Healthcare Coding & Reimbursement Auditor

Sioux Center Health; Sioux Falls (SD); On-site; USD 42,000 - 63,000; Full time

Benefits offered by this job

PTO day 1

5% employer matching retirement

Career development

Job summary

Avera Downtown building in Sioux Falls seeks an Auditor to support health information management and coding audits. You will review hospital and clinic charts, provide findings, and counsel on coding and reimbursement issues across various facilities.

Responsibilities include delivering education to coders and staff, coordinating information between departments, and ensuring compliance with federal and state regulations. A multi-site liaison role with strong analytical skills is required.

Qualifications

• Associate's degree required in Health Information Management or related field.
• 4-6 years of experience in multi-specialty coding, coding auditing, or related quality assurance work with ICD-10 and CPT.
• RHIA/RHIT/CCS/CCS-P/CIC/COC/CPC/CRC certifications upon hire.

Responsibilities

• Audits hospital/clinic coded charts and provides written reports with findings and recommendations.
• Analyzes financial impact following audit activities.
• Provides consultant services on ICD-10, CPT, and HCPCS coding and reimbursement issues.

Education

Associate's in Health Information Management or related field

Bachelor's in Health Information Management or related field

RHIA - AHIMA

RHIT - AHIMA

CCS - AHIMA

CCS-P - AHIMA

CIC - AHIMA

COC - AAPC

CPC - AAPC

CRC - AAPC

Job description

Avera Downtown building in Sioux Falls seeks an Auditor to support health information management and coding audits. You will review hospital and clinic charts, provide findings, and counsel on coding and reimbursement issues across various facilities.

Responsibilities include delivering education to coders and staff, coordinating information between departments, and ensuring compliance with federal and state regulations. A multi-site liaison role with strong analytical skills is required.