Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
8 Hours - Day Shifts (United States of America)
40
Salary Range: $67.00 - $110.50
No
Responsible for overall design, implementation and optimization of hospital and professional coding for Sanford Health.
Provides leadership in the areas of clinic and hospital professional coding, hospital inpatient and outpatient facility coding, and hospital and professional denials/audits. Provides strategic planning and technical leadership and input on information systems. Directs and provides leadership to hospital and professional coding staff. Directs the processes and resolution of clinic and hospital professional coding and hospital facility related denials. Provides direction and leadership for denial management and audit activity to include integrity of appeal process and policy. Demonstrates ability to develop, evaluate, monitor, educate, and analyze health system coding processes on a daily basis to increase productivity, ensure compliance is met utilizing all recognized coding guidelines and all payor policies and guidelines and the goals of Sanford Health are met. Responsible for operational budget and strategic initiatives and formulation of Sanford Health's coding operating model and enhancement of coding related services throughout the system in order to drive and meet the goals of revenue services. Organize and streamline operations to achieve financial and service objectives. Develop and manage a multi-million dollar annual budget. Work extensively with IT. Develops reporting tools for Sanford leadership to help in fiscal budget planning and decision making, as well as education to reduce denial/RAC activity for the system. Collaborates and coordinates with various Sanford Health leaders to ensure coding integrity and accurate data collection is achieved to support a seamless continuum of care, supporting provider compensation models, compliant processes, optimal reimbursement and efficient revenue cycle functions. Strengthens relationships by communicating department activity and outcome with other managers and service areas. Participate in revenue cycle strategies and initiatives. Demonstrate vision and leadership in strategic planning and manage multiple competing priorities and diverse viewpoints. Lead by example, with initiative, self- discipline, confidence and professionalism to encourage and enable a management team and staff. Sets vision and direction for developing and maintaining relationships between the Sanford provider community and coding. Supports Sanford's efforts to influence public policy at the state and federal levels. Must demonstrate a broad-based knowledge of coding and billing practices.
Bachelor’s degree required.
Minimum seven years of directly related work experience and extensive knowledge of basic and underlying Current Procedural Terminology (CPT) coding practices required. Minimum seven years of management experience in a large health care system with responsibility for coding practices. 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.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.
Sanford Health is the largest rural health system in the U.S. Our organization is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Headquartered in Sioux Falls, South Dakota, we serve more than one million patients and 220,000 health plan members across 250,000 square miles. Our integrated health system has 47 medical centers, 2,800 physicians and advanced practice providers, 170 clinical investigators and research scientists, more than 200 Good Samaritan Society senior care locations, and world clinics in eight countries around the globe. Learn more about our commitment to shaping the future of rural health care at sanfordhealth.org or Sanford Health News.
