Supervisor, Coding Provider Practice – Gen Surg, Plastics, Wound

🔥 1 hour ago

🌾 North Dakota, Minnesota, +1 more states – Remote

🌾 North Dakota – Remote ❄️ Minnesota – Remote 🗿 South Dakota – Remote

💵 $32 - $52 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Sanford Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1894

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

Sanford Health is the largest rural health system in the United States, dedicated to transforming the healthcare experience and providing access to world-class healthcare in America's heartland. Headquartered in Sioux Falls, South Dakota, Sanford Health serves over 1. 4 million patients and nearly 200,000 health plan members across 250,000 square miles. The integrated health system includes 48 medical centers, 211 clinic locations, and more than 160 senior living centers, employing 2,900 physicians and advanced practice providers. Sanford Health is committed to offering compassionate care through its Centers of Excellence, focusing on specialties such as cancer, orthopedics, women’s health, and genetics. Additionally, it provides affordable health insurance, engages in extensive clinical trials, and supports personalized genetic medicine.

📋 Description

• Provide leadership to coding staff assigning accurate and timely codes to medical records • Support optimal reimbursement, data collection and statistical reporting • Provide coding information, education and reviews to identify effective reimbursement methods and assure compliance • Meet with physicians to provide feedback, education and training on appropriate documentation • Report analyzed coding data findings, discrepancies and variances to upper management and executives • Validate potentially missed professional revenue and charges using reports • Validate charges shown on billing • Assist with template development and research new coding guidelines • Share new coding guidelines with staff and maintain understanding of service and revenue routing • Review payer audits and updated payer bulletins • Respond to patient-related concerns about charges associated with services received • Provide input into pricing of services and monitor and analyze reimbursement-related issues • Review ancillary coding services and inform clinics/providers of charge and code updates • Perform other duties assigned by the manager and/or director

🎯 Requirements

• Associate degree in Health Information Technology or Certification in Coding required • 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 • Specific knowledge of diagnostic and procedural terminology • Successful coursework from an accredited institution in ICD diagnosis, CPT, HCPCS coding schemes, medical terminology or human anatomy/physiology preferred • At least three years of experience in coding for professional charges preferred • Experience with Medicare and other third party payors preferred • Working knowledge of anatomy, physiology and pathophysiology • Computer skills and ability to interpret, analyze and abstract data/documentation • Knowledge of coding schemes, prospective payment systems, insurance policies, drug/pharmacy-related coding rules and documentation processes • Knowledge of clinical practices and technology • Leadership skills, excellent communication, and ability to train and motivate others • Ability to assist with personnel training, employee issues/behaviors, hiring and termination