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Medical coder jobs in South Dakota

- 35 jobs
  • Hospital Coding Specialist II-Inpatient

    WVU Medicine 4.1company rating

    Medical coder job in South Dakota

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment. Responsible for the coding of moderately complex patient classes i.e. ED, observations, same day care, etc. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder). EXPERIENCE: 1. One (1) year of hospital coding experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. Codes moderately complex patient classes. 2. Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.). 3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas. 4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals. 5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill. 6. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for long periods of time. 2. Must have visual and hearing acuity within the normal range. 3. Must have manual dexterity needed to operate computer and office equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. 3. May require travel. SKILLS AND ABILITIES: 1. Must be able to concentrate and maintain accuracy during constant interruptions. 2. Must possess independent decision-making ability. 3. Must possess the ability to prioritize job duties. 4. Must be able to handle high stress situations. 5. Must be able to adapt to changes in the workplace. 6. Must be able to organize and complete assigned tasks. 7. Must possess excellent written and verbal communication skills. 8. Must possess the knowledge of anatomy, physiology and medical terminology. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 538 SYSTEM HIM CDI
    $42k-52k yearly est. Auto-Apply 60d+ ago
  • Coder II

    Monumenthealth

    Medical coder job in Rapid City, SD

    Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Primary Location Rapid City, SD USA Department RCH Health Information Management Scheduled Weekly Hours 20 Starting Pay Rate Range $22.41 - $28.01 (Determined by the knowledge, skills, and experience of the applicant.) Job Summary HIM Coder II is responsible for coding a variety of services. Those services can include hospital outpatient, surgical services, hospital and clinic professional services as well as procedures and any ancillary services. The coder will be responsible for accurately assigning ICD- 10 codes, CPT and HCPCS codes in accordance with Monument Health guidelines, Official coding guidelines and payor standards. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: *Supportive work culture *Medical, Vision and Dental Coverage *Retirement Plans, Health Savings Account, and Flexible Spending Account *Instant pay is available for qualifying positions *Paid Time Off Accrual Bank *Opportunities for growth and advancement *Tuition assistance/reimbursement *Excellent pay differentials on qualifying positions *Flexible scheduling Job Description Essential Functions: Review and abstract information in the medical record to accurately code for that episode of care. Code hospital and professional services by accurately assigning ICD-10, CPT and HCPSCS codes for appropriate billing. Apply knowledge of medical science, medical terminology, anatomy and physiology and the official coding guidelines to select the correct codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local and National Coverage Determinations (LCD, NCD's), Medically unlikely edits (MUE's) and Medicare guidelines. Participate in coding education and training. Provide ongoing feedback to physicians and staff regarding coding guidelines and requirements. Query providers for missing documentation. Resolve payor edits and denials and respond to other teams including, compliance, revenue integrity and billing. Navigate and utilize encoder, grouper software and other coding resources. Maintain coding productivity and accuracy standards. Assist with patient audits. Obtains necessary information. All other duties as assigned. Additional Requirements Required: Education - High School Diploma/GED Equivalent in General Studies Preferred: Experience - 1+ years of Coding Experience Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Job Category Revenue Cycle Job Family Health Information Management Shift Employee Type Regular 10 Monument Health Rapid City Hospital, Inc. Make a difference. Every day. Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
    $22.4-28 hourly Auto-Apply 7d ago
  • Coder - Inpatient

    Highmark Health 4.5company rating

    Medical coder job in Pierre, SD

    This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School / GED + 1 year in Hospital coding + Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + Familiarity with medical terminology + Strong data entry skills + An understanding of computer applications + Ability to work with members of the health care team Preferred + Associate's degree in Health Information Management or Related Field **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272373
    $23-35.7 hourly 2d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Pierre, SD

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 8d ago
  • Senior Medical Coder

