UNKNOWN

FEED

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.

HOUR

Sanford Health

Coding Audit Specialist, Health Plan

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.

YEAR

Avera

Configuration and Coding Analyst

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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

Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Coding Data Quality Auditor

Avera Health

Configuration And Coding Analyst

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

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.

Clinical Quality Specialist - Canton Medical Center - Full Time

Our highly trained ophthalmologists and experienced optometrists work together to provide exceptional care across a wide range of specialties, including cataract surgery, glaucoma treatment, retina and vitreoretinal care, cornea services, oculoplastic, and pediatric ophthalmology. As a physician-owned practice, we value teamwork, accountability, and continuous improvement while creating an environment where employees can build meaningful and rewarding careers.

Ophthalmology LTD

Medical Coder

Hireclick

This position will have full benefits that include, but is not limited to, South Dakota Retirement, Employee discounts on services, gym membership reimbursement (and on-site fitness center), eligible for public service loan forgiveness, cafeteria discounts, life insurance and so much more. Consider joining an Award Winning Health Care System - Brookings Health System is a nationally awarded rural community health system, recognized for delivering high-quality care and personalized service.

Brookings Health System

Coder Specialist

Ophthalmology

FULL_TIME

OTHER

Ensures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

TriWest Healthcare Alliance

Lead Referral Specialist

equestftpin

Referral Specialist

Senior Referral Specialist

The ideal candidate will work closely with the Accounting Team, collaborate effectively with other departments, and contribute to a supportive team environment while ensuring accurate, timely financial transactions, and helping keep the company’s financial operations running smoothly. GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990.

Gpac’s mission is to be the preferred staffing and recruitment solution by effectively delivering and connecting talent with successful companies and organizations. 
 
Our team, with collective experience of over 250 years, is passionate about wh

Gpac

Accounting Specialist

LogicMelon

The Medical Assistant will prepare patients for visits, obtain health information and vital signs, assist with testing and minor procedures, maintain accurate medical records, and help coordinate follow-up care. We are seeking a patient-focused Medical Assistant to support providers and day-to-day clinical operations in Watertown, South Dakota.

Fox Point Recruitment LLC

Medical Assistant

Manatal

Bryant Staffing Solutions

jobdiva

As an ISG Employee Owner , you will have the opportunity to influence meaningful healthcare projects, contribute your expertise in healthcare planning and design, and share in the success of a firm committed to innovation, collaboration, and exceptional client outcomes. Develop healthcare planning and programming concepts while maintaining ongoing communication with clients and project teams to address evolving project needs, design considerations, and schedule or budget impacts.

Quite simply, ISG&rsquo;s team of seasoned professionals is second to none. Our team of claims-oriented case managers, registered nurses and field-based investigators with law enforcement/criminal justice backgrounds, provide ISG with a unique mix of claims, clinical and investigative expertise. Coupled with our national physician network, they enable ISG to offer unparalleled investigative and medical management results anywhere throughout the United States, Puerto Rico and Canada. ISG&rsquo;s experienced and highly regarded leadership team brings a vast amount of claims, investigative and medical management experience to the table. That experience means that ISG functions as a true business partner for our clients, ensuring that we clearly understand our clients; business goals, strategic claims management initiatives and the ever-changing environment in which our clients operate, while remaining focused on developing solutions that deal with &ldquo;real&rdquo; claims challenges.

Medical Planner - Architecture

PinpointHQ

Plan informal educational activities for children that incorporate a broad-based knowledge in areas of careers and life planning, health/sexuality, leadership and community action, sports and adventure, self-reliance and life skills and culture/heritage. Supervisory and organizational skills and ability to relate to co-workers, parents and the general public.

Medical Coding Specialist Jobs in South Dakota

Coding Audit Specialist, Health Plan Sanford Health

Configuration and Coding Analyst Avera

Coding & Reimbursement Auditor Avera

Coding Data Quality Auditor CVS Health Corp

Coding & Reimbursement Auditor Avera Health

Configuration and Coding Analyst Avera Health

Configuration And Coding Analyst Avera Health

Senior Director Coding Sanford Health

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

Medical Coder Ophthalmology LTD

Coder Specialist Brookings Health System

Medical Coder Ophthalmology

Lead Referral Specialist TriWest Healthcare Alliance

Referral Specialist TriWest Healthcare Alliance

Senior Referral Specialist TriWest Healthcare Alliance

Accounting Specialist Gpac

Medical Assistant Fox Point Recruitment LLC

Medical Assistant Bryant Staffing Solutions

Medical Planner - Architecture ISG

Middle School Youth Program Specialist Youth & Family Services

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