UNKNOWN

ADAPTED_NOW

The Country Club of Sioux Falls is a private country club located in the heart of Sioux Falls. Required experience in Food and Beverage: 2 years, previous supervisor experience a plus but not required.

The Country Club of Sioux Falls

Bar Manager

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PART_TIME

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YEAR

SUPERVISORY RELATIONSHIPS: To perform this position successfully, an individual must be able to work within the following supervisory relationships: The Property Manager position has supervisor responsibilities for property site staff including the leasing specialist, caretaker and maintenance staff. REASONABLE ACCOMMODATIONS: Management will provide reasonable accommodations to qualified applicants and employees with disabilities in connection with its application process, modifications or adjustments to the work environment, and modifications or adjustments that allow a disabled individual to have equal benefits and privileges of employment as are enjoyed by other similarly situated individuals without disabilities, unless doing so would cause undue hardship.

Thies & Talle Management, Inc.

Property Manager

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Jobot

Tax Manager/Partner

FEED

Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.

HOUR

Sanford Health

Clinical Quality Specialist - Canton Medical Center - Full Time

Appcast Exclusive 1

Also responsible to proactively identify trends in team member performance and operational results, communicates trends in a timely fashion to coding managers to assure optimal team performance. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.

Avera

Supervisor - Coding

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Avera Health

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Collaborates and coordinates with various Sanford Health leaders to ensure coding integrity and accurate data collection is achieved to support a seamless continuum of care, supporting provider compensation models, compliant processes, optimal reimbursement and efficient revenue cycle functions. Facility: Sanford Business Center Building Location: Sioux Falls, SD Address: 2200 E Benson Rd, Sioux Falls, SD 57104, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $67.00 - $110.50.

Senior Director Coding

Research, evaluate, and implement quarterly and ongoing updates to medical coding, reimbursement methodologies, regulatory requirements, and health plan policies to ensure system configurations remain current and compliant with CMS, Medicare, Medicaid, ACA, HIPAA, NCQA, and commercial payer requirements. The position is responsible for validating claims processing and logic, maintaining coding integrity, troubleshooting configuration issues, and supporting continuous system optimization to improve automation, regulatory compliance, operational efficiency, accurate claims payment and provider coding reconsiderations.

Configuration and Coding Analyst

A successful Auditor assists in the organization and presentation of educational workshops and seminars for Avera, including non-Avera facilities A successful Auditor also assists leadership with monitoring and dissemination of information related to state and federal regulations as they apply to a health information management (coding) in acute, long term, and ambulatory care facilities. Keeps apprised of Federal contractor requirements for the various regions of Avera which include the following Medicare Contractors for Avera facilities: Noridian Healthcare Solutions, National Government Services (NGS), Novitas Solutions, Wisconsin Physician Service (WPS), and CGS Administrators at the present time.

Coding & Reimbursement Auditor

Configuration And Coding Analyst

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Serves as part of a consultant team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive successful initiatives and projects within care delivery or clinical settings within a technical area or workstream by making significant contributions to projects to identify and resolve issues of importance to the organization; identifying and ensuring representation and inclusion of appropriate stakeholders and team members; building rapport and partnerships with stakeholder teams, third party vendors, and senior management to produce results that are outcome driven; working with stakeholders to develop goals and set the prioritization of deliverables; discussing involvement of key processes (e.g. Minimum Qualifications: Bachelors degree in Nursing, Health Care, Public Administration, Public Health, Statistics, Science or a directly related field and minimum three (3) years experience in consulting, data analytics, or project management in clinical operations or a health care environment OR Masters degree in Nursing, Health Care, Public Administration, Public Health or a directly related field and minimum one (1) years experience in consulting, data analytics, or project management in clinical operations or a health care environment, or a directly related field OR Minimum six (6) years experience in consulting, data analytics, or project management in clinical operations or a health care environment, or a directly related field.

At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research.

Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach.

Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.