    Cytel 4.5company rating

    Medical coder job in Pierre, SD

    The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. **Medical Coding** + Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. + Review and validate coding performed by other coders to ensure consistency and accuracy. + Identify ambiguous or unclear terms and query clinical sites or data management for clarification. + Maintain coding conventions and ensure alignment with study-specific and sponsor requirements. **Data Quality & Review** + Conduct ongoing coding checks during data cleaning cycles and prior to database lock. + Lead the resolution of coding discrepancies, queries, and coding-related data issues. + Review safety data for coding accuracy in collaboration with medical monitors and pharmacovigilance teams. + Assist in the preparation of coding-related metrics, reports, and quality documentation. **Process Leadership & Subject Matter Expertise** + Serve as the primary point of contact for coding questions across studies or therapeutic areas. + Provide guidance and training to junior medical coders, data management staff, and clinical teams. + Develop and maintain standard operating procedures (SOPs), work instructions, and coding guidelines. + Participate in vendor oversight activities when coding tasks are outsourced. + Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams. **Cross-Functional Collaboration** + Work closely with clinical data management to ensure proper term collection and standardization. + Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions. + Support biostatistics and medical writing with queries related to coded terms for analyses and study reports. **Education & Experience** + Bachelor's degree in life sciences, nursing, pharmacy, public health, or equivalent healthcare background; advanced degree preferred. + **5-8+ years of medical coding experience in clinical research** , ideally within CRO, pharmaceutical, or biotech environments. + Strong working knowledge of **MedDRA and WHODrug** dictionaries, including version control and update management. + Experience supporting multiple therapeutic areas; oncology, rare disease, or immunology experience preferred but not required. **Technical & Professional Skills** + Proficient in clinical data management systems (e.g., Medidata Rave, Oracle Inform, Veeva, or similar). + Excellent understanding of ICH-GCP, FDA, EMA, and other global regulatory guidelines. + Strong attention to detail, analytical problem-solving, and ability to manage multiple projects simultaneously. + Effective communication skills and experience collaborating in matrixed research environments. Cytel Inc. is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
    $57k-67k yearly est. 9d ago
  • Medical Coder

    Ophthalmology Ltd.

    Medical coder job in Sioux Falls, SD

    Over the years, Ophthalmology LTD's name provides the highest quality of comprehensive medical and surgical eye care. Highly trained ophthalmologists, as well as experienced optometrists, combine their considerable expertise to give each and every patient the best possible care. Ophthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls. We are looking for a passionate Medical Coder. This person is responsible for coding clinical and outpatient medical records using the most accurate and appropriate ICD-10-CM and CPT codes in accordance with regulatory coding guidelines and Ophthalmology LTD policy and procedures. If you are passionate about the work you do and the effect your work has on a patient's experience, this might be a great fit for you! This position is full-time and will work on-site to provide you real-time opportunity to collaborate with the Ophthalmology LTD family. A summary of the job duties include: Demonstrate extensive knowledge of official coding guidelines established by the AMA and CMS with regard to the assignment of ICD-10 and CPT. Evaluates medical record documentation to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits. Respond to coding questions/issues and reimbursement questions from clinical staff and other departments as necessary. Performs scheduled audits of physician coding and documentation to make recommendations for improvements and enhancements. Obtains authorizations prior to procedures or surgical services being performed. Assist department leadership with research, analysis, and all other special projects. Answer phone calls and direct calls to the appropriate areas. Financial counseling of patients prior to medical services being performed and work with the Billing/Insurance Manager and/or CEO on exceptions to standard procedures. Education and Training requirements: High School Diploma, or equivalent. Prefer post-secondary education courses in Health Information Management, accounting and/or business. Educational coursework in CPT and ICD coding in medical practice and a thorough understanding of medical terminology and anatomy. Minimum of 2 years of medical coding experience in a physician office setting or equivalent with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers). Ophthalmology coding and billing experience preferred. Certification is encouraged (CPC-Certified Professional Coder, OCS-Ophthalmic Coding Specialist) Please note this job description is not a complete listing of activities, duties, or responsibilities that are required for this job. Duties, responsibilities, and activities may change at any time. Ophthalmology LTD office hours are Monday - Friday, 8 am - 5 pm. We offer competitive compensation and a comprehensive benefits package including health, dental, 401K, life insurance, AD&D, short and long-term disability, PTO, sick leave, paid holidays, and eye care benefits.
    $35k-47k yearly est. 4d ago
  • Medical Records Coordinator

