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Avera is seeking a quality coding auditor to ensure accurate medical coding and compliance across multiple specialties. The role works with the coding leadership to deliver education and improve performance through regular audits and coaching.
You will train coders, implement provider education, and coordinate with managers to maintain high-quality services. Strong communication and leadership are essential for success in this team-based environment.
Sioux Falls, SD
Full time
R-260031160
Avera Medical Group
Regular
Day Shift (United States of America)
Ensures quality account services to patients by working with team members to execute process flow and achieve quality objectives. In collaboration with the Coding leadership, works to assure the coding team is providing quality education and coding services. Also responsible to proactively identify trends in team member performance and operational results, communicates trends in a timely fashion to coding managers to assure optimal team performance.
Responsible for auditing and reviewing key quality control check points on a daily basis. Ensure Coders are trained and skilled to provide professional service to each medical specialty.
Complete all auditing and review of key quality control check points on a daily basis. Take action based on result findings.
Work with coding managers to set quality and compliance standards for all coders. Provide leadership, guidance, education, and training to coders based on quality and audit findings.
Implement new provider education ensuring they are provided with quality and complete education with current coding procedures.
Ensure the quality team is providing accurate and timely information and education to providers, site managers, coding and follow-up team based on quality audits. Coordinate the delivery of education on current topics while creating plans and processes to achieve service, quality and process objectives.
Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.
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.
Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire
4-6 years experience in professional coding across multiple specialties.
Associate's degree in Accounting, Business or Coding
1-3 years Supervisory experience.
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.
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 talent@avera.org .
Online Privacy Policy:
At Avera, we are committed to protecting your online privacy. For more information, please visit https://www.avera.org/legal-notices/online-privacy-policy/
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.
At Avera , we are committed to protecting your online privacy. For more information, please visit https://www.avera.org/legal-notices/online-privacy-policy/
The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444.
Additional Notices:
For TTY, dial 711
Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.