9 jobs found in Sioux Falls

Avera Downtown Building-Sioux Falls Coder 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 identify the appropriate sequence of ICD-10-CM diagnosis and PCS procedure codes for assigned patient charts across Avera's facilities. Understand the basics of ICD-10-CM and PCS codes in depth,...

Hiring: Insurance Compliance Auditor Company: Information Providers, Inc. Location: Sioux Falls, SD At Information Providers Inc. (IPI), we believe great work starts with great people. Since 1996, we've established ourselves as a leader in Property & Casualty and Premium Audit information services, serving insurance companies nationwide through innovative technology and experienced professionals. With over 430 employees and a unique field force supported by regional offices, we deliver accurate, high-quality information. Our core values, service, reliability, flexibility, timeliness, and innovation, drive our growth and foster a supportive workplace. At IPI, your ideas matter, your growth is supported through mentorship and opportunity, and your contributions make a meaningful impact every day. Join us and be part of a team that values its people as much as its purpose! What You'll Do As Our Full-time Insurance Compliance Auditor: Dispatch daily to job sites directly from...

Sioux Center Health is seeking an IP Coder II to ensure accurate coding for inpatient charts. This role requires proficiency in ICD‑10-CM coding and collaboration within a multidisciplinary team. Responsibilities include reviewing clinical documentation and maintaining coding accuracy. The successful candidate will hold essential coding certifications and embody Avera’s values of compassion and professionalism. Join us to make a positive impact in our community! #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to join the Special Investigations Unit. You will review medical records for coding accuracy, ensuring CPT/HCPCS, ICD-10, and CMS 1500/UB04 compliance, and prepare detailed audit findings for stakeholders. Responsibilities include discussing cases with Medical Directors and regulators, researching guidelines, identifying billing errors and potential savings, and maintaining thorough documentation to meet payor requirements. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The 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. Conduct a...

Work Shift Primarily days with possible weekends/evenings/holidays (United States of America) Location Avera Downtown Building-Sioux Falls Worker Type Regular Pay Range $25.50 - $38.00 Position Highlights Feel 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 identify the appropriate...

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Remote SD (Central Time) Location: Remote, SD Address: Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $22.50 - $36.00 Job 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. 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...

Job Description Job Description Hiring: Insurance Compliance Auditor Company: Information Providers, Inc. Location: Sioux Falls, SD At Information Providers Inc. (IPI), we believe great work starts with great people. Since 1996, we've established ourselves as a leader in Property & Casualty and Premium Audit information services, serving insurance companies nationwide through innovative technology and experienced professionals. With over 430 employees and a unique field force supported by regional offices, we deliver accurate, high-quality information. Our core values, service, reliability, flexibility, timeliness, and innovation, drive our growth and foster a supportive workplace. At IPI, your ideas matter, your growth is supported through mentorship and opportunity, and your contributions make a meaningful impact every day. Join us and be part of a team that values its people as much as its purpose! What You'll Do As Our Full-time Insurance Compliance...

Information Providers, Inc. is seeking a full-time Insurance Compliance Auditor in Sioux Falls, SD to perform field-based and remote audits. The role involves dispatching to client sites from home, coordinating appointments, and reviewing payroll records and financial data to ensure compliance. Qualified candidates will have tech proficiency, strong communication, and the ability to manage multiple tasks. A associate degree or higher in accounting or related fields is preferred. #J-18808-Ljbffr