    Sharecare 4.4company rating

    Medical coder job in South Dakota

    Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ****************** Job Summary: The responsibilities include entering patient information into our software program. It will involve accessing various electronic medical records systems. Looking for a candidate who can type 50+ words per minute with accuracy and provide our customers with the highest quality product and customer service. Must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. Essential Job Functions: Accurately entering patient information into our software program Access various electronic medical records systems Provide a high level of customer service Physical Requirements: Ability to sit or stand for long periods of time Physical ability to lift and carry 25 lbs. of materials Manual dexterity and strength sufficient enough to enter information via computer keyboard for long periods of time, to write notes and information needed, and to pick up and hold paperwork, supplies and other items. Eyesight sufficient to effectively read documents and to accurately view information on a computer monitor Speaking and hearing ability sufficient to effectively communicate. Eye/hand coordination, hearing and visual acuity necessary for day-to-day tasks Information Governance Accountabilities: A high-level understanding of the organization's information governance program and role-specific accountabilities A thorough understanding of role requirements, including policies, procedures and processes, to include how individual work impacts the organization and its strategic and financial goals; and how tasks and projects affect the integrity of the organization's data and information Commitment to discuss questions and recommendations about processes and any observed variations in performing tasks in order to ensure a standardized approach to work and services provided Participation in education as for corporate compliance and role-specific functions and tasks HIPAA/Compliance: Maintain privacy of all patient, employee and volunteer information and access such information only on a need to know basis for business purposes. Comply with all regulations regarding corporate integrity and security obligations Report unethical, fraudulent or unlawful behavior or activity Maintain current and yearly HIPAA certification. Qualifications: Experience in a medical records office environment helpful but not , will train. Computer literate -- general working knowledge of Microsoft Word and Excel Ability to type 50+ wpm Focused on high quality work Self-motivated Team player Excellent organizational skills a must Extremely reliable Detail oriented a must Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
    $29k-35k yearly est. Auto-Apply 60d+ ago
  • Coder III - Outpatient

    Avera 4.6company rating

    Medical coder job in Sioux Falls, SD

    Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: is listed below. Actual pay rate dependent upon experience. $25.00 - $37.50 Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of outpatient charts for multiple facilities within Avera Health, with a focus on the more complex and high-dollar cases. Accurate abstracting along with other reporting and editing function is also a major responsibility. The Coder III works independently to meet quality and production goals for the position. Varied amounts of time will be spent educating Coder I, III and III coders along with helping others with denials management. What you will do Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM, CPT, and HCPCS diagnosis and procedure codes for assigned patient charts across Avera's facilities. Understand ICD-10-CM, CPT and HCPC codes in depth, and be willing to update that knowledge through research or other educational opportunities. Focus on determining the appropriate APC/EAPC and/or appropriate medical coding for a variety of outpatient patient types including, but not limited to, surgeries, observation, injections/infusions, and/or oncology. Expected to have a mastery of the majority of all outpatient types in the outpatient service line and code those as needed. Serve as a subject matter expert for other health professionals within Avera on coding related topics. Queries physicians and clinical documentation staff to ensure a full capture of the clinical record. Assist staff with denials management, including the processing of edits, serving as a subject matter expert, or helping to provide input for medical necessity and other related appeals using appropriate coding guideline references. Lead communication between health information management, billing, and providers as needed. Maintains personal quality and production statistics in accordance to service line standards for a Coder I. Adheres to ethical standards regarding coding as set by Avera Health. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days or Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 180 Days or Registered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 180 Days or Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Association (AHIMA) within 180 Days Preferred Education, License/Certification, or Work Experience: Associate's Health Information Administration or Health Information Technology 4-6 years of coding experience Expectations and Standards Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera's values of compassion, hospitality, and stewardship. Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to **************** .
    $35k-42k yearly est. Auto-Apply 3d ago
  • Hospital Coder - Inpatient

    Sanford Health 4.2company rating

    Medical coder job in Lily, SD

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40Salary Range: $21.50 - $34.50 Union Position: No Department Details This is a remote position with flexible work hours. We have a robust inpatient training program. Engaged leadership. Summary Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and PCS diagnostic and procedural codes used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring. Job Description Using professional coding training, critical thinking, and clinical acumen, accurately assigns ICD-10-CM and ICD-10-PCS codes to conditions and procedures documented within the inpatient electronic medical record. Applies Official Coding Guidelines, CMS regulations/guidelines, and other coding standards and guidelines established for use with the ICD-10 standard code set. Responsible to maintain quality and productivity standards and guidelines as set by the organization. Remains up-to-date on ICD-10-CM and PCS coding principles, governmental regulations, official coding guidelines and third-party payer requirements as they relate to compliant documentation, billing and coding practices. Strong knowledge of MS-DRGs and APR-DRGs. Works collaboratively with providers and departments such as clinical documentation improvement and quality to standardize and enhance coding, documentation, and quality reporting related practices. Works with a variety of software solutions in the performance of daily work. Flexible and a strong commitment to team where staff and leaders work together across great distances, most often in a home-based work setting. Qualifications Associate degree in Health Information Technology (or eligible) or Bachelors degree in Health Information Management and/or Certified Coding Specialist (CCS) required. Previous hospital coding experience highly desirable. Prior computer and/or encoder software experience desirable. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required. New graduates eligible for certification must complete the certification examination at the earliest testing dates following employment, and all subsequent dates thereafter until the exam is satisfactorily completed. If the individual fails the exam two consecutive times, there will be an evaluation by the Department Director who will determine one of the following: (A) Continue employment if overall job performance is satisfactory. If the employee is allowed to continue employment, failure to pass the exam on the third opportunity will result in immediate termination. (B) If performance is not satisfactory, the employee may be terminated. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
    $21.5-34.5 hourly Auto-Apply 57d ago
  • Coder III - Outpatient

