a Catholic, not-for-profit health system.

Founded in 1872

St Louis, Missouri, USA

10001+ employees

https://www.ssmhealth.com/

H1B Sponsorship

SSM Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (1)

2024 (4)

2023 (6)

2020 (2)