"Alerted.org

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

IL-REMOTE STL PLAN

Worker Type:

Regular

Job Highlights:

**Qualifications:** Ideal candidate has regulatory and compliance experience in addition to certification (determined by state of residence).

At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve.

Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart.

**Remote work:** This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance.

*Candidates must reside in MO, IL, OK, or WI

Pay Range:

$64,292.80 - $96,428.80

Pay Rate Type:

Salary

SSM Health values the skills and talents that each team member brings to our organization. Compensation for this role is based on a variety of components including relevant experience, labor market, and other qualifications. The posted pay range for this position is what SSM Health reasonably expects, in good faith, to offer based on the circumstances at the time of posting. SSM Health may ultimately pay more or less than the posted range as permitted by law.

Job Summary:

Serves as a subject matter expert for research of governmental rules/regulations and policies related to Revenue Cycle ambulatory and acute coding and billing. Develops educational materials to cascade updates to the appropriate department to ensure operations are aware and understand how changes impact their operations. Responsible for performing in-depth analysis of proposed and final rules to ensure Revenue Cycle departments are aware and informed with changes to support operational compliance.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

+ Identifies and evaluates emerging compliance, coding, and financial risks. Utilizes regulatory guidance, resources, and data analytics on an ongoing basis to educate and implement leading regulatory compliant practices.

+ Serves as main contact for Medicare Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), State Medicare rules and any other documented policies related to Revenue Cycle billing and coding.

+ Uses current practices to identify areas of risk related to guidelines.

+ Develops informative educational materials for any changes and/or updates.

+ Provides updates on proposed rules and assesses the impact on operations current state with support from operational leaders.

+ Researches, analyzes, and depicts details from governmental and state regulatory documents that are of interest to the Revenue Cycle.

+ Performs ad hoc research related to billing and coding questions.

+ Performs other duties as assigned.

EDUCATION

+ Bachelor's degree or equivalent years of experience and education

EXPERIENCE

+ Three years' experience

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

State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin

+ Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA)

+ Or

+ Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA)

+ Or

+ Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA)

+ Or

+ Certified Healthcare Financial Professional (CHFP) - Healthcare Financial Management Association (HFMA)

+ Or

+ Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC)

+ Or

+ Certified Professional Coder (CPC®) - American Academy of Professional Coders (AAPC)

+ Or

+ Certified Revenue Cycle Representative (CRCR) – GCC for international audience - Healthcare Financial Management Association (HRMA)

+ Or

+ Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association (HFMA)

+ Or

+ Certified Specialist Accounting and Finance (CSAF) - Healthcare Financial Management Association (HRMA)

+ Or

+ Certified Specialist Business Intelligence (CSBI) - Healthcare Financial Management Association (HRMA)

+ Or

+ Certified Specialist Payment and Reimbursement (CSPR) - Healthcare Financial Management Association (HRMA)

+ Or

+ Certified Specialist Physician Practice Management (CSPPM) - Healthcare Financial Management Association (HRMA)

+ Or

+ Executive of Healthcare Revenue Cycle - Healthcare Financial Management Association (HRMA)

+ Or

+ Fellow of the Healthcare Financial Management Association (FHFMA) - Healthcare Financial Management Association (HRMA)

+ Or

+ Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA)

+ Or

+ Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA)

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8700080033 Regulatory Research RCO

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.

Explore All Benefits (https://jobs.ssmhealth.com/us/en/benefits)

_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)