    Avera Health 4.6company rating

    Medical coder job in Sioux Falls, SD

    Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: is listed below. Actual pay rate dependent upon experience. $25.00 - $37.50 Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of outpatient charts for multiple facilities within Avera Health, with a focus on the more complex and high-dollar cases. Accurate abstracting along with other reporting and editing function is also a major responsibility. The Coder III works independently to meet quality and production goals for the position. Varied amounts of time will be spent educating Coder I, III and III coders along with helping others with denials management. What you will do * Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM, CPT, and HCPCS diagnosis and procedure codes for assigned patient charts across Avera's facilities. Understand ICD-10-CM, CPT and HCPC codes in depth, and be willing to update that knowledge through research or other educational opportunities. * Focus on determining the appropriate APC/EAPC and/or appropriate medical coding for a variety of outpatient patient types including, but not limited to, surgeries, observation, injections/infusions, and/or oncology. * Expected to have a mastery of the majority of all outpatient types in the outpatient service line and code those as needed. * Serve as a subject matter expert for other health professionals within Avera on coding related topics. * Queries physicians and clinical documentation staff to ensure a full capture of the clinical record. * Assist staff with denials management, including the processing of edits, serving as a subject matter expert, or helping to provide input for medical necessity and other related appeals using appropriate coding guideline references. * Lead communication between health information management, billing, and providers as needed. * Maintains personal quality and production statistics in accordance to service line standards for a Coder I. Adheres to ethical standards regarding coding as set by Avera Health. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: * Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days or * Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 180 Days or * Registered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 180 Days or * Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Association (AHIMA) within 180 Days Preferred Education, License/Certification, or Work Experience: * Associate's Health Information Administration or Health Information Technology * 4-6 years of coding experience Expectations and Standards * Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community. * Promote Avera's values of compassion, hospitality, and stewardship. * Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. * Maintain confidentiality. * Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. * Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. * PTO available day 1 for eligible hires. * Up to 5% employer matching contribution for retirement * Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ****************.
    $37k-42k yearly est. Auto-Apply 3d ago
  • Coder III | Health Information Management

    Monument Health

    Medical coder job in Rapid City, SD

    Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Primary Location Rapid City, SD USA Department RCH Health Information Management Scheduled Weekly Hours 40 Starting Pay Rate Range $24.19 - $30.24 (Determined by the knowledge, skills, and experience of the applicant.) Job Summary Accurately and efficiently codes and abstracts comprehensive acute care inpatient, rehabilitation inpatient, outpatient surgery, swing bed, long term care, ancillary services and short stay observation patient records according to official coding guidelines for accurate coding and benchmarks for productivity. Evaluates and assigns accurate DRG, PAI, and APC assignment. The position responsibilities include 95% comprehensive assignment of inpatient ICD 9 diagnosis, DRG, Ambulatory Patient Classification assignments, comprehensive review of the entire inpatient, observation, or ambulatory record, accurate documentation capture for accurate and compliant code and procedure assignment. Responsibility includes occasional backup for diagnostic outpatients. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: *Supportive work culture *Medical, Vision and Dental Coverage *Retirement Plans, Health Savings Account, and Flexible Spending Account *Instant pay is available for qualifying positions *Paid Time Off Accrual Bank *Opportunities for growth and advancement *Tuition assistance/reimbursement *Excellent pay differentials on qualifying positions *Flexible scheduling Job Description Essential Functions: Analyzes, audits, and abstracts clinical record information for all patient encounters according to the established parameters. Ensures the accuracy, completeness, and propriety of medical information both text based and encoded in all patient care settings. Assists with keeping discharged unbilled accounts within limits as specified by CEO. Assigns and sequences diagnosis and procedure codes for all patient encounters utilizing applicable ICD-9, CPT-4 and HCPC coding systems. Keeps current with changes in statutory regulations to ensure coding compliance. Assists the Office Supervisor and Directors with miscellaneous office support tasks upon request. Assures confidentiality of Medical Records in accordance with hospital policy. Completes facility charges for outpatient services as assigned. Discharge Analysis Quality: Analyzes discharge records for completeness and accuracy of documentation and prepares deficiency lists for physicians by entering the needed items into the incomplete record system. a) SO/OPS Discharge Analysis Quality, b) Inpatient Discharge Analysis Quality. Educates, and communicates with Providers and Hospital workforce in the area of clinical documentation, DRG assignment and coding guidelines. Inpatient Coding and DRG Quality: Accurately selects appropriate diagnosis and procedure codes for all inpatient medical records in accordance with established guidelines, remaining under a 5% error ratio. Appropriately assigns correct DRG. Provides technical assistance for authorized data retrieval from the coding database. Serves as a resource for others with questions, inquiries concerning coding applications, compliance, and data interpretation. All other duties as assigned. Additional Requirements Preferred: Experience - 3+ years of Hospital Coding Experience Education - Associates degree in Health Information Management Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Job Category Revenue Cycle Job Family Health Information Management Shift Employee Type Regular 10 Monument Health Rapid City Hospital, Inc. Make a difference. Every day. Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
    $24.2-30.2 hourly Auto-Apply 12d ago
  • Medical Records Technician (Clinical Documentation Improvement Specialist(Outpatient and Inpatient))

