Senior Director Professional Coding, Sioux Falls, SD
Organization: Sanford Health
Category: Director
Location: Sioux Falls, SD
Date Job Posted: February 16, 2021
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Responsible for overall design, implementation and optimization of professional coding for Sanford Health. Provides leadership in the areas of clinic and hospital professional coding and hospital and clinic recovery audit contractors (RAC). Provides strategic planning and technical leadership and input on information systems. Directs and provides leadership to professional coding staff. Directs the processes and resolution of clinic and hospital professional coding related denials.
Qualifications
Bachelor’s degree in a financial-related field with a strong emphasis in health care finance.
Minimum seven years of directly related work experience and extensive knowledge of basic and underlying Current Procedural Terminology (CPT) coding practices required.
Additionally, possess extensive knowledge of state and federal laws, rules and regulations and must be able to accurately interpret and apply these laws, rules and regulations. Experience in health care finance, rate setting procedures, and intermediary auditing related to Medicare. Experience analyzing and maximizing third party reimbursement, and experience with computerized reporting systems.
Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC) or Certified Coding Specialist (CCS) certification required.