Sanford Health logo

Coder, Provider Practice

Job Overview

Location

SD, City - Remote SD

Job Type

Full-time

Category

Software Engineering

Date Posted

July 9, 2026

Full Job Description

📋 Description

  • Review medical documentation from physicians and other healthcare providers; assign modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries, and treatments according to official classification systems and standards.
  • Use 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.
  • Convey coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation.
  • Serve as a resource for providers in understanding covered indications and the supporting documentation.
  • Support both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and in addition hospital professional services.
  • Maintain a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.
  • Understand and support 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.
  • Monitor and validate physician charge capture.
  • Participate in coding team meetings and serve as a subject matter expert.

🎯 Requirements

  • Associate degree in Health Information Technology or Certification in Coding required.
  • 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.
  • 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.

🏖️ Benefits

  • Competitive salary range of $20.50 - $33.00 with pay increases based on experience.
  • Flexible hours and the ability to work remotely.
  • Opportunities for professional growth and development.
  • Comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) retirement plan.
  • Paid time off and holidays.

Skills & Technologies

Remote

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About Sanford Health

Sanford Health is a not-for-profit integrated health system headquartered in Sioux Falls, South Dakota. It operates one of the largest rural networks in the United States, with 48 hospitals, nearly 2,000 physicians and advanced practice providers, 224 Good Samaritan Society senior care locations, and clinics across 250 communities in North Dakota, South Dakota, Minnesota, and Iowa. Services span primary care, specialty care, long-term care, research, and health insurance. Founded in 1894 and merged with Evangelical Lutheran Good Samaritan Society in 2019, the system serves over 2.5 million patients annually and employs more than 48,000 people.

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