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Coder, Provider Practice Oncology Infusion jobs in United States
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Sanford Health · 18 hours ago

Coder, Provider Practice Oncology Infusion

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. They are seeking a Coder for their Oncology specialty department who will review medical documentation, assign appropriate codes, and ensure compliance with coding standards. The role requires strong problem-solving skills and effective communication with medical professionals.
Family & CareEducationHealthcareChildrenHealth Care
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H1B Sponsor Likelynote

Responsibilities

Serve as a resource for providers in understanding covered indications and the supporting documentation
Supports both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and in addition hospital professional services
Maintains a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role
Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process
Monitors and validates physician charge capture
Self-motivated with the ability to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information
Participates in coding team meetings and serves as a subject matter expert
Reviews medical documentation from physicians and other healthcare providers; assigns modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards
Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, or standards
Provide accurate and timely international classification of disease – tenth edition – clinical modification (ICD-10) - CM coding of diagnoses, Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) coding, and in accordance with official coding standards, regulatory coding compliance guidelines and company procedures
Review and audit medical record documentation accurately to reflect healthcare coding and to substantiate appropriate service reimbursement
Conveying coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation
Computer skills, the ability to interpret, analyze and abstract data/documentation, have good problem-solving skills, be self-motivated and have good time management and organizational skills

Qualification

ICD-10 codingCPT codingHCPCS codingHealth Information TechnologyCoding certificationsProblem-solving skillsEffective communicationAttention to detailTime managementOrganizational skills

Required

Associate degree in Health Information Technology or Certification in Coding required
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required. If the associate is not certified at hire, the associate must be so within one year of the date of hire

Preferred

Specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in International Statistical Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding schemes, medical terminology or human anatomy/physiology is preferred

Benefits

Health insurance
Dental insurance
Vision insurance
Life insurance
A 401(k) retirement plan
Work/life balance benefits
A generous time off package

Company

Sanford Health

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Sanford is a healthcare company providing research, education and clinical care.

H1B Sponsorship

Sanford Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (26)
2024 (37)
2023 (38)
2022 (51)
2021 (64)
2020 (30)

Funding

Current Stage
Late Stage
Total Funding
$0.01M
Key Investors
South Dakota Department of Human Services
2024-07-24Grant· $0.01M

Leadership Team

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Baier Roger
CEO
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Bill Gassen
President & Chief Executive Officer
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Company data provided by crunchbase