Coder II - Outpatient

Sioux Center Health; Sioux Falls (SD); On-site; USD 33,000 - 48,000; Full time

Benefits offered by this job

PTO available day 1 for eligible hires

Up to 5% employer matching retirement

Career development

Job summary

Avera Health is seeking a Coder II to ensure timely and accurate coding for outpatient charts across multiple facilities. You will query physicians and coordinate with HIM, billing, and providers to capture complete clinical records.

This role emphasizes quality, production standards, and ongoing learning in ICD-10-CM, CPT, and HCPCS coding within a collaborative care environment.

Qualifications

• Required coding certifications: AHIMA or AAPC within 180 days.
• Strong knowledge of ICD-10-CM, CPT, HCPCS coding.
• Experience with outpatient coding and physician documentation.

Responsibilities

• Review patient charts to assign ICD-10-CM, CPT, and HCPCS codes.
• Determine APC/EAPC and outpatient coding for diverse services.
• Serve as SME for coding topics among health professionals.

Skills

ICD-10-CM

CPT

HCPCS

Medical coding

Education

CCA

CCS-P

CCS

COC

CPC

RHIA

RHIT

Job description

Pay Range

The pay range for this position is listed below. Actual pay rate dependent upon experience.

$24.00 - $35.00

Location

Avera Downtown Building-Sioux Falls

Worker Type

Regular

Work Shift

Day Shift (United States of America)

Position Highlights

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Responsible for the timely and accurate assignment of diagnostic and procedural codes for a variety of outpatient charts for multiple facilities within Avera Health. Accurate abstracting, along with other reporting and editing functions is also a major responsibility. The Coder II works independently to meet quality and production goals for the position with occasional guidance from other professional staff.

What You Will Do

• Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM, CPT, and HCPCS diagnosis and procedure codes for assigned patient charts across Avera's facilities. Understands ICD-10-CM, CPT and HCPC codes in depth, and be willing to update that knowledge through research or other educational opportunities.
• The Coder II focuses on determining the appropriate APC/EAPC and/or medical coding for a variety of outpatient patient types including but not limited to, ER, ancillaries, imaging, lab, PT, OT, SP and/or dialysis in the outpatient service line.
• Be willing on occasion to serve as a subject matter expert for other health professionals within Avera on these topics.
• Query physicians and clinical documentation staff to ensure a full capture of the clinical record.
• Assist with or lead communication between health information management, billing, and providers as needed.
• Maintains personal quality and production statistics in accordance to service line standards for a Coder 2.

Essential Qualifications

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 effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, Or Work Experience

• Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA) within 180 Days or
• Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Association (AHIMA) within 180 Days or
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days or
• Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) within 180 Days or
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) within 180 Days or
• Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 180 Days or
• Registered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 180 Days

Preferred Education, License/Certification, Or Work Experience

• Associate's Health Information Administration or Health Information Technology
• 1-3 years coding experience

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement
• Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [e-mail].