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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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YEAR

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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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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

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.

SOLV Energy LLC

Commissioning Project Manager, BESS

In addition to managing projects, the Project Manager is responsible for: Overall project success, including: Successful management of project financial performance, including fee retention. Demonstrated experience building strong partnerships with owners, owner's representatives, architects, engineers, consultants, and subcontractors.

McGough Construction Co LLC

Project Manager

Job Description Summary: The Assistant Commissioning Manager supports the planning, execution, and oversight of testing and commissioning activities for SOLV Energy's High‑Voltage (HV), Battery Energy Storage Systems (BESS), and Photovoltaic (PV) projects. 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.

Assistant Commissioning Project Manager, PV

The Ecommerce Manager is a full-time position that requires leading the ecommerce strategy, overseeing website UX/development, and managing website content curation. Project management for driving projects with GBS and OD (UX development, content optimization, bug management) .

Coding Manager Jobs in Sioux Falls, SD

Bar Manager The Country Club of Sioux Falls

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

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, Medical Economics Centene Corporation Group

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

Commissioning Project Manager, BESS SOLV Energy LLC

Project Manager McGough Construction Co LLC

Assistant Commissioning Project Manager, PV SOLV Energy LLC

Ecommerce Manager Pivotal Solutions

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