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Quality Review and Coding Specialist – Continuum of Care
SSM Health. Perform audits and code patient charts at appropriate care timepoints .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding diagnoses and procedures according to established guidelines, with a strong focus on quality and productivity. Proficient in utilizing computerized coding systems and collaborating with clinical staff to ensure accurate documentation and coding.
Highest-signal resume keywords
ICD-10 CodingCoding Guidelines KnowledgeCOS-C CertificationHCS-O CertificationData Entry Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Chart AuditingDiagnosis CodingProcedure CodingQuality ReviewStatistical ReportingOASIS QueriesHOPE QueriesComputerized Coding EquipmentICD Code SequencingDocumentation Verification
Certifications & Qualifications
COS-CHCS-OHCS-DHCS-HRegistered Nurse (RN) License
Industry Keywords
Healthcare CodingQuality StandardsProductivity StandardsField Staff CollaborationPhysical Requirements
About the role
Key responsibilities & impact- Perform audits and code patient charts at appropriate care timepoints
- Review assessments and plans of care to verify coded diagnoses accurately reflect documentation
- Code diagnoses and procedures in accordance with coding guidelines while meeting quality and productivity standards
- Assist field staff and leadership with OASIS, HOPE, and/or ICD-10 queries
- Assist coders and quality review staff
- Maintain and report statistical information when applicable
- Review daily reports to ensure all records are processed
- Consult with field clinical staff regarding ICD codes and sequencing
- Perform other assigned duties
Requirements
What you’ll need- Must reside in Missouri, Wisconsin, Oklahoma, Illinois, or Florida
- High School diploma/GED or 10 years of work experience
- Two years' experience
- Ability to use computerized coding/abstracting equipment
- Knowledge of coding guidelines
- Required certification or license depending on work location: COS-C, HCS-O, HCS-D, HCS-H, or applicable Registered Nurse (RN) license
- Frequent keyboard use/data entry
- Ability to perform stated physical requirements, including lifting/carrying and pushing/pulling objects up to 25 lbs frequently and 25–50 lbs occasionally
Benefits
Comp & perks- Full-time, 40-hour position
- Remote work with flexible hours
- Day shift
- Equal employment opportunities