Coder II - Outpatient

Avera Health; Sioux Falls (SD); On-site; USD 33,062 - 48,216; Full time

Benefits offered by this job

PTO from day 1

Up to 5% retirement matching

Career development & mentorship

Job summary

Avera Health is seeking a Coder II to accurately assign outpatient ICD-10-CM, CPT and HCPCS codes across multiple facilities in Sioux Falls. You will review clinical documentation to ensure proper coding sequences and maintain quality and production goals with some guidance from senior staff.

Responsibilities include querying physicians, resolving documentation gaps, and liaising with HIM, billing and providers to support accurate coding and reporting.

Qualifications

• AHIMA/AAPC certifications within 180 days of hire as listed.
• Outpatient coding knowledge across ICD-10-CM, CPT, HCPCS.
• Ability to review clinical documentation and extract accurate codes.

Responsibilities

• Review patient charts to assign ICD-10-CM, CPT, and HCPCS codes across facilities.
• Understand ICD-10-CM, CPT, HCPCS and update knowledge through study.
• Determine APC/EAPC and outpatient coding for ER, imaging, labs, therapy, dialysis, etc.
• May serve as subject matter expert for others at Avera.
• Query clinicians to ensure full capture of the medical record.
• Coordinate with HIM, billing, and providers; maintain quality metrics.

Education

Certified Coding Associate (CCA)

Certified Coding Specialist - Physician-based (CCS-P)

Certified Coding Specialist (CCS)

Certified Outpatient Coder (COC)

Certified Professional Coder (CPC)

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Associate's Health Information Administration or Health Information Technology (preferred)

Job description

Location

Location: Avera Downtown Building-Sioux Falls

Worker Type: Regular Work

Shift: Day Shift (United States of America)

Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $24.00 - $35.00

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
• Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Association (AHIMA) within 180 Days
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days
• Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) within 180 Days
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) within 180 Days
• Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 180 Days
• 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 a accommodation for help with your online application, please call 1-605-504-4444 or send an email to [e-mail].

At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.