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Sanford Health

Coder, Family Medicine/Urgent Care, Provider Practice

Sanford Health, Grace City, North Dakota, United States, 58445

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Overview Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Details Work Shift: Day (United States of America)

Scheduled Weekly Hours: 40

Salary Range: $19.00 - $30.50

Union Position: No

Summary Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and in addition hospital professional services. Maintains a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.

Responsibilities

Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures.

Understand and support Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process.

Monitor and validate physician charge capture.

Self-motivated with the ability to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information.

Participate in coding team meetings and serve as a subject matter expert.

Review and audit medical record documentation to reflect healthcare coding and to substantiate appropriate service reimbursement; convey coding guidelines to physicians and other healthcare providers to improve documentation accuracy.

Provide accurate ICD-10-CM, HCPCS, and CPT coding in accordance with official coding standards, regulatory guidelines and company procedures.

Maintain an understanding of NCCI edits and relative value units as appropriate for the role.

Qualifications

Associate degree in Health Information Technology or Certification in Coding required.

Specific knowledge of diagnostic and procedural terminology; coursework from an accredited institution in ICD-10-CM, CPT, and HCPCS coding schemes is preferred.

RHIA, RHIT, CPC, CPC-A, CCS, CCS-P, CCS-H, COC or equivalent required. If not certified at hire, must be certified within one year of hire.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.

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