Performs complex financial, statistical, and cost analysis to support healthcare operations and profitability. Serves as a consultant to senior leadership to provide decision support for initiatives and policies.
SSM Health
44 Remote Job Openings at SSM Health
Evaluates the medical necessity of hospital admissions and surgical procedures to ensure appropriate care and authorization. Manages communication with payors and escalates clinical denials to physicians for peer-to-peer review.
Responsible for assigning accurate diagnostic and procedure codes for inpatient hospital accounts based on clinical documentation. Coordinates with quality teams to validate MSDRG and ensures timely charging of records.
Performs concurrent analytical reviews of clinical and coding data to ensure accurate DRG assignments and patient condition reflection. Facilitates physician queries and educates the patient care team on documentation guidelines to improve health record completeness.
Creates and coordinates clinical and frontline staff schedules using web-based programs to meet patient census needs. Manages time-off requests, float coverage, and ensures schedule completeness and compliance.
The role involves creating and coordinating clinical and frontline staff schedules using web-based programs to meet patient census needs. Responsibilities include managing time-off requests, filling vacant shifts, and ensuring communication compliance between staff and managers.
The specialist analyzes and abstracts clinical data from medical records according to regulatory requirements and governing body rules. They are responsible for identifying trends, resolving data discrepancies, and collaborating with teams to ensure data accuracy and timely submission.
Responsible for collecting data from patients and providers to create and confirm scheduled appointments. Coordinates referrals to other healthcare providers and maintains accurate patient information in electronic medical systems.
Provides coordination and leadership for pharmacy workflows and process improvements across multiple ministries. Responsibilities include monitoring KPIs, ensuring regulatory compliance, and serving as a regional liaison for specialized operational areas.
Configures, implements, and maintains Epic applications to meet organizational needs, specifically within the Revenue Cycle Growth Team. Acts as a technical liaison between business partners and end-users to optimize hospital billing workflows.
Analyzes internal and external data to provide strategic recommendations on market positioning, service lines, and competitor actions. Consults with senior leadership to interpret data and supports strategic, capital, and provider recruitment planning.
Manages daily operations for patient scheduling within the Revenue Cycle department. Responsibilities include developing strategic goals, implementing policies, and overseeing staffing functions such as recruitment and performance evaluations.
Responsible for processing patient accounts, including billing insurance claims and resolving credit balances. The role involves following up on denied claims and performing recovery procedures to resolve outstanding accounts.
Responsible for the accurate and timely coding of medical records, focusing on moderate complexity outpatient and inpatient services. Manages charge review and claim edit work queues to ensure proper billing and compliance with coding guidelines.
The role focuses on implementing and maintaining critical infrastructure, including capacity planning, disaster recovery, and system patching to ensure business continuity. It also involves managing support queues, performing hardware/software deployments, and mentoring associate-level staff.
Acts as a subject matter expert for Epic functionality to design, implement, and evaluate technical solutions for business needs. Leads functional teams in managing project scope and resolving complex integrated application issues.
Designs and implements enterprise infrastructure including capacity planning, disaster recovery, and system maintenance to ensure business continuity. Provides high-level technical expertise for hardware and software configuration while mentoring IT staff.
Facilitates and delivers technical training for Epic applications, including the development of curriculum and training resources. Maintains the Epic training environment and collaborates with business operations and IT to ensure training success.
The Office Assistant manages the onboarding process for new primary care patients, including PCP selection and MyChart activation. They coordinate initial appointments, handle medical records, and provide administrative support to the Welcome Center team.
Leads and coordinates the activities of staff performing cash applications tasks. Monitors work progress, ensures policy compliance, and oversees the training and orientation of associates.
Accurately code and abstract high-complexity medical records for billing and reimbursement purposes. Manage charge review and claim edit work queues while providing documentation guidance to physicians.
Manages day-to-day accounting operations, including processing transactions, providing analysis, and resolving escalated issues. Responsible for developing policies, monitoring compliance, and overseeing staffing functions such as recruitment and performance evaluations.
Directs assigned programs to meet business objectives by developing strategic plans and infrastructure. Collaborates with senior leadership and outside vendors to ensure program goals are met and quality outcomes are documented.
