Medical coder jobs in South Dakota

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.

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. 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.

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.

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.

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 ************************.

Worker Type: PRN Work Shift: Day Shift (United States of America) Pay Range: is listed below. Actual pay rate dependent upon experience. $23.50 - $34.50 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 a variety of outpatient charts for multiple facilities within Avera Health. Accurate abstracting, along with other reporting and editing functions is also a major responsibility. The Coder II works independently to meet quality and production goals for the position with occasional guidance from other professional staff. 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. Understands ICD-10-CM, CPT and HCPC codes in depth, and be willing to update that knowledge through research or other educational opportunities. * The Coder II focuses on determining the appropriate APC/EAPC and/or medical coding for a variety of outpatient patient types including but not limited to, ER, ancillaries, imaging, lab, PT, OT, SP and/or dialysis in the outpatient service line. * Be willing on occasion to serve as a subject matter expert for other health professionals within Avera on these topics. * Query physicians and clinical documentation staff to ensure a full capture of the clinical record. * Assist with or 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 2. 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 Associate (CCA) - 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 or * Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days or * Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) within 180 Days or * Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) 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 Preferred Education, License/Certification, or Work Experience: * Associate's Health Information Administration or Health Information Technology * 1-3 years 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. 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 ****************.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. **Activities include:** + Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation. + Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. + Provide detailed written summary of medical record review findings. + Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. + Review and discuss cases with Medical Directors to validate decisions. + Independently research and accurately apply state or CMS guidelines related to the audit. + Assist with investigative research related to coding questions, state and federal policies. + Identify potential billing errors, abuse, and fraud. + Identify opportunities for savings related to potential cases which may warrant a prepayment review. + Maintain appropriate records, files, documentation, etc. + Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics. + Mentor New Coders, providing training, coding, and record review guidance. + Collaboration with investigators, data analytics and plan leadership on SIU schemes. + Act as management back-up and supports the team when the manager is out of the office. + Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement. **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10. + CMS 1500 and UB04 data elements + Experience with researching coding and policies. + Experience with Microsoft products; including Excel and Word + Prior experience auditing others' work and providing feedback. + Experience mentoring others. + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 3+ years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Licensed Professional Counselor (LPC) + Excellent communication skills + Excellent analytical skills + Strong attention to detail and ability to review and interpret data. **Education** + AAPC Certified Professional Coder Certification (CPC) + GED or High School diploma **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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)

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.

Job DescriptionReimbursement Specialist - Payments, Denials, A/R (ASC Experience Required) Company: Growth Orthopedics Growth Ortho is growing, and we're looking for talented, reliable people to join our team! If you're passionate about healthcare and skilled in revenue cycle management for ambulatory surgery centers (ASCs), we'd love to hear from you. Position Overview The Reimbursement Specialist will play a key role in managing all aspects of the revenue cycle for our ASC operations. This includes billing, payment posting, denial resolution, A/R follow-up, and patient balance processing. While each specialist may focus on a primary area (Billing or Payments/A/R), cross-training across all functions is expected to ensure coverage and support optimal reimbursement outcomes. Key Responsibilities Accurately post payments and denials, reconciling against bank deposits. Review and process patient refunds for accuracy. Perform timely follow-up on outstanding A/R, including unpaid, underpaid, and denied claims across all payer types. Analyze EOBs and prepare effective appeals to drive resolution. Review and confirm accuracy of patient balances; work directly with patients to resolve inquiries and secure payments. Answer incoming patient billing calls with professionalism and clarity. Audit insurance payments for contract and fee schedule compliance. Manage claims through full resolution, ensuring compliance, integrity, and optimal reimbursement at every step. Qualifications Required: Prior ASC (Ambulatory Surgery Center) experience in at least one core revenue cycle function. Strong understanding of billing, collections, payment posting, and/or denial resolution workflows. Ability to analyze payer responses and draft appeals. Familiarity with patient communication and collections best practices. Experience with SIS Complete or NextGen is helpful but not required. Detail-oriented with strong problem-solving and follow-through skills. Team player with a commitment to reliability and accuracy. Why Join Growth Ortho? Be part of a collaborative and growing healthcare organization. Opportunity to expand your RCM expertise across multiple functions. Flexible work location, with preference for candidates in the Sioux Falls area. Supportive leadership and opportunities for long-term growth. ✨ Growth Ortho is looking for people who are both talented and dependable. If that sounds like you, we can't wait to connect!

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. Associates 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** **This is a Remote Role** + Full Time: Monday-Friday 8:00 AM to 4:30 PM Central Time. All Datavant Holidays are non-covered days. + Ability working in a high-volume environment. + Will answer incoming calls and assist patients via Ring Central + Documenting information in multiple platforms using two computer monitors. + Proficient in Microsoft office (including Word and Excel) **Preferred Skills** + Knowledge of HIPAA and medical terminology + Familiar with different EHR and Billing Systems + Detailed Oriented **We offer:** + Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor + Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **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. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 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 (**************************************** .

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: - Conduct a comprehensive medical record review to ensure billing is consistent with medical record. - Provide detailed written summary of medical record review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. - Review and discuss cases with Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing errors, abuse, and fraud. - Identify opportunities for savings related to potential cases which may warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements + Experience with researching coding, state regulations and policies. Working experience with Microsoft Excel + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 2 years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Prior auditing experience + Excellent analytical skills + Strong attention to detail and ability to review and interpret data + Excellent communication skills **Education** + GED or equivalent + AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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

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 $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.

