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Coder Lead, Professional at SSM Health - ApplyBlast

Coder Lead, Professional

SSM Health

3 months ago

3.4 on Glassdoor

Onsite

Full Time

Senior

0 applicants

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About this role

This role leads and coordinates shift operations for the coding and charge capture area, ensuring accurate charge review and timely claim processing. The incumbent reviews medical records to assign appropriate CPT-4 and ICD-10 codes while adhering to Medicare and NCCI guidelines. Responsibilities include communicating with providers for clarification, correcting claim edits, analyzing denial trends, and mentoring coding staff to improve documentation quality.

Responsibilities

Coordinate shift operations and prioritize coding activities
Review medical records to assign accurate CPT-4 and ICD-10 codes
Analyze claim denial trends and facilitate root cause analysis
Mentor coding staff and provide guidance on documentation guidelines
Communicate with providers to clarify charge entries and billing errors

Skills

Qualifications

Certified Coding Associate (CCA)Certified Coding Specialist - Physician-based (CCS-P)Certified Outpatient Coder (COC)Certified Professional Coder (CPC®)Registered Health Information Administrator (RHIA)

About SSM Health

ssmhealth.com

Headquarters

St. Louis, Missouri, United States

Company Size

10001+ employees

Founded

1872

View Profile

SSM Health is a Catholic, not-for-profit health system providing high-quality, compassionate, and personalized care to communities across Illinois, Missouri, Oklahoma, and Wisconsin.