- Sanford Health (Sioux Falls, SD)
- …achievement of fiscal outcomes when appropriate. Collaborates with physicians and other clinical professionals as needed to assist in documentation improvement ... timely, cost-effective and efficient manner. The collection and interpretation of clinical information is necessary to initiate and execute authorizations. Essential… more
- Baylor Scott & White Health (Pierre, SD)
- …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... + Conducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code and… more
- Highmark Health (Pierre, SD)
- …requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and optimize risk adjusted ... Health Record (EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of HIPAA requirements… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …the time to learn and develop the necessary skills to perform as a peer specialist and to earn a peer specialist certification. After successful completion of a ... State or VA-approved contract vendor's peer specialist certification training process, and the necessary year of specialized experience, and time-in-grade… more
- Sanford Health (SD)
- …opportunity to work remote **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in accordance to established ... guidelines and criteria for designated setting and status. Collection of clinical information necessary to initiate commercial payor authorization. Obtain and… more
- Indian Health Service (Rosebud, SD)
- …and the control of disease. Identifies nutritional problems, determines complex risk factors, establishes short and long-term objective, sets priorities, plans ... Rosebud Service Unit quality assurance and performance improvement projects/program, risk management, and infection control program. Requirements Conditions of… more