Sanford Health Coder Provider Practice - Clinic Coding in Sioux Falls, South Dakota
Job Title: Coder Provider Practice | Clinic Coding | Multi-City
Department : CLINIC CODING
Job Schedule: Full Time
Hours Per Shift: 8 hr
Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic as well as ASCs and in addition hospital professional services. Maintains a thorough understanding of NCCI edits and relative value units as appropriate for the role. Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process. Monitors and validates physician charge capture. Must be self-motivated with the ability to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information. Participates in coding team meetings and serves as a subject matter expert. Reviews medical documentation from physicians and other healthcare providers; assigns modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, or standards. Providing accurate and timely ICD-10-CM coding of diagnoses, HCPCS and CPT coding, and in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and audit medical record documentation to accurately to reflect healthcare coding and to substantiate appropriate service reimbursement. Conveying coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation. Must have computer skills, the ability to interpret, analyze and abstract data/documentation, have good problem-solving skills, be self-motivated and have good time management and organizational skills. Have a working knowledge of anatomy, physiology and pathophysiology to understand disease processes, treatment or management of conditions either medically or surgically.
Identifies key medical information coding concepts and features such as Current Procedural Terminology (CPT) and International Classification of Diseases (ICD). Discusses major health information coding guidelines and specifications (e.g. ICD, 10th Edition). Follows organization's coding procedures and standards to conduct medical coding practices. Delivers written and oral communication, responds to questions and concerns, and produce specific outcomes and impact. Identifies issues and communicates with others when a decision needs to be made. Assures accuracy using basic validation and cross-checking techniques. Demonstrates an ability to meet own responsibilities. Establishes and maintains productive working relationships within and outside of own area. Demonstrates experience in participating in productive collaborative processes. Conveys medical record documentation requirements to physicians to ensure that coding guidelines are applied for appropriate information recording.
Surgery coding and CV Diagnostics experience helpful. Once official training is completed with the training team, they are eligible to choose a set schedule between 5:00am - 11:00pm with 4 hours required to be worked during the 8:00am-5:00pm timeframe.
RHIA, RHIT, CPC, CCS, CCS-P, CCS-H, COC required. If the associate is not certified at hire, the associate must be become so within one year of the date of hire. Associate degree in Health Information Technology or Certification in Coding required. Must have specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in ICD diagnosis, CPT, and HCPCS coding schemes, medical terminology or human anatomy/physiology is preferred.
About Sanford Health:
At Sanford Health, we are dedicated to the work of health and healing.
Every day, we show that commitment by delivering the highest quality of care to the communities we serve.
We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.
In addition to strong clinical care, we are also committed to research, education and community growth.
We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.
We continuously seek new ways to achieve our vision of improving the human condition here in your community,
across the region and around the world.
The entire team at Sanford Health recognizes the value of healthy families and communities.
We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application,
please call 1-877-673-0854 or send an email to firstname.lastname@example.org .
In compliance with federal law requiring employers to verify new employees' U.S.
employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .
Job Function: Revenue Cycle
Job Schedule: Full Time
Req Number: req27868