2 coder analyst jobs found in Sioux Falls, SD

Pay Range The pay range for this position is listed below. Actual pay rate dependent upon experience. $28.00 - $41.75 Location Avera Health Worker Type Regular Work Shift Day Shift (United States of America) 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 Accountable to coordinate National Coverage and Determination (NCD) policies, Local Coverage Determination (LCD) policies, coverage policies for various payers and Medicare articles and any other activities related to medical necessity throughout Avera. Coordination of medical necessity activities includes: implementation of policy validation processes, education to departments on medical necessity guidelines, running reports for coverage review of new or existing policies, supporting appeals process, streamlining workflow for medical necessity, serving on committees, and...

Become a part of our caring community The Supervisor, Medical Referrals schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician’s office. The Supervisor, Medical Referrals operates according to detailed, established guidelines and procedures. You will apply independent judgment and analyze varying factors to resolve routine problems. Additionally, the Supervisor collaborates with management and top professionals/specialists in the selection of methods, techniques, and analytical approach. You will report to the Associate Operations Director. The Supervisor, Medical Referrals gathers and communicates all relative information and preparation instructions to patient and referring providers. This position is responsible for decisions related to scheduling, planning, and daily operations. Perform escalated or more complex similar work and manage a group of typically support and technical associates; coordinates...