[Hiring] Coder, Provider Practice - Behavioral Health @Sanford Health

Role Description

Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. The position requires strong problem-solving skills, effective communication with medical professionals to improve documentation accuracy, and the ability to work independently. We offer flexible hours and the ability to work remotely.

• Serve as a resource for providers in understanding covered indications and the supporting documentation.
• Support both technical and professional services in provider clinics as well as Ambulatory Surgery Centers (ASC) and hospital professional services.
• Maintain a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.
• Understand and support the 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 for symptoms, diseases, injuries, surgeries, and treatments according to official classification systems and standards.
• Provide accurate and timely ICD-10-CM coding of diagnoses, HCPCS, and CPT coding in accordance with official coding standards and regulatory compliance guidelines.
• Review and audit medical record documentation accurately to reflect healthcare coding and substantiate appropriate service reimbursement.
• Convey coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation.
• Utilize computer skills to interpret, analyze, and abstract data/documentation.

Qualifications

• 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 ICD diagnosis, CPT, and HCPCS coding schemes, medical terminology, or human anatomy/physiology is preferred.
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required.
• If the associate is not certified at hire, the associate must be so within one year of the date of hire.

Requirements

• 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.
• Good problem-solving skills, time management, and organizational skills.

Benefits

• Pay starts at $19.00/hr with additional credit given for work experience relative to this role.
• Flexible hours and the ability to work remotely.

Company Description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.