Sanford Health-posted about 1 year ago
Full-time • Senior
Saint Paul, MN
Hospitals

The Coder position at Sanford Health involves supporting Medicare and Commercial Carrier workflows related to medical coding, denial review, and appeals management. The role requires a senior-level coder to review medical documentation, assign appropriate codes, and ensure compliance with coding standards and regulations. The coder will also participate in team meetings and serve as a subject matter expert, contributing to the accuracy of medical record documentation and reimbursement processes.

  • Understand and support Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management.
  • Monitor and validate physician charge capture.
  • Participate in coding team meetings and serve as a subject matter expert.
  • Review medical documentation from physicians and other healthcare providers; assign modifiers, diagnostic and procedure codes according to official classification systems.
  • Provide accurate and timely ICD-10-CM coding of diagnoses, HCPCS, and CPT coding in accordance with coding standards and compliance guidelines.
  • Review and audit medical record documentation to reflect accurate healthcare coding and substantiate appropriate service reimbursement.
  • Convey coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation.
  • Senior level experience in medical coding.
  • Proficiency in ICD-10 and CPT coding.
  • Strong organizational skills.
  • Excellent computer skills.
  • Ability to review documentation and assign appropriate codes accurately.
  • Effective time management skills.
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