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. Rapid City, SD USA Department RCH Health Information Management Scheduled Weekly Hours 40 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.

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: Day (United States of America) Scheduled Weekly Hours: 40Salary Range: $15.00 - $22.00 Union Position: No Department Details Come join the largest long term care facility in the state of South Dakota! We offer multiple services from general long-term care, short-stay rehab, and memory care unit at the facility. This is a full-time day shift opening. At the Sioux Falls Village our vision is to lovingly provide quality, dependable care at just the right time. You can help us accomplish this! • Fun, Family Oriented Work Environment • Shift Differential for nights and weekends • Holiday Pay • Direct access to your earnings daily • Paid Time Off • Excellent Health, Dental and Vision Insurance • Health Savings Account • Company Matched 401(k) Retirement Plan • Salary Increases • Referral Bonuses • Advancement Opportunities • Compassionate Leave • Education Assistance • Scholarships and Sponsorships • Continuing Education • Years of Service Recognition Program Summary Understands the necessity for timely completion of medical record documentation by analyzing medical records for missing documentation and signatures. Compares the documentation in the medical record against required standards and enters deficiencies for providers in the electronic medical record system. May be assigned other HIM functions to support departmental workflows. Job Description Understands regulatory standards for accurate medical records. Performs record analysis by abstracting and recognizes the relation of a complete medical record. Applies knowledge of disease processes, anatomy, physiology, medical terminology, state laws and other regulatory standards in the analysis of the medical record. Utilizes job specific software in analysis and monitoring functions. Maintains software system competence including the electronic medical record (EMR) and document imaging at a high level. Completes admission and discharge related functions including retrieval of previous medical records. Scans and captures documents in an extremely timely manner, and confirms capture clarity and quality. Indexes medical record documents using document imaging software. Completes document imaging accuracy checks and audits. Monitors timeliness and completion of various medical record components to assure Federal/State regulatory compliance. Enters and maintains medical professional information in the EMR. Requires knowledge and application of coding guidelines and regulations in the assignment of diagnosis codes and sequencing specific to location and department guidelines. Assigns codes to appropriate medical diagnoses based on review of supporting documentation, and ensures these are captured for timely and accurate billing for all payers. Maintain application of facility policies and standards of practice to assure release of information requests (ROI) are appropriate and meet legal regulations. Processes ROI requests within requested timeframes. Prepares and generates reports as requested. Will work extensively with protected health information and is required to adhere to health insurance portability and accountability act (HIPAA) privacy and security regulations and policies related to the same. Handles requests for release of information according to policies, and maintain security of health information and medical records. Supports and educates others on managing private information. Prepares and participates in Health Department survey activity. Supports providers and other clinicians on EMR usage and workflows. Qualifications Associate's degree in Health Information or Medical Record Technology preferred. Experience in health care or long-term care preferred. Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred. 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 ************************.

Reimbursement Specialist - Payments, Denials, A/R (ASC Experience Required) Company: Growth Orthopedics Growth Ortho is growing, and we're looking for talented, reliable people to join our team! If you're passionate about healthcare and skilled in revenue cycle management for ambulatory surgery centers (ASCs), we'd love to hear from you. Position Overview The Reimbursement Specialist will play a key role in managing all aspects of the revenue cycle for our ASC operations. This includes billing, payment posting, denial resolution, A/R follow-up, and patient balance processing. While each specialist may focus on a primary area (Billing or Payments/A/R), cross-training across all functions is expected to ensure coverage and support optimal reimbursement outcomes. Key Responsibilities Accurately post payments and denials, reconciling against bank deposits. Review and process patient refunds for accuracy. Perform timely follow-up on outstanding A/R, including unpaid, underpaid, and denied claims across all payer types. Analyze EOBs and prepare effective appeals to drive resolution. Review and confirm accuracy of patient balances; work directly with patients to resolve inquiries and secure payments. Answer incoming patient billing calls with professionalism and clarity. Audit insurance payments for contract and fee schedule compliance. Manage claims through full resolution, ensuring compliance, integrity, and optimal reimbursement at every step. Qualifications Required: Prior ASC (Ambulatory Surgery Center) experience in at least one core revenue cycle function. Strong understanding of billing, collections, payment posting, and/or denial resolution workflows. Ability to analyze payer responses and draft appeals. Familiarity with patient communication and collections best practices. Experience with SIS Complete or NextGen is helpful but not required. Detail-oriented with strong problem-solving and follow-through skills. Team player with a commitment to reliability and accuracy. Why Join Growth Ortho? Be part of a collaborative and growing healthcare organization. Opportunity to expand your RCM expertise across multiple functions. Flexible work location, with preference for candidates in the Sioux Falls area. Supportive leadership and opportunities for long-term growth. ✨ Growth Ortho is looking for people who are both talented and dependable. If that sounds like you, we can't wait to connect!

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. Associates 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** **This is a Remote Role** + Full Time: Mon-Fri 8:00am -4:30pm CST + Phone support + Ability working in a high-volume environment. + Processing medical record requests such as: Insurance requests, DDS Requests, Workers Comp Request, Subpoenas + Documenting information in multiple platforms using two computer monitors. + Proficient in Microsoft office (including Word and Excel) **Preferred Skills** + Knowledge of HIPAA and medical terminology + Familiar with different EHR and Billing Systems + Experience working with subpoenas **We offer:** + Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor + Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **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. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 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 (**************************************** .

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)