    Department of Veterans Affairs 4.4company rating

    Medical coder job in South Dakota

    MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. Total Rewards of a Allied Health Professional This position requires the incumbent to physically report for work to the Fort Meade SD VAMC. Major duties include, but are not limited to, the following: * Responsible for reviewing the overall quality and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of patient records with an emphasis on improving documentation while the patient is still in-house while outpatient CDI focuses on improving clinical staff documentation of outpatient encounters through retrospective, ideally prior to coding and billing, review of outpatient encounters and extensive provider education. * Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. * Reviews clinical documentation and provides education to clinical staff on both inpatient and outpatient episodes of care including admissions and discharges, observation, emergency department/urgent care, and clinic visits. * Prepare and conduct provider education on documentation processes in the health record to include the impact of documentation on coding, workload, quality measures, reimbursement, and funding. * Provides education to providers on the need for accurate and complete documentation in the health record, appropriate code selection of Evaluation and Management (E/M), Current Procedural Terminology (CPT) and ICD-10 diagnosis codes, and ensuring documentation supports the codes selected to the highest degree of specificity. * Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. * Reviews VERA input on missed opportunities in provider documentation identified by the VERA coordinator and coordinate provider documentation education with the VERA coordinator. * Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. * Searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record. * Provides advice and guidance in relation to issues such as documentation requirements, liability issues, advance directives, informed consent, patient privacy and confidentiality, state reporting, etc. * Compiles, reviews, abstracts, analyzes and interprets medical data incidental to a variety of patient care and treatment activities. * Conducts daily reviews of all new admissions to designated clinical services to identify those with potential documentation improvements through periodic evaluation during the patient's stay. Work Schedule: Monday-Friday, 7:30am-4:00pm Telework: Ad-Hoc only, per Supervisor's discretion Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
    $32k-39k yearly est. 3d ago
  • Records Coordinator

    Smile Doctors

    Medical coder job in Sioux Falls, SD

    Looking for a career that makes you smile? We're seeking a Records Coordinator to join our growing team. How you'll make us better: Welcomes new patients and obtains orthodontic records. Responsible for maintaining an on time patient workflow. Provides direction in terms of following schedule or seeing the next available patient. Greets new patients and family members Familiarizes new patients and family with clinic layout Captures X-rays, photographs and scans Relays new patient information to treatment coordinator(s) and doctors Coordinates clinical records requests Manages patient treatment flow and scheduling Maintains strict compliance with State, Federal, and other regulations Performs after care communication May clean, sterilize, and prepare the equipment May cross train to support multiple roles within the clinic Your special skills: We're proud of our company culture and heritage of awesomeness. If you've got the following, you'll fit right in: Ability to establish and maintain good working relationships with patients and coworkers Ability to communicate effectively verbally and in writing Ability to listen and understand information verbally and in writing Prerequisites for success: High School Diploma or equivalent required Previous dental clinical experience preferred Bilingual a plus, but not required The Perks: In exchange for the dynamic contribution you'll bring to our team, we offer: Competitive salary Medical, dental, vision and life insurance Short and long-term disability coverage 401(k) plan 2 weeks paid time off in your first year + paid holidays Discounts on braces and clear aligners for you and your family members Why Smile Doctors? As the nation's leading Orthodontic Support Organization, Smile Doctors partners with local orthodontic practices to offer world-class patient care with hometown heart. We exist to love people first, straighten teeth second, and we work hard to maintain a people-first culture and cultivate a fun, encouraging environment. Smile Doctors offers every Team Member the opportunity to be a part of something bigger. We nurture both talents and strengths, building each person's abilities to help them find success in their career and beyond. As the fastest-growing organization of our kind in the industry, we're looking for passionate, innovative professionals who can join us in changing the way the world smiles.
    $33k-44k yearly est. 27d ago
  • Health Information Operations Manager

