11 jobs found in Pierre, SD

Serco Inc. is seeking Medical Coding Auditing Specialists to support the DHA Medical Coding Program Branch. The role involves performing audits of Military Treatment Facilities and dental clinics, developing audit plans, and reporting results to the program. Candidates must have extensive coding/certification in RHIT/RHIA/CPC/CCS-P and related governmental guidelines. Responsibilities include audits across DHA Markets, direct support for annual work plans, and close coordination with DHA-MCPB. #J-18808-Ljbffr

Humana, Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. Key responsibilities include reviewing records for coding accuracy and DRG validation, identifying anomalies for audits, applying ICD-10-CM/PCS coding guidelines and DRG logic, and collaborating with clinical reviewers and data analysts to #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

Baylor Scott & White Health is seeking a Coding Auditor 1 to perform coding quality audits, validate data, and provide feedback to coders. The role requires expertise in ICD-10-CM/PCS, HCPCS, CPT, and related coding references to ensure accurate classification and DRG grouping. The position emphasizes collaboration with Clinical Documentation Specialists and adherence to HIPAA guidelines, with a focus on accurate and compliant documentation across coding workflows. #J-18808-Ljbffr

A leading health data platform is seeking an Inpatient Auditing Specialist to conduct coding audits and provide coder education. This fully remote role requires 5+ years of experience in inpatient coding and a focus on customer satisfaction. Candidates must possess coding certifications and familiarity with software like Epic and Cerner. The position promises competitive compensation between $35 and $45 per hour, along with a comprehensive benefits package. #J-18808-Ljbffr

The Associate Director, Medical Publications (CNS) is responsible for supporting the implementation and execution of the global medical publication strategy and deliverables for the CNS therapeutic area. This role ensures the timely, accurate, and compliant communication of scientific and clinical data through congress abstracts, posters, manuscripts, and other peer-reviewed outputs. Working within the CNS Medical Communications team, the Associate Director partners with cross-functional stakeholders including Clinical Development, Global Integrated Evidence & Innovation (GIEI), Medical Strategy, Core Content, and external vendors to execute high-quality publication activities aligned with overall medical strategy. The Associate Director reports to the Director, Medical Publications (CNS) and plays a key role in driving operational excellence in publication execution while contributing to strategic planning and ensuring adherence to scientific and regulatory standards. Job...

A leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for correct reimbursement and managing provider disputes. Candidates should have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses and competitive benefits including medical and retirement plans. Exceptional communication skills and attention to detail are essential. You will contribute to cost reduction by ensuring accurate payments in the healthcare system. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Cognizant is seeking an Inpatient Medical Coding Auditor to audit consultant inpatient records and collaborate with stakeholders. You will review inpatient records for diagnostic and procedural coding accuracy, verify physician documentation, and ensure compliance with ICD-10-CM and ICD-10-PCS coding guidelines using Solventum (3M). This remote US-based role requires CCS/RHIT/RHIA certification, APR DRG experience, and five years of facility-based auditing plus two years at academic hospital #J-18808-Ljbffr

Job Summary Job ID: 35658 Agency: South Dakota Human Services Center Location: Yankton, SD Salary: $ Depending on Experience Pay Grade: J Closing Date: Open Until Filled Summary The South Dakota Human Services Center is posting an opening in their Laboratory Department. The position is for 40 hours per week (day shift, weekends) and includes taking call approximately one out of every 5 weeks. We want a highly motivated leader to serve as the Medical Laboratory Supervisor overseeing a small lab team. Join our lab team and you'll soon learn why there is low turnover in our friendly, flexible, and supportive working environment. Licenses and Certifications Bachelor's degree in Medical Technology, Clinical Laboratory Science or related field is preferred. Must be qualified to perform moderate complexity testing under the Clinical Laboratory Improvement Act. Must be or eligible to be a registered Medical Technologist. Primary Duties develop and review policies, procedures,...