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MO-REMOTE

Worker Type:

Regular

Job Highlights:

Named 150 Top Places to Work in Healthcare 2023 - Becker's Healthcare

Named One of America's Greatest Workplaces for Diversity 2023 - Newsweek

Named One of America's Greatest Workplaces for Women 2023, 2024 - Newsweek

SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization’s 40,000 team members and more than 12,800 providers are committed to providing exceptional health care services and revealing God’s healing presence to everyone they serve.

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With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 13 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves.

Job Summary:

Directs the operations and compliance for the professional coding team and functions.

Job Responsibilities and Requirements:

Primary Responsibilities

• Provides direct oversight of daily operations including management of coding leadership and staff. Provides support and acts as a mentor while providing guidance to ensure their success.

• Implements coding policies, guidelines and procedures and identifies growth opportunities

• Ensures the Revenue Cycle goals, objectives, and vision are achieved. Oversees coding work load and staffing plans to ensure appropriate distribution of work, accuracy, and timeliness.

• Maintains an understanding of governmental regulatory changes within the industry, local markets, etc. that may require updates, modifications, or changes to coding and charge capture policies, procedures, set-up, or processes to ensure compliance with these regulations. Collaborates with corporate responsibility to ensure compliance with all federal and state regulations

• Works collaboratively with other departments and system ministries to improve coding efficiency, quality, clinical documentation, productivity, service excellence, and appropriate reimbursement for services.

• Monitors and justifies all expenditures exceeding budgeted targets. Seeks innovative ways to reduce operating expenses and develops the necessary programs to deliver cost-effective services and products.

• Serves as a subject matter expert for the organization on coding/charging functions. Interacts regularly with coders, physicians, quality, compliance and other health care practitioners to ensure common understanding of coding and documentation guidelines/principles, as well as government and commercial payer rules and regulations

• Works collaboratively with other departments to share feedback and ensure high functioning revenue cycle processes

• Performs other duties as assigned.

Education

• Bachelor's degree in business, healthcare or related field, or equivalent years of experience and education

Experience

• Seven years' experience, with five years' in direct people management/leadership

• ProFee experience strongly preferred

Required Professional License and/or Certification

• Certified Coding Associate ( CCA ) - American Health Information Management Assoc (AHIMA), Certified Coding Specialist - Physician-based ( CCS-P ) - American Health Information Management Assoc (AHIMA), Certified Outpatient Coder ( COC ) - American Academy of Professional Coders (AAPC), Certified Professional Coder ( CPC® ) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator ( RHIA ) - American Health Information Management Assoc (AHIMA), OR Registered Health Information Technician ( RHIT ) - American Health Information Management Assoc (AHIMA)

SSM Health is committed to equal employment opportunity based on race, color, religion, national origin, gender, sexual orientation, gender identity, pregnancy, age, physical or mental disability, veteran status, and all other statuses protected by law. #LI-Remote

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8700000033 Revenue Cycle Management

Scheduled Weekly Hours:

40

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, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?_ga=2.205881493.704955970.1667719643-240470506.1667719643)