    Datavant

    Medical coder job in Pierre, SD

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Health Information Operations Manager focuses on both front-line People management and leading as account manager at designated sites. The Health Information Operations Manager is responsible for client/customer service and serves as a knowledge expert for the HIS staff. This role may also assist leadership with planning, developing and implementing departmental or regional projects. The Health Information Operations Manager provides support to the VPO. The Health Information Manager will also assist in the new hire process, meeting with clients, and developing staff at multiple sites. **You will:** + Primary Account Manager to Customer + Mentor hourly staff and supervisor team for further professional development + Responsible for P&L management ($2M+) + Oversee the safeguarding of patient records and ensuring compliance with HIPAA standards + Own the management of patient health records + Participates in project teams and committees to advance operational Strategies and initiatives + Lead continuous improvement efforts to better business results **What you will bring to the table:** + Experience in a healthcare environment + Passion to identify process improvements and provide solutions + Demonstrated ability in leading employees and processes successfully (20+) + Coordinates with site management on complex issues + Knowledge, experience and/or training in accurate data entry, office equipment and procedures + Open to travel up to 50% of the time to multiple sites based on the needs of the region **Bonus points if:** + 2 + years in HIM related experience + Provider Care Solution experience + ROI exposure + RHIT or RHIA Credentials We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is: $72,000-$78,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $72k-78k yearly 2d ago
  • Medical Coder

    Ophthalmology

    Medical coder job in Sioux Falls, SD

    Over the years, Ophthalmology LTD's name provides the highest quality of comprehensive medical and surgical eye care. Highly trained ophthalmologists, as well as experienced optometrists, combine their considerable expertise to give each and every patient the best possible care. Ophthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls. We are looking for a passionate Medical Coder. This person is responsible for coding clinical and outpatient medical records using the most accurate and appropriate ICD-10-CM and CPT codes in accordance with regulatory coding guidelines and Ophthalmology LTD policy and procedures. If you are passionate about the work you do and the effect your work has on a patient's experience, this might be a great fit for you! This position is full-time and will work on-site to provide you real-time opportunity to collaborate with the Ophthalmology LTD family. A summary of the job duties include: Demonstrate extensive knowledge of official coding guidelines established by the AMA and CMS with regard to the assignment of ICD-10 and CPT. Evaluates medical record documentation to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits. Respond to coding questions/issues and reimbursement questions from clinical staff and other departments as necessary. Performs scheduled audits of physician coding and documentation to make recommendations for improvements and enhancements. Obtains authorizations prior to procedures or surgical services being performed. Assist department leadership with research, analysis, and all other special projects. Answer phone calls and direct calls to the appropriate areas. Financial counseling of patients prior to medical services being performed and work with the Billing/Insurance Manager and/or CEO on exceptions to standard procedures. Education and Training requirements: High School Diploma, or equivalent. Prefer post-secondary education courses in Health Information Management, accounting and/or business. Educational coursework in CPT and ICD coding in medical practice and a thorough understanding of medical terminology and anatomy. Minimum of 2 years of medical coding experience in a physician office setting or equivalent with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers). Ophthalmology coding and billing experience preferred. Certification is encouraged (CPC-Certified Professional Coder, OCS-Ophthalmic Coding Specialist) Please note this job description is not a complete listing of activities, duties, or responsibilities that are required for this job. Duties, responsibilities, and activities may change at any time. Ophthalmology LTD office hours are Monday - Friday, 8 am - 5 pm. We offer competitive compensation and a comprehensive benefits package including health, dental, 401K, life insurance, AD&D, short and long-term disability, PTO, sick leave, paid holidays, and eye care benefits.
    $35k-47k yearly est. 60d+ ago
  • Coder, Provider Practice

