13 cpc certified professional coder jobs found in Sioux Falls, SD

Coding And Billing Specialist 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 daily coding and billing operations of the clinics as assigned. What You Will Do Assign appropriate codes using CPT, ICD-10 and HCPC's for all charges according to national and payor guidelines and physician direction. Work with physicians and clinic management staff to resolve coding and reimbursement issues and patient concerns. Communicate coding updates and changes to appropriate individuals. Coordinate and/or complete insurance appeals on denied claims due to coding issues. Assist in the design of charge documents for the clinic and maintain documents with the most current coding information. Ensure maximum third party reimbursement through financial planning, familiarity with payor contracts and pursuit of appropriate reimbursement on all claims....

Avera Health Coder III Location: Sioux Falls, SD Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: $25.00 - $37.50 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 Review all aspects of a patient's clinical documentation in order to identify...

Coder III Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of inpatient charts for across multiple facilities within Avera Health with a focus on the more complex and high-dollar cases. Accurate abstracting, along with other reporting and editing functions to meet quality and production goals for the position, with occasional guidance from other professional staff. Provide mentorship and training to Coder I, II, and III's along with helping others with denials management. 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, and be willing to update that knowledge through research or other educational opportunities. Coder III - In patient is distinguished by specific services lines which could include...

Job Description Job Description 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...

A healthcare provider in Sioux Falls is seeking a Coder III to assign accurate diagnostic codes for inpatient charts. The successful candidate will mentor junior staff and assist with denials management. Required qualifications include certifications in coding from AHIMA within 180 days of hire. The position offers a day shift and a salary range of $28.00 to $41.75 per hour. Benefits include PTO from day one and 5% matching retirement contributions. #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.*$28.00 - $41.75**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 inpatient charts for a across multiple facilities within Avera Health with a focus on the more complex and high-dollar cases. Accurate abstracting, along with other reporting and editing functions to meet quality and production goals for the position, with occasional guidance from other professional staff. Provide mentorship and training to Coder I, II, and III's along with helping others with denials management. **What...

Location: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: $21.25 - $30.75 The pay range for this position is listed below. Actual pay rate dependent upon experience. 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 daily coding and billing operations of the clinics as assigned. What you will do Assign appropriate codes using CPT, ICD-10 and HCPC’s for all charges according to national and payor guidelines and physician direction. Work with physicians and clinic management staff to resolve coding and reimbursement issues and patient concerns. Communicate coding updates and changes to appropriate individuals. Coordinate and/or complete insurance appeals on denied claims due to coding issues. Assist in the design of charge documents...

**Location:**Avera Health**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.*$25.00 - $37.50**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...

A healthcare provider in South Dakota is seeking a qualified Coder to review medical documents and assign diagnostic codes according to official standards. The role entails managing patient accounts, updating billing systems, and ensuring accurate coding practices. Candidates must have a high school diploma, experience in data processing, and a CPC certification. Strong communication skills and attention to detail are essential, as well as familiarity with healthcare coding guidelines. This position supports a collaborative work environment. #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.*$21.25 - $30.75**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 daily coding and billing operations of the clinics as assigned. **What you will do** * Assign appropriate codes using CPT, ICD-10 and HCPC’s for all charges according to national and payor guidelines and physician direction.* Work with physicians and clinic management staff to resolve coding and reimbursement issues and patient concerns.* Communicate coding updates and changes to appropriate individuals.* Coordinate and/or complete insurance appeals on denied claims due to coding issues.* Assist in the...

Description Position Summary CODER: Reviews medical documentation from physicians and other healthcare providers. Assigns diagnostic and procedure codes for inpatient, outpatient, symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Provides accurate and timely ICD-10 CM and CPT procedure coding, and may utilize HCPCS, in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and update medical record documentation to accurately reflect healthcare coding and substantiate appropriate service reimbursement. Working with other departments and organizations to assure availability and quality of information used in statistical reporting for local facility management and helping identify overall healthcare trends, issues and concerns. Follow up of coding denials and regular maintenance of coding work queues. Insurance Application Support Updates Winner Regional...

A prominent healthcare provider is seeking a Coder III to accurately assign diagnostic and procedural codes for outpatient charts. You will work independently to meet quality goals and educate less experienced coders. The role involves extensive knowledge of coding systems, denials management, and compliance with healthcare standards. Knowledge of ICD-10-CM, CPT, and HCPCS is essential. A commitment to the organization's values and the ability to work collaboratively in a team environment is also required. #J-18808-Ljbffr

# Careers With PurposeCompliance Auditor page is loaded## Compliance Auditorlocations: Remote SD (Central Time)time type: Full timeposted on: Posted 16 Days Agojob requisition id: R-0226012**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:Scheduled Weekly Hours:40Salary Range: 19.00 - 30.50**Union Position:**No**Department Details****Summary**Responsible for conducting internal audits and monitors to ensure that the organization’s processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements.**Job Description**Knowledgeable of general audit concepts and techniques, including the type of audits, the approaches and processes, and the subsequent...