Leads complex regulatory analysis and payer policy interpretation to ensure organizational compliance and mitigate revenue loss. Acts as a strategic partner driving large-scale revenue cycle projects and providing guidance to operational teams.
Lead projects to design and improve revenue cycle workflows and processes to enhance operational effectiveness. Serve as an expert consultant to identify opportunities for metric improvement and provide specialized training.
Supports and maintains Workday HCM with a focus on Payroll and Expenses to ensure effective system performance. Leads discovery, design, and configuration sessions to optimize business processes and improve the end-user experience.
Performs audits and reviews of clinical records to ensure documentation accurately represents patient health status and risk-adjusted scores. Collaborates with physicians and coding staff to improve clinical documentation integrity and mortality scoring.
The role involves configuring, implementing, and maintaining Epic applications, specifically focusing on Clinical Documentation to optimize patient care workflows. The analyst will collaborate with clinical and IT teams to troubleshoot issues, build application tables, and manage software updates.
The role involves maintaining Epic applications and technical integrations to support clinical and operational workflows. Key tasks include troubleshooting basic issues, performing system builds, and testing software updates.
The analyst will perform recurring internal audits and oversight of 340B contract pharmacy programs and inpatient pharmacy programs. They are also responsible for monitoring state Medicaid claims to ensure compliance and reconciling contract pharmacy payments.
Manages the daily operations and resources of the regional Clinical Documentation Improvement (CDI) team to ensure standardized documentation and operational performance. Collaborates with interdisciplinary teams, including physicians and coding staff, to facilitate documentation improvements and validate accurate risk-adjustment for administrative metrics.
The coder is responsible for assigning accurate diagnostic and procedure codes for outpatient hospital accounts based on clinical documentation. They also monitor work queues to ensure timely charging and generate queries for physician documentation clarification.
The Systems Architect designs, evolves, and optimizes core infrastructure while aligning IT technology and operations with organizational strategy. They collaborate with technical teams to create roadmaps, enforce technology standards, and identify operational gaps across multiple domains.
Design, develop, and deliver engaging learning content and training programs to improve Revenue Cycle operational performance. Collaborate with management and subject matter experts to conduct needs assessments and support system implementations.
Performs periodic and ongoing audits of medical records to ensure coding accuracy, billing compliance, and documentation sufficiency. Develops corrective action plans and presents educational programs to improve coding and billing outcomes.
Performs periodic and ongoing audits of medical claims to ensure coding accuracy and documentation sufficiency. Develops corrective action plans and provides educational programs to improve billing and coding compliance.
Facilitates and delivers technical training while maintaining relationships with business operations, IT, and leadership. Configures and supports Epic training applications and develops curriculum based on system workflows and user competencies.
The analyst will support ambulatory Epic functionality through system build, configuration, testing, and workflow design. They will act as a subject matter expert, collaborating with stakeholders to deliver sustainable technical solutions and resolve complex integrated issues.
Acts as a subject matter expert for Epic functionality and integrated applications, translating business needs into technical enhancements. Develops proposals, codes complex functions, tests builds, and implements core business applications.
The Epic Systems Analyst will act as a subject matter expert for ambulatory Epic functionality and integrated third-party applications, contributing to Epic build, testing, workflow design, and operational readiness. This role involves collaborating with stakeholders to identify business needs and translating them into technical enhancements.
Facilitates and delivers technical training to meet the organization's needs. Maintains relationships with various stakeholders including business operations and IT.
The Epic Training Analyst facilitates and delivers technical training to meet the organization's needs. They maintain relationships with various stakeholders and analyze workflows to develop effective training materials.
This role involves developing and coordinating coding educational programs to promote consistency and accuracy in coding and documentation practices across various departments. The professional acts as a liaison for coding questions, assesses provider documentation, and delivers training on coding processes and regulatory changes.
The Senior SAP Application Analyst acts as a subject matter expert in finance or supply chain modules within an SAP/S4 environment, translating business needs into necessary technical or functional enhancements. Responsibilities include developing specifications, troubleshooting complex issues, monitoring applications, and leading business process design and reengineering.
