Coder Assistant

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

MO-SSM Health Saint Louis University Hospital

Worker Type:

Regular

Job Highlights:

Location: SSM Health Saint Louis University Hospital

Schedule: 8am - 4:30pm Monday through Friday

Preferred skills: excellent customer service and computer skills to include proficiency in Microsoft Office and data entry

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/GED or 10 years of work experience

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.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 

• None

Department:

8457000037 Trauma Center Admin

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

40

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• 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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SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pr