Kaiser Permanente

Clinical Consultant III - Clinical Documentation - Coding

The Coding Audit Specialist position conducts quality assurance activities to ensure the accuracy and integrity of risk adjustment data submitted to the Centers for Medicare & Medicaid Services (CMS) and Department of Health Services (DHS); identifies deficiencies and provides management with an analysis of outcomes and tools for improving accuracy in coding. Responsible for auditing medical record documentation to determine appropriate diagnostic coding for services provided, taking into account the AMA CPT coding guidelines, ICD‐9 & ICD‐10 Coding Guidelines, CMS Medicare, HHS, and DHS BadgerCare Plus risk adjustment policy and Hierarchical Condition Category Coding.

Coding Audit Specialist, Health Plan

FULL_TIME

OTHER

Functions as an advocate for the beneficiary by ensuring access to necessary care and maintaining Beneficiary's safety, locating specialized services outside the network by identifying providers, exploring nature of services offered, and facilitating process. Independent Thinking / Self-Initiative: Resourceful critical thinker who is able to prioritize tasks essential to achieving desires outcomes, demonstration a proactive commitment to task completion and the ability to identify and secure necessary resources.

TriWest Healthcare Alliance

Case Manager

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Technical Skills: Knowledge of TRICARE policies and procedures, Case Management, Utilization Management, Managed Care concepts, Behavioral Health practices and principles, Medicaid and Medicare eligibility requirements and benefits, community resources, alternative funding programs, medical management systems, and protected health information; proficiency with the use of medical necessity criteria to evaluate care requests; working knowledge of medical coding. Problem Solving / Analysis: Thorough knowledge of health care delivery, UM, CM, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth analysis of medical records for appropriateness and level-of-care determinations.

Manager, CM Special Programs

Experience leveraging Artificial Intelligence, automation, and modern software engineering practices to improve developer productivity, accelerate software delivery, and drive business outcomes is preferred. The manager partners with business units, product teams, and IT leadership to deliver secure, scalable, and innovative solutions that improve member and provider experiences.

Blue Cross and Blue Shield of Kansas City

Manager Application Development & Support

4+ years of experience in healthcare analytics, large databases, data verification, data management, table creation and indexing, query optimization, utilization of stored procedures, developing complex queries using SQL or other coding languages, and lead or management experience. Position Purpose: The Manager, Medical Economics drives the execution of analytics strategy through the discovery, development, and implementation of leading-edge analytics that answer important business questions.

Centene Corporation Group

Manager, Medical Economics

The PAM is the primary contact for consented patients and caregivers across the GSK Oncology portfolio, guiding them through onboarding, access, and ongoing phases of the treatment journey, and supports provider accounts within the territory on coverage, coding, and payment questions after a prescribing decision has been made. 3+ years of experience combined in any of the following areas: field reimbursement, hub case management, patient experience programs, helping patients and providers navigate insurance verification, prior authorization requirements, and access criteria.

GSK plc

Patient Access Manager (WI/MN/SD/ND)

The Commissioning Project Manager will work closely with project execution teams, Owner''s project managers, site engineers, construction and quality managers to schedule the Commissioning activities, coordinate with affected parties, ensure witness points are held for owner oversight, and deliver results that comply with the contractual requirements and ensure a smooth transition from commissioning to closeout. In addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting.

Coding Manager Jobs in South Dakota

Bar Manager The Country Club of Sioux Falls

Property Manager Thies & Talle Management, Inc.

Tax Manager/Partner Jobot

Clinical Quality Specialist - Canton Medical Center - Full Time Sanford Health

Supervisor - Coding Avera

Supervisor - Coding Avera Health

Senior Director Coding Sanford Health

Configuration and Coding Analyst Avera

Coding & Reimbursement Auditor Avera

Configuration and Coding Analyst Avera Health

Configuration And Coding Analyst Avera Health

Clinical Consultant III - Clinical Documentation - Coding Kaiser Permanente

Coding & Reimbursement Auditor Avera Health

Coding Audit Specialist, Health Plan Sanford Health

Case Manager TriWest Healthcare Alliance

Manager, CM Special Programs TriWest Healthcare Alliance

Manager Application Development & Support Blue Cross and Blue Shield of Kansas City

Manager, Medical Economics Centene Corporation Group

Patient Access Manager (WI/MN/SD/ND) GSK plc

Commissioning Project Manager, BESS SOLV Energy LLC

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