10 jobs found in South Dakota

Job Description Job Description Ophthalmology LTD is looking to add a Medical Coder to our team. This person will be 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, best practices in the industry, and Ophthalmology LTD policy and procedures. A summary of the job duties include: Demonstrate extensive knowledge of official coding guidelines established by the AMA and CMS with regard to the assignment of ICD-10 and CPT. Evaluates medical record documentation to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Respond to coding questions/issues and reimbursement questions from clinical staff and other departments as necessary. Performs...

Job Description Job Description REMOTE WORK A POSSIBILITY AFTER 60 - 90 DAYS ONSITE. Two major functions of the Patient Account Representative (PAR) are patient billing and customer care inquiries. Depending on setting, the PAR may only perform billing and/or patient care inquiries, while in other settings, the PAR may perform both. In all settings, the PAR will perform additional duties, as assigned. PAR establishes and assigns financial responsibility and/or assists with arrangements while adhering to appropriate policies and procedures. In addition to collection of co-payments, pre-payments, and/or payments on account balances. May also work through the appropriate queues to address and resolve issues specific to insurance, including work queue errors, denied insurance claims, and maintenance of the patient system. In a patient care inquiry role, the Patient Account Representative determines, collect and process patient patients providing patient education on explanation...

Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Starting Pay Rate Range $23.60 to $29.50 (Determined by the knowledge, skills, and experience of the applicant.) Job Summary Accurately and efficiently codes and abstracts comprehensive acute care inpatient, rehabilitation inpatient, outpatient surgery, swing bed, long term care, ancillary services and short stay observation patient records according to official coding guidelines for accurate coding and benchmarks for productivity. Evaluates and assigns accurate DRG, PAI, and APC assignment. The position responsibilities include 95% comprehensive assignment of inpatient ICD 9 diagnosis, DRG, Ambulatory Patient Classification assignments, comprehensive review of the entire inpatient, observation, or ambulatory record, accurate documentation capture for accurate and compliant code and procedure...

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: Day (United States of America) 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 activities, as they relate to internal audits. Demonstrates the ability to interpret Federal rules and regulations. Demonstrates the ability to research regulation from various...

Merck Associate Director, Medical Education & GPO Strategy– US Oncology Pierre , South Dakota Apply Now We are currently recruiting for an Associate Director, Medical Education & GPO Strategy– US Oncology. This position will be accountable for directing key elements of marketing strategy to HCP customers across a portfolio of oncology products at varying stages of commercialization. This knowledgeable sales and marketing professional will be accountable for the development, refinement, and execution of a US commercial strategy for the HCP pan tumor portion of the US Oncology business. The position is a Remote or Hybrid Role and may also be based in either Philadelphia, PA or Upper Gwynedd, PA reporting to a Director, HCP Pan Tumor Strategy – US Oncology. This position will require outstanding direction and partnership in many areas including HCP, market research, forecasting and relationship building, budget management and overall flawless launch execution....

J&J Family of Companies Associate Director, Medical Writing - Immunology Pierre , South Dakota Apply Now Associate Director, Medical Writing - Immunology - 2306143128W Description Within Integrated Data Analytics & Reporting (IDAR), the Regulatory Medical Writing team are recruiting for an experienced people leader at the Associate Director level to support our Immunology therapeutic area. This position is open globally and may be located in North America (eg, Spring House, PA, Raritan, NJ, Titusville, NJ, or Canada), Europe (eg, United Kingdom, Ireland, Belgium, Netherlands, Germany, France, Spain, Italy, Poland, Bulgaria or Switzerland), or other countries. Are you ready to join our team? Then please read further! At the Janssen Pharmaceutical Companies of Johnson & Johnson, what matters most is helping people live full and healthy lives. We focus on treating, curing, and preventing some of the most devastating and complex diseases of our time....

Associate Director, Medical Value & Outcomes Job Summary The Medical Value & Outcomes team member (Senior Manager, Associate Director or Director) serves as the medical scientific lead for population-based healthcare decision makers to facilitate scientific exchange on disease state management and the value of Sanofi products, to provide insights to internal teams on key evidence gaps relevant to healthcare decision-makers, and to identify/facilitate research, education, and other collaborations per applicable SOPs. This position represents the MS and Immunology franchises serving as the MVO lead for assigned strategic regional accounts. The position supports the strategic and cross functional alignment within the organization in order to achieve the medical mission of safe and appropriate use of Sanofi therapies. The MVO assists in the development of Integrated Medical Plans through collaboration with Medical Communications and Publications, Medical Science Liaisons,...

Summary This position is located in the Health Information Management Department at the Pine Ridge Indian Health Service Unit, Pine Ridge, SD. The incumbent reviews, analyzes and codes diagnostic and procedural information that determines Medicare, Medicaid and Private Insurance company payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement and statistical purposes. This job is open to Career transition (CTAP, ICTAP, RPL) Federal employees who meet the definition of a "surplus" or "displaced" employee. Federal employees - Competitive service Current or former competitive service federal employees. Federal employees - Excepted service Current excepted service federal employees. Individuals with disabilities Native Americans Native Americans or Alaskan Natives with a tribal affiliation. Peace Corps & AmeriCorps Vista Veterans Clarification from the agency The IHS is required by law to...

Job Description Job Description Job Summary: Primary responsibilities of the certified medical coder duties in support of the Oyate Health Center (OHC) Patient Accounts Department, facilitating and is responsible for converting medical diagnosis, supplies and processes into standardized codes that are used when filing insurance claims, to ensure compliance with Medicare, Medicaid, and private insurance rules and regulations. Essential Functions: Knowledge of Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH). Knowledge of medical records requirements and functions. Knowledge of ICD-10 (International Classification of Diseases), CPT 4 (Current Procedural Technology) and HCPCS (Healthcare Common Procedure Coding System) coding guidelines. Analyzes and abstracts all necessary information from the record to reflect secondary complications and co-morbidity conditions. Codes...

Job Description Job Description **NOT REMOTE** About Center for Family Medicine: At CFM it starts with the best care. We pride ourselves on delivering the most up to date medical treatments while treating every patient with kindness and respect. We also offer a wide array of convenient and helpful services. From the baby of your family to your eldest member, we make sure you’ll always feel good about visiting the Center For Family Medicine. As the home to the Sioux Falls Family Medicine Residency program, our clinic offers a varying patient population, a focus on education and teaching, and an emphasis on whole-patient care with the personal touch. Position Description: The Certified Medical Coder will be responsible to review medical documentation from physicians; assists in assigning diagnostic and procedure codes for symptoms, diseases, injuries, procedures, labs and treatments according to official classification systems and standards. Providing accurate and timely ICD-10...