- Demonstrate extensive knowledge of official coding guidelines established by the AMA and CMS with regard to the assignment of ICD-10 and CPT.
- Evaluates medical record documentation to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits.
- Respond to coding questions/issues and reimbursement questions from clinical staff and other departments as necessary.
- Performs scheduled audits of physician coding and documentation to make recommendations for improvements and enhancements.
- Obtains authorizations prior to procedures or surgical services being performed.
- Assist department leadership with research, analysis, and all other special projects.
- Answer phone calls and direct calls to the appropriate areas.
- Financial counseling of patients prior to medical services being performed and work with the Billing/Insurance Manager and/or CEO on exceptions to standard procedures.
- High School Diploma, or equivalent. Prefer post-secondary education courses in Health Information Management, accounting and/or business. Educational coursework in CPT and ICD coding in medical practice and a thorough understanding of medical terminology and anatomy.
- Minimum of 2 years of medical coding experience in a physician office setting or equivalent with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers). Ophthalmology coding and billing experience preferred.
- Certification is encouraged (CPC-Certified Professional Coder, OCS-Ophthalmic Coding Specialist)
-
+Job summary · Ophthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease. · +High School Diploma or equivalent. · Minimum of 2 years of medical coding experience in a physician office setting. · ...
Sioux Falls, SD1 week ago
-
We are looking for a passionate Medical Coder. This person is responsible for coding clinical and outpatient medical records using the most accurate and appropriate ICD-10-CM and CPT codes in accordance with regulatory coding guidelines and Ophthalmology LTD policy and procedures ...
Sioux Falls, SD3 weeks ago
-
The Coder III works independently to meet quality and production goals for the position. · ...
Sioux Falls, SD1 week ago
-
The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment. · Review all aspects of a patient's clin ...
Sioux Falls, SD1 week ago
-
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectivel ...
Sioux Falls, SD1 month ago
-
· Billing Supervisor · We are seeking a detail-oriented and experienced Billing Supervisor to lead our billing department and ensure accurate and timely invoicing for our clients. This role offers an excellent opportunity to contribute to our financial operations while working w ...
Sioux Falls, SD, SD $52,000 - $78,000 (USD) per year1 day ago
-
The Coder III works independently to meet quality and production goals for the position. Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of outpatient charts. · Varied amounts of time will be spent educating Coder I, III and II ...
Sioux Falls $25.50 - $38 (USD) Full time1 week ago
-
The Coder II position involves reviewing patient clinical documentation to assign accurate ICD-10-CM diagnosis and PCS procedure codes for inpatient charts across Avera's facilities. · ...
Sioux Falls $25.50 - $38 (USD) Full time1 week ago
-
The coder will be responsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts across multiple facilities within Avera Health. · ...
Sioux Falls $28 - $41.75 (USD) Full time1 month ago
-
+The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients/residents. · Must pos ...
Sioux Falls $27.50 - $44 (USD) Full time4 weeks ago
-
The Clinical Documentation Specialist (CDS) communicates with providers to facilitate comprehensive medical record documentation.The CDS utilizes clinical documentation systems to identify opportunities for physician outcomes. · ...
Sioux Falls $27.50 - $44 (USD)4 weeks ago
-
The Clinical Documentation Specialist communicates with providers case managers coders and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment decisions and diagnoses for inpatients/residents. The CDS utilizes the h ...
Sioux Falls1 month ago
-
+ Manage projects of varying scopes from start to end + Ensure compliance with federal and state laws, regulations, and rules governing healthcare entities + Identify risk areas and prepare audit tools + Conduct audits and provide analysis and recommendations to executive leaders ...
Sioux Falls $27.50 - $44 (USD) Full time2 weeks ago
-
The primary function of this position is to ensure compliance with the federal and state laws, regulations, · a nd rules governing healthcare entities.Identifies risk areas, · prepa res audit tools, · conducts audits, · and provid es analysis and recommendations to executive lead ...
Sioux Falls $27.50 - $44 (USD)2 weeks ago
-
We are seeking a detail-oriented Billing Supervisor to lead our billing department and ensure accurate invoicing for clients. · Oversee daily billing/coding/medical records operations · Supervise staff providing training and performance feedback · Maintain procedures and document ...
Tea Full time1 month ago
Medical Coder - Sioux Falls - Ophthalmology LTD
Description
Over the years, Ophthalmology LTD's name provides the highest quality of comprehensive medical and surgical eye care. Highly trained ophthalmologists, as well as experienced optometrists, combine their considerable expertise to give each and every patient the best possible care. Ophthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls.
We are looking for a passionate Medical Coder. This person is responsible for coding clinical and outpatient medical records using the most accurate and appropriate ICD-10-CM and CPT codes in accordance with regulatory coding guidelines and Ophthalmology LTD policy and procedures. If you are passionate about the work you do and the effect your work has on a patient's experience, this might be a great fit for you This position is full-time and will work on-site to provide you real-time opportunity to collaborate with the Ophthalmology LTD family.
A summary of the job duties include:
-
Medical Coder
Only for registered members Sioux Falls, SD
-
Medical Coder
Only for registered members Sioux Falls, SD
-
Coder III
Only for registered members Sioux Falls, SD
-
Coder II
Only for registered members Sioux Falls, SD
-
Coder III
Only for registered members Sioux Falls, SD
-
Billing Supervisor
Only for registered members Sioux Falls, SD, SD
-
Coder III
Full time Only for registered members Sioux Falls
-
Coder II
Full time Only for registered members Sioux Falls
-
Coder III
Full time Only for registered members Sioux Falls
-
Clinical Documentation Specialist
Full time Only for registered members Sioux Falls
-
Clinical Documentation Specialist
Only for registered members Sioux Falls
-
Clinical Documentation Specialist
Only for registered members Sioux Falls
-
Compliance Specialist
Full time Only for registered members Sioux Falls
-
Compliance Specialist
Only for registered members Sioux Falls
-
Billing Supervisor
Full time Only for registered members Tea