    Sanford Health 4.2company rating

    Medical coder job in Sioux Falls, SD

    **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote SD (Central Time) **Location:** Remote, SD **Address:** **Shift:** Day **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $19.00 - $30.50 **Department Details** Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. The position requires strong problem-solving skills, effective communication with medical professionals to improve documentation accuracy and the ability to work independently, We offer flexible hours and the ability to work remotely. Pay starts at $19.00/hr with additional credit given for work experience relative to this role. **Job Summary** Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and in addition hospital professional services. Maintains a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process. Monitors and validates physician charge capture. Self-motivated with the ability to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information. Participates in coding team meetings and serves as a subject matter expert. Reviews medical documentation from physicians and other healthcare providers; assigns modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, or standards. Provide accurate and timely international classification of disease - tenth edition - clinical modification (ICD-10) - CM coding of diagnoses, Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) coding, and in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and audit medical record documentation accurately to reflect healthcare coding and to substantiate appropriate service reimbursement. Conveying coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation. Computer skills, the ability to interpret, analyze and abstract data/documentation, have good problem-solving skills, be self-motivated and have good time management and organizational skills. **Qualifications** Associate degree in Health Information Technology or Certification in Coding required. Specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in International Statistical Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding schemes, medical terminology or human anatomy/physiology is preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required. If the associate is not certified at hire, the associate must be so within one year of the date of hire. **Benefits** Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. **Req Number:** R-0243942 **Job Function:** Revenue Cycle **Featured:** No
    $19-30.5 hourly 2d ago
  • Coder III | Health Information Management

    Monumenthealth

    Medical coder job in Rapid City, SD

    Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Primary Location Rapid City, SD USA Department RCH Health Information Management Scheduled Weekly Hours 40 Starting Pay Rate Range $24.19 - $30.24 (Determined by the knowledge, skills, and experience of the applicant.) Job Summary Accurately and efficiently codes and abstracts comprehensive acute care inpatient, rehabilitation inpatient, outpatient surgery, swing bed, long term care, ancillary services and short stay observation patient records according to official coding guidelines for accurate coding and benchmarks for productivity. Evaluates and assigns accurate DRG, PAI, and APC assignment. The position responsibilities include 95% comprehensive assignment of inpatient ICD 9 diagnosis, DRG, Ambulatory Patient Classification assignments, comprehensive review of the entire inpatient, observation, or ambulatory record, accurate documentation capture for accurate and compliant code and procedure assignment. Responsibility includes occasional backup for diagnostic outpatients. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: *Supportive work culture *Medical, Vision and Dental Coverage *Retirement Plans, Health Savings Account, and Flexible Spending Account *Instant pay is available for qualifying positions *Paid Time Off Accrual Bank *Opportunities for growth and advancement *Tuition assistance/reimbursement *Excellent pay differentials on qualifying positions *Flexible scheduling Job Description Essential Functions: Analyzes, audits, and abstracts clinical record information for all patient encounters according to the established parameters. Ensures the accuracy, completeness, and propriety of medical information both text based and encoded in all patient care settings. Assists with keeping discharged unbilled accounts within limits as specified by CEO. Assigns and sequences diagnosis and procedure codes for all patient encounters utilizing applicable ICD-9, CPT-4 and HCPC coding systems. Keeps current with changes in statutory regulations to ensure coding compliance. Assists the Office Supervisor and Directors with miscellaneous office support tasks upon request. Assures confidentiality of Medical Records in accordance with hospital policy. Completes facility charges for outpatient services as assigned. Discharge Analysis Quality: Analyzes discharge records for completeness and accuracy of documentation and prepares deficiency lists for physicians by entering the needed items into the incomplete record system. a) SO/OPS Discharge Analysis Quality, b) Inpatient Discharge Analysis Quality. Educates, and communicates with Providers and Hospital workforce in the area of clinical documentation, DRG assignment and coding guidelines. Inpatient Coding and DRG Quality: Accurately selects appropriate diagnosis and procedure codes for all inpatient medical records in accordance with established guidelines, remaining under a 5% error ratio. Appropriately assigns correct DRG. Provides technical assistance for authorized data retrieval from the coding database. Serves as a resource for others with questions, inquiries concerning coding applications, compliance, and data interpretation. All other duties as assigned. Additional Requirements Preferred: Experience - 3+ years of Hospital Coding Experience Education - Associates degree in Health Information Management Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Job Category Revenue Cycle Job Family Health Information Management Shift Employee Type Regular 10 Monument Health Rapid City Hospital, Inc. Make a difference. Every day. Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
    $24.2-30.2 hourly Auto-Apply 20d ago
  • Supervisory Medical Records Technician (Coder)

