Job Information

Sanford Health Director, Coding Training and Denials, Provider Practice in Sioux Falls, South Dakota

Create Your Career With Us!

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Facility: Sanford Business Center Building
Location: Sioux Falls, SD
Address: 2200 E Benson Rd, Sioux Falls, SD 57104, USA
Shift: Day
Job Schedule: Full time
Weekly Hours: 40.00

Job Summary

Provide leadership and direction for functions related to Professional Coding Denials, Professional Coder Training and Auditing. Highly accountable for attainment of organizational goals and sets the organizational direction for professional coding denials and clinic coder training. Accountable for building and maintaining professional coding edits. Responsible for aligning priorities and practices with enterprise-wide revenue cycle goals and initiatives. Embrace the use of the electronic medical record and billing system(s) and other leading technologies to assure efficient and effective process and practices. Maintain expertise and knowledge of EPIC functionality. Working knowledge of professional coding denials and facilities Provider Based Billing (PBB) denials.

Responsible for strategic planning, budget, and implementation of leading edge technology.

Accountable for developing and maintaining applicable coding policies with Sanford internal initiatives as well as regulatory rules. Computer skills and knowledge of information systems. Demonstrated leadership skills and proven ability to effectively train others and motivate people in realizing and attaining their goals. Knowledge of health care finance, and state and federal laws, rules and regulations, and accurately interpret and apply those laws, rules and regulations.

Remain current in coding schemes and knowledge of prospective payment systems and clinical practices and technology. Understanding of intermediary auditing related to Medicare and third party payors. Possess extensive knowledge of coding systems.

Qualifications

Bachelor's Degree in health-related field. In lieu of degree, will accept minimum of six years equivalent and related work experience.

Additionally, have at least seven years of work experience related to coding. Experience in project control, management, budgeting and planning techniques. Minimum of three years experience with Medicare and other third party reimbursement.

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.

Benefits

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, sick leave and paid time off. To review your benefit eligibility, visit https://sanfordhealth.jobs/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Job Function: Revenue Cycle
Req Number: R-62068
Featured: No