Coder III - Outpatient
Avera Health
- Sioux Falls, South Dakota, United States
- Sioux Falls, South Dakota, United States
Über
Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM, CPT, and HCPCS diagnosis and procedure codes for assigned patient charts across Avera's facilities. Focus on determining the appropriate APC/EAPC and/or appropriate medical coding for a variety of outpatient patient types including, but not limited to, surgeries, observation, injections/infusions, and/or oncology. Expected to have a mastery of the majority of all outpatient types in the outpatient service line and code those as needed. Serve as a subject matter expert for other health professionals within Avera on coding related topics. Queries physicians and clinical documentation staff to ensure a full capture of the clinical record. Assist staff with denials management, including the processing of edits, serving as a subject matter expert, or helping to provide input for medical necessity and other related appeals using appropriate coding guideline references. Lead communication between health information management, billing, and providers as needed. Maintains personal quality and production statistics in accordance to service line standards for a Coder I. Adheres to ethical standards regarding coding as set by Avera Health.
Essential Qualifications
Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days or Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 180 Days or Registered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 180 Days or Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Association (AHIMA) within 180 Days
Preferred Education, License/Certification, or Work Experience:
Associate's Health Information Administration or Health Information Technology 4-6 years of coding experience
Expectations and Standards
Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera's values of compassion, hospitality, and stewardship. Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.
Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship
Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.
Sprachkenntnisse
- English
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