    Department of Veterans Affairs 4.4company rating

    Medical coder job in South Dakota

    MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. Total Rewards of a Allied Health Professional This position requires the incumbent to physically report for work to the Fort Meade SD VAMC. Major Duties Include, but are not limited to, the following: * Supervisory MRTs (Coder) are responsible for supervising coding staff at the facility level. Supervisory MRTs(Coder) must be able to perform all duties of a MRT (Coder). * Responsible for program management of a coding section/unit to ensure performance monitors are established and met * Perform a full range of supervisory responsibilities, to include evaluating the performance of subordinate staff, approving sick and annual leave requests, identifying educational or training needs, and resolving employee complaints * Inform higher level management of anticipated vacancies or increases in workload * Recommend employees for promotions, reassignments, recognitions, retention or release of probationary employees, or other changes of assigned personnel * Make decisions on the selection of employees for vacant or new positions * Serve as an expert coding resource to ensure accuracy and integrity of all coding * Collaborate with revenue, compliance, and other departments to support coding accuracy that is consistent with the official guidelines for coding and reporting. * Resolve claim edits referred to coding management and monitor reports for outstanding services, rejects, or uncoded episodes of care for inpatients * Ensures claim denials related to coding errors are resolved, and/or daily coding rejects are corrected for accurate billing and data collection * Provide education to clinical and coding staff * Assess current audit findings and evaluate impact to coding and documentation practices * Oversee the reporting of coding and documentation audit results to leadership * Collect and prepare data for studies involving inpatient stays or "on demand" reports, as requested * Creates and monitors productivity and efficiency reports, inpatient case mix reports, top DRGs, and key performance indicators to identify patterns, trends, and variations * Investigate and evaluate potential causes for changes or problems and collaborate with the appropriate staff to effect resolution or explain variances * Participate in the formulation of objectives and strategies utilizing coded data to support goals for patient care, teaching, research, and optimizing management of resources Work Schedule: Monday-Friday, 7:30am-4:00pm Telework: Ad-Hoc only, per supervisor's discretion Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
    $32k-39k yearly est. 3d ago
  • Health Information Specialist I

    Datavant

    Medical coder job in Pierre, SD

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. Position Highlights - Remote- Equipment Provided - Full-time, Mo-Fri 8:00-4:30 - Processing medical records requests - Full benefits: PTO, Health, Vision, Dental, 401k savings plan, and tuition assistance - Tremendous growth opportunities both locally and nationwide What We're Looking For - Strong customer service and clerical skills - Proficient in Microsoft Office, including Word and Excel - Comfortable working in a high-volume production environment - Medical office experience preferred - Willingness to learn and grow within Datavant **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $26k-34k yearly est. 2d ago
  • Medical Records Technician (Clinical Documentation Improvement Specialist(Outpatient and Inpatient))

    Department of Veterans Affairs 4.4company rating

    Medical coder job in South Dakota

    MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. NOTE: The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. This position requires the incumbent to physically report for work to the Fort Meade SD VAMC. Major duties include, but are not limited to, the following: * Responsible for reviewing the overall quality and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of patient records with an emphasis on improving documentation while the patient is still in-house while outpatient CDI focuses on improving clinical staff documentation of outpatient encounters through retrospective, ideally prior to coding and billing, review of outpatient encounters and extensive provider education. * Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. * Reviews clinical documentation and provides education to clinical staff on both inpatient and outpatient episodes of care including admissions and discharges, observation, emergency department/urgent care, and clinic visits. * Prepare and conduct provider education on documentation processes in the health record to include the impact of documentation on coding, workload, quality measures, reimbursement, and funding. * Provides education to providers on the need for accurate and complete documentation in the health record, appropriate code selection of Evaluation and Management (E/M), Current Procedural Terminology (CPT) and ICD-10 diagnosis codes, and ensuring documentation supports the codes selected to the highest degree of specificity. * Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. * Reviews VERA input on missed opportunities in provider documentation identified by the VERA coordinator and coordinate provider documentation education with the VERA coordinator. * Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. * Searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record. * Provides advice and guidance in relation to issues such as documentation requirements, liability issues, advance directives, informed consent, patient privacy and confidentiality, state reporting, etc. * Compiles, reviews, abstracts, analyzes and interprets medical data incidental to a variety of patient care and treatment activities. * Conducts daily reviews of all new admissions to designated clinical services to identify those with potential documentation improvements through periodic evaluation during the patient's stay. Work Schedule: Monday-Friday, 7:30am-4:00pm Telework: Ad-Hoc only, per Supervisor's discretion Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
    $32k-39k yearly est. 3d ago

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Top 10 Medical Coder companies in SD

  1. Sanford Health

  2. Humana

  3. Datavant

  4. Cytel

  5. Avera McKennan Fitness Center

  6. Avera Health

  7. University Healthcare: Jefferson Medical Center

  8. Baylor Scott & White Health

  9. Highmark

  10. Cognizant

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