Sanford Health Supervisor, Coding, Provider Practice – Cardiology in Sioux Falls, South Dakota
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.
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Facility: Sanford Business Center Building
Location: Sioux Falls, SD
Address: 2200 E Benson Rd, Sioux Falls, SD 57104, USA
Job Schedule: Full time
Weekly Hours: 40.00
Provide leadership to coding staff in assigning accurate and timely codes to medical records for optimal reimbursement, data collection, and statistical reporting. Provide accurate information, education and reviews regarding coding to assure the most effective reimbursement methods are identified and utilized and to assure compliance.
We are willing to be flexible and allow the person to work outside of Sioux Falls if the candidate is willing to commute into Sioux Falls for in-person meetings. There will also be other traveling depending on conferences and department meetings in other regions such as Bemidji and Fargo. Responsible for meetings with physicians to provide feedback, educate, and train on appropriate documentation. Report findings of analyzed coding data to upper management and executives on any discrepancies or variances amongst the industry data compared to departmental data.
Validate any potentially missed professional revenue, running reports to find missed charges, validate charges as shown on billing, assist with template development, research new coding guidelines, information sharing new coding guidelines with others, have an understanding of service and revenue routing, review payer audits.
Provide responses to any reviewed patient related concerns to charges associated with service received. Provide input as needed into pricing of services, monitor, and analyze reimbursement-related issues. Knowledge and understanding of ancillary coding services. Review updated payer bulletins. Inform clinics/providers of any updates and/or changes, related with charges and codes.
Perform other duties as assigned by the manager and/or director. Have a working knowledge of anatomy, physiology and pathophysiology to understand disease processes, treatment or management of conditions either medically or surgically. Computer skills, the ability to interpret, analyze and abstract data/documentation, and have good problem-solving skills. Current in coding schemes and have knowledge of prospective payment systems, insurance policies, drug/pharmacy related coding rules and documentation process, and clinical practices and technology.
Specific knowledge of diagnostic and procedural terminology, international classification of disease, tenth edition (ICD-10), current procedural terminology (CPT) and healthcare common procedure coding system (HCPCS) coding schemes.
Demonstrate leadership skills, excellent communication, and proven ability to effectively train others and motivate people in realizing and attaining their goals. Assist with training of personnel, dealing with employee issues/behaviors, assisting with hiring/termination.
The clinics and providers this supervisor position will be working with directly are primarily located in Sioux Falls and Bemidji, but there is room for flexibility for this role to work from home knowing there will be travel required to attend in-person meetings at various locations to educate and communicate with providers and clinic directors. This position is part of a larger leadership team which provides valuable assistance, support and guidance.
Associate degree in Health Information Technology or Certification in Coding required.
Specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in International Statistical Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding schemes, medical terminology or human anatomy/physiology is preferred. Prefer to have at least three years of experience in coding for professional charges, as well as experience with Medicare and other third party payors.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required.
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, sick leave and paid time off. To review your benefit eligibility, visit https://sanfordhealth.jobs/benefits .
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 email@example.com .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Job Function: Revenue Cycle
Req Number: R-32766
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