Coder Assistant, Professional

SSM Health hiring for Coder Assistant, Professional jobs in WI, US

It's more than a career, it's a calling.

WI-REMOTE

Worker Type:

Regular

Job Summary:

Responsible for manual charge entry, correction of low complexity coding-related charge review edits, and claim edits.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Reviews and resolves all services in assigned charge review, claim edit, and denial/follow-up work queues to ensure timely and accurate charge capture or insurance follow-up. Accurately deciphers charge error reasons and plan follow-up steps.
• Conducts charge reconciliation by reviewing various reports detailing billable activity and following-up, as necessary to ensure charges are submitted and cleared from missing charge reports. Reviews all applicable data sources, including but not limited to, electronic health record, inpatient admit, discharge and transfer (ADT) reports, operative logs (aka Op Logs), nursing home visit documentation, procedure reports generated from non-electronic health record systems, etc.
• Documents clear and concise notes within the electronic health record according to established standards to facilitate comprehensive and accurate claim history.
• Reviews electronic health record, scanning database and other systems to obtain required information such as referral/ authorization numbers, Advanced Beneficiary Notice (ABN) or financial responsibility form (FRF) capture, accident or work injury dates, etc.
• Follows all department policies and procedures, desk level procedures, guidance documents, or other work tools designed to ensure accuracy.
• Performs other duties as assigned.

EDUCATION

• High school diploma or equivalent

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.

Work Shift:

Day Shift (United States of America) Employee

Department:

8700070033 PB Coding Quality

Scheduled Weekly Hours:

40

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