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Coding & Reimbursement Auditor

Avera Health

Assists HIM/Coding leadership with consultant services in health information management departments and billing offices, focusing on ICD-10, CPT, and HCPCS coding review, DRG and APC reimbursement, and coordination of information between medical record and billing departments.

Performs audits of hospital and clinic coded charts, prepares written findings and recommendations, analyzes financial impact from audit activity, and supports education for coders, physicians, hospital staff, and leadership. Also helps monitor federal and state regulatory requirements related to health information management across acute, long-term, and ambulatory care settings.

Requirements & Qualifications

Associate's degree in Health Information Management or related field.

One or more of the following certifications upon hire:

  • RHIA
  • RHIT
  • CCS
  • CCS-P
  • CIC
  • COC
  • CPC
  • CRC

4–6 years of experience in multi-specialty coding, coding auditing, or related quality assurance work with ICD-10 and CPT code sets.

Preferred:

  • Bachelor's degree in Health Information Management or related field.
Benefits & Perks

PTO available day 1 for eligible hires.

Up to 5% employer matching contribution for retirement.

Career development through hands-on training and mentorship.

Eligible employees may receive a comprehensive benefits package.

Location

South Dakota, US

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

No

Posted

3 weeks ago

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