12 medical coder jobs found in Sioux Falls, SD

Avera Health is seeking a Coder II to accurately assign outpatient ICD-10-CM, CPT and HCPCS codes across multiple facilities in Sioux Falls. You will review clinical documentation to ensure proper coding sequences and maintain quality and production goals with some guidance from senior staff. Responsibilities include querying physicians, resolving documentation gaps, and liaising with HIM, billing and providers to support accurate coding and reporting. #J-18808-Ljbffr

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

Freeman Health System is seeking a certified medical coder to join our billing team. You will determine codes for diagnoses and procedures for office and surgical records, and assign CPT and ICD-10 codes for billing. Requirements include a current CPC coding certification. If homebound, residents must live within Arkansas, Kansas, Missouri or Oklahoma within a couple hours of Freeman. Fully remote after a 120-day training period. #J-18808-Ljbffr

Medical Necessity CoordinatorBe part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.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 other duties as necessary.What you will doEstablish goals for processing, researching and problem solving new, modified and deleted LCD and NCD policies as well as communicating essential information to appropriate departments and staff.Support...

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

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. $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 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...

Job TitleCoder IILocationAvera Downtown Building-Sioux FallsWorker TypeRegularWork ShiftDay Shift (United States of America)Pay Range$24.00 - $35.00Position 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.What You Will DoReview all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM, CPT, and HCPCS diagnosis and procedure codes for assigned patient charts across Avera's facilities. Understands ICD-10-CM, CPT and HCPC codes in depth, and be willing to update that knowledge through research or other educational opportunities.The Coder II focuses on determining the appropriate APC/EAPC and/or medical coding for a variety of outpatient patient types including but not limited to, ER, ancillaries, imaging, lab, PT, OT, SP and/or dialysis in the outpatient service line.Be willing on occasion to serve as a subject...

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...

Location 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. $24.00 - $35.00 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 a variety of outpatient charts for multiple facilities within Avera Health. Accurate abstracting, along with other reporting and editing functions is also a major responsibility. The Coder II works independently to meet quality and production goals for the position with occasional guidance from other professional staff. What you will do Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM,...

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...

Avera Downtown Building-Sioux Falls CoderBe 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 DoReview 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...