• Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback • Validate ICD‑10‑CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines • Conduct medical chart audits of professional services across multiple specialties • Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps • Support coding education through feedback, targeted training, and reference materials • Prepare clear, defensible audit documentation including rationale and references • Provide actionable recommendations to address audit findings and reduce future risk • Track audit outcomes and trends to support leadership reporting and risk mitigation strategies • Support denial prevention, resolution and appeal strategies • Collaborate across teams to assist with coding support • Maintain confidentiality and comply with HIPAA and organizational policies

• Responsible for the auditing of inpatient coders and/or inpatient “audit the auditors” to ensure coding accuracy and DRG accuracy of a minimum of 95% is met. • Perform quality checks/audits on visits coded as per client SOPs. • Perform calibration audits. • Suggest improvements and schedule calibration sessions with offshore team counterparts and leaders. • May assist in preparing audit reports, share direct feedback to coders and auditors on areas of opportunity, participate in client interactions and internal stakeholder meetings. • Firm understanding of the clinical documentation guidelines. • Monitor compliance of coding guidelines and ensure errors are identified during audits are corrected as appropriate, and corrective action is initiated before the claim is rebilled to the insurance. • Conduct analysis and present summary of findings to leadership in a clear, concise, convincing, and actionable format. • Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes (ICD-PCS), MS-DRG, APR DRG, POA, SOI & ROM assignments. • Ensures capture/reporting of appropriate code(s) by utilizing coding guidelines established by: The Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification American Health Information Management Association (AHIMA) Standards of Ethical Coding Client coding procedures and guidelines. • Navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APR DRGs, and identify HACs and PSIs or other indicators that could impact quality data and hospital reimbursement. • Reviews inpatient health record documentation to assess the presence of clinical evidence/indicators to support diagnosis codes and MS-DRG, APR DRG assignments to potentially decrease denials. • Maintains a high degree of professional and ethical standards. • Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences. • Maintains CEUs as appropriate for coding credentials as required by credentialing associations. • Maintains current knowledge of changes in inpatient reimbursement guidelines and regulations as well as new applications or settings for inpatient coding e.g., Hospital at Home. • Ensure patient information is correct and appropriate signatures are on all medical records. • Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation. • Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, Code of Ethics, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior. • Perform other duties as assigned.

Location: Avera McKennan Hospital Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $22.75 - $32.75 Position Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for reviewing retail prescriptions that qualified for the hospital's 340B Drug Pricing Contract Pharmacy Program. This role is required to review all eligible prescriptions and check eligibility against the hospital's electronic medical record for appropriate matching documentation and make corrections within the pharmacy's reprocessing window and provide regular feedback to the leadership of Pharmacy Business & Analytics on auditing trends. What you will do - Review, analyze and determine eligibility of contract pharmacy claims by investigating patient records in hospital EMR to ensure each prescription meets the 340B patient definition. - Reverse ineligible claims within pharmacy reprocessing window. - Communicate audit results with the Pharmacy Business & Analytics Team, External 340B Software Vendor, Contract Pharmacies, Avera 340B Steering Committee and Avera Corporate Compliance Committee. - Document all requested reversals and ensure reversals occur Maintain accurate provider file for hospital's assigned to. - Remain current with 340B patient definition and current federal auditing guidelines and best practices. - Monitor and report trending of third party contract pharmacy audits to Director of Pharmacy Business & Analytics, Avera 340B Steering Committee and Avera Corporate Compliance Committee. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: - Associate's or certified pharmacy technician. or - Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB) Certified as a pharmacy technician by the Pharmacy Technician Certification Board (PTCB) Upon Hire - 1-3 years experience within a hospital business office, medical related field, health plan, third party administrator, or managed care industry Expectations and Standards - Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. - Promote Avera’s values of compassion, hospitality, and stewardship. - Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. - Maintain confidentiality. - Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. - Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. - PTO available day 1 for eligible hires. - Up to 5% employer matching contribution for retirement - Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.

Role Description IEM is seeking a Full-Time Site Inspector to support our continued growth. The Site Inspector conducts field inspections, documents site conditions, and ensures adherence to project standards and applicable safety and compliance requirements. This role is critical to identifying issues early, supporting accurate records for program decisions, and communicating clearly with property owners and project stakeholders. Primary Location: Live anywhere that meets remote work requirements in the United States including Puerto Rico. Work will take place either in the field, in an office environment, or remote from a personal location and will depend on the need of the project. Schedule may include work on weekends or more than 40 hours per week. Travel Requirements: This position will require travel to the state of New Mexico to complete work assignments or attend meetings. Travel and other expenses are reimbursable in accordance with Federal Travel Regulations or DoD regulations. Essential Functions: - Conduct thorough inspections of assigned locations using predefined checklists, procedures, and program guidelines. - Document findings accurately and comprehensively, including notes, photos, and required forms. - Identify and report potential issues, hazards, or non-compliance concerns; escalate urgent safety matters immediately. - Maintain consistent communication with the team lead regarding progress, barriers, and inspection outcomes. - Coordinate with property owners/customers in advance to schedule visits; when unavailable, leave a written notice per program procedure. - Adhere to all safety protