<p style="text-align:left !important"><b><a href="https://himalayas.app/companies/sanford-health">Sanford Health</a>, 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.</b></p><h3>Work Shift:</h3>8 Hours - Day Shifts (United States of America)<h3>Scheduled Weekly Hours:</h3>40<h3>Compensation:</h3>Salary Range: $20.50 - $33.00Pay starts at $20.50 and increases with experience<h3>Union Position: </h3>No<p><u><b>Department Details</b></u></p>Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. <br><br>The position requires strong problem-solving skills, effective communication with medical professionals to improve documentation accuracy and the ability to work independently.<br><br>We offer flexible hours and the ability to work remotely.<p style="text-align:left"><u><b>Summary</b></u></p>Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and in addition hospital professional services. Maintains a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.<p style="text-align:left"><u><b>Job Description</b></u></p>Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process. Monitors and validates physician charge capture. 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. Participates in coding team meetings and serves as a subject matter expert. Reviews medical documentation from physicians and other healthcare providers; assigns modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, or standards. Provide accurate and timely international classification of disease – tenth edition – clinical modification (ICD-10) - CM coding of diagnoses, Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) coding, and in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and audit medical record documentation accurately to reflect healthcare coding and to substantiate appropriate service reimbursement. Conveying coding guidelines to physicians and other healt