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Avera Coder Specialist in Sioux Falls, South Dakota

JOB SUMMARY: The Coding Denials – Revenue Recovery Specialist is accountable for the departmental compliance, processing and monitoring appeals related to coding denials, researching and mitigating on-going coding errors with appropriate departments and staff, reconciling accounts involving reimbursement adjustments, reviewing insurance policies for correct coding and appeals, review/validate coding practices to ensure data quality and accurate reimbursement, and provide feedback to appropriate departments and staff including but not limited to the Coding Denials – Revenue Recovery Manager.

EDUCATION and/or EXPERIENCE:

· Bachelor Degree in Health Information Administration, Associate Degree in Health Information Technology preferred. (RHIA or RHIT)

· 1-4 years of coding experience preferred.

CERTIFICATION, LICENSURE, and/or REGISTRATIONS:

· If not certified or registered, the employee is required to obtain one of the certifications below within 6 months of employment. (Preferred upon hire) (Ranked by preference)

o American Health Information Management Association (AHIMA)'s

§ Registered Health Information Administrator (RHIA)

§ Registered Health Information Technician (RHIT)

§ Certified Coding Specialist (CCS)

§ Certified Coding Specialist (CCS-P)

§ Certified Coding Associate (CCA

o American Academy of Professional Coders (AAPC)'s

§ Certified Professional Coder – Hospital (CPC-H)

§ Certified Outpatient Coder (COC)

§ Certified Professional Coder (CPC)

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