SSM Health

The role involves building requirements, translating them into configuration and business process changes, and providing routine maintenance and standard builds for Epic applications using established internal procedures. This individual will also analyze software updates, troubleshoot application issues, and code complex functions including building application tables and reports for Epic systems.

Coder in Hospital Outpatient ensuring coding compliance at SSM Health

Coder II Professional responsible for coding medical records at SSM Health

The primary focus is on coding high complexity medical records, such as surgical and specialty services, ensuring accurate charge capture and timely processing through work queues. Responsibilities also include resolving coding-related denials and consulting with providers regarding documentation for coding purposes.

The primary responsibility involves assigning accurate diagnostic and procedure codes for outpatient hospital accounts based on clinical documentation and official coding guidelines. This includes reviewing charges, ensuring appropriate modifiers are used, entering accurate charge information, and generating coding queries when physician documentation requires clarification.

Call Center Representative for answering customer inquiries

This role involves evaluating the medical necessity and appropriateness of hospital admissions and surgical procedures, ensuring payors receive clinical information to support services and that the hospital obtains necessary authorization from the payor. Responsibilities also include discussing criteria with payors, escalating denials for peer review, documenting outcomes, and participating in team improvement opportunities.

This role involves answering incoming calls and performing triage of inquiries. Responds to telephone and/or Internet inquiries from customers seeking information and/or resources following a set standard. Collects relevant caller data to assist with measurement, tracking and rep...

This role involves coordinating provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. Attends in-services provided by various health plans. Travels to off-site locations as necessary. Gathers necessary clinical information and processes ...

Pharmacy Tech Coordinator for 340B Auditor improving workflows across multiple ministries.