31 jobs found in Sioux Falls

Our growing company is always seeking motivated and ambitious professionals with expertise in Medical Content Review. At Canopy, we understand that the advertising environment has evolved and with it, so have the skills required for promotional and medical content review. In this new environment, you must understand and appreciate the legacy as well as provide creative, forward-looking ideas, approaches, and solutions to drive content that is both compelling and compliant. We look for applicants with a progressive mindset that are grounded in practiced principles to deliver a superior level of support to our clients. The role of Director, Medical Content Review and Associate Director, Medical Content Review is to act as the primary medical and scientific content reviewer and provide final approval for all medical and promotional assets for clients. The following are the general duties and expectations of the role: Represent Medical Affairs on the content review...

Advocate Health seeks an experienced inpatient coder to manage complex documentation and assign codes across inpatient services, including high-dollar cases. You will work within the coding production operations team to ensure accuracy and compliance. This role requires certification by AAPC or AHIMA, an associate degree in HIM, and strong knowledge of ICD-10-CM/PCS, CPT and HCPCS guidelines. The position is full-time with standard weekday hours and remote work eligibility in listed states. #J-18808-Ljbffr

Department 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status Full time Benefits Eligible Yes Hours per Week 40 Schedule Details / Additional Information Will support :A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology.Schedule :Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. Certification Required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote Opportunity Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range $33.05 - $49.60 Major Responsibilities reviews complex...

Advocate Health is seeking an experienced inpatient coder to support the Enterprise Revenue Cycle – Coding Production Operations. You will review complex inpatient charts and assign diagnoses and procedures using ICD-10-CM/PCS, CPT, and HCPCS within a fast-paced environment. The role requires AHIMA or AAPC certification, an associate degree in Health Information Management, and at least 7 years of inpatient coding experience in an acute care setting. #J-18808-Ljbffr

The Coding Network (TCN) is looking to contract with an E&M coder to perform the daily E&M coding for a number of clients throughout the country. The coder will access the operation reports via a remote connection to the client's EMR and return the coded cases. Hours can range from a 15-40 hour/week commitment. All applicants must: · Have a minimum of 3 years of E&M Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the United States of America · Take and pass TCN’s E&M Coding Exam If you meet the above criteria and are willing to test please submit your resume. Our current E&M needs are in the following medical specialties: E&M ENT E&M Dermatology E&M General Surgery E&M Hospitalist E&M NICU / PICU E&M OB/GYN E&M Orthopedics E&M Pain Management E&M Podiatry E&M Trauma E&M Ophthlamology E&M Urology E&M Wound Care

Avera Downtown Building-Sioux Falls Coder Worker Type: Regular Work Shift: Primarily days with possible weekends/evenings/holidays (United States of America) Pay Range: $25.50 - $38.00 Position 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 inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment. What You Will Do Review all aspects of a patient's clinical documentation in order to...

Actively hiring \"Certified Medical Coder (Remote) – Outpnt & ED \" at Remote for position at a hospital. pay rate is $36-$38/hour Certified Medical Coder (Remote) – Outpnt & ED Location: Remote 100% Duration: Extendable contract Pay Rate: $36-$38/hour Schedule Notes: Scheduled: 8:00 AM-4:00 PM. Candidate must be comfortable working one weekend (Saturday or Sunday). - 3 Years of outpatient coding and must have experience as Emergency room coder. We are seeking experienced Certified Medical Coders with strong outpatient acute care coding experience for a remote contract opportunity. Responsibilities Perform accurate outpatient, and ED medical coding Review and assign ICD-10, CPT-4, and related codes Ensure compliance with payer, federal, and coding guidelines Research and resolve coding-related issues Utilize EPIC and 3M/HDS coding applications effectively Required Qualifications CCS or RHIA, RHIT, CCP certification required Minimum 3 years of medical coding experience...

Pena4 Inc. seeks an Inpatient Medical Coder (CCS certified) to join our remote team. The role focuses on accurate IP and OP coding with ICD-10-CM/PCS, HCPCS CPT, and related references, ensuring compliant and precise coding across varied cases. The ideal candidate has at least 5 years of IP PCS experience and holds a CCS certificate, with preference for some OP coding exposure. Start date is immediate; full-time W2 employment with a 100% remote setup. #J-18808-Ljbffr

Avera Health is seeking a skilled medical coder responsible for daily coding and billing operations in its Sioux Falls clinics. You will assign CPT, ICD-10, and HCPCS codes for charges while adhering to payor guidelines and physician direction. Responsibilities include resolving coding issues, communicating updates, coordinating insurance appeals, and supporting clinics during busy periods to maximize third-party reimbursement. Strong attention to detail and teamwork are essential. #J-18808-Ljbffr

Avera Health is seeking a detail-oriented IP Coder II to accurately assign ICD-10-CM diagnosis and PCS procedure codes for inpatient charts across facilities. You will review documentation, determine DRGs, and collaborate with clinicians to ensure precise coding. Ideal candidates have AHIMA credentials and experience with ICD-10-CM/PCS, DRG logic, and CMS guidelines. Remote work is not indicated; the role supports ongoing education and quality goals. #J-18808-Ljbffr

Avera Health is seeking a Coder III to accurately assign ICD-10-CM, CPT, and HCPCS codes across outpatient charts for multiple facilities. You will work independently toward quality and production goals and educate other coders as needed. Responsibilities include denials management support, physician queries, and collaboration with HIM, billing, and providers. This role requires solid knowledge of outpatient coding and adherence to coding guidelines. #J-18808-Ljbffr

Vance Thompson Vision is seeking a Coding Specialist to review coding in the EHR for clinics and surgeries. You will ensure accurate CPT/ICD codes and assist with billing and denials. The role emphasizes collaboration with clinical staff, ongoing audits, and education on proper documentation. A CPC is preferred, with at least two years of coding experience. Join a team focused on accuracy and patient care. #J-18808-Ljbffr

Location: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $25.50 - $38.00 Position 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...

Avera Health CoderLocation: Avera Downtown Building-Sioux FallsWorker Type: RegularWork Shift: Primarily days with possible weekends/evenings/holidays (United States of America)Pay Range: $25.50 - $38.00Position HighlightsYou Belong at AveraBe 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 OverviewResponsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment.What You Will DoReview all aspects of a patient's clinical documentation in order to...

Avera Downtown Building-Sioux Falls CoderWorker Type: RegularWork Shift: Primarily days with possible weekends/evenings/holidays (United States of America)Pay Range: $25.50 - $38.00Position HighlightsYou Belong at AveraBe 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 OverviewResponsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment.What You Will DoReview all aspects of a patient's clinical documentation in order to identify the appropriate...

Remote Sioux Falls, SD Full time R-260029600 Location: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Primarily days with possible weekends/evenings/holidays (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $25.50 - $38.00 Position 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 inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with...

Avera Health Coder Location: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Primarily days with possible weekends/evenings/holidays (United States of America) Pay Range: $25.50 - $38.00 Position 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 inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment. What You Will Do Review all aspects of a patient's...

Vance Thompson Vision Mso Llc is seeking a Coding Specialist to join our team. You will review coding from the electronic health record system for clinic and surgical claims, ensuring accuracy and completeness of diagnosis and procedure codes, and bill to the appropriate insurance. You will evaluate surgery schedules, perform monthly audits across clinics, answer calls and emails, and ensure CMS/AMA documentation compliance for CPT and NCCI edits. #J-18808-Ljbffr

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary : IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary...

Work Shift Multiple shifts available Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent position (40 hours) Location: This position is remote for candidates that live in the following states: With travel to Virginia Beach 1x a year. Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance claims processing and ensures adherence to policies and procedures for its various product offerings. Triage and prioritize leads/member complaints from internal sources. Assist in the...