Coder

Avera • Sioux Falls, SD

4d • $21 - $31

About The Position

Responsible for the daily coding and billing operations of the clinics as assigned.

Requirements

• The individual must be able to work the hours specified.
• 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.
• These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
• Associate's in Coding or Health Information Management and/or 1-2 years relevant experience and/or current certification as a coding specialist.
• 1-3 years Coding or patient account experience or outlined degree or certification.

Nice To Haves

• AHIMA Membership - American Health Information Management Association (AHIMA) within 1 Year
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 1 Year
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) within 1 Year
• Registered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 1 Year

Responsibilities

• Assign appropriate codes using CPT, ICD-10 and HCPC’s for all charges according to national and payor guidelines and physician direction.
• Work with physicians and clinic management staff to resolve coding and reimbursement issues and patient concerns.
• Communicate coding updates and changes to appropriate individuals.
• Coordinate and/or complete insurance appeals on denied claims due to coding issues.
• Assist in the design of charge documents for the clinic and maintain documents with the most current coding information.
• Ensure maximum third party reimbursement through financial planning, familiarity with payor contracts and pursuit of appropriate reimbursement on all claims.
• Investigate and report on all current reimbursement developments on third party payor functions when unable to resolve them and their remittances.
• Review all insurance bulletins and refers information to other personnel as appropriate.
• Provide support to clinics during periods of increased workload, periods of transition, or on an as needed basis.

Benefits

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement
• Career development guided by hands-on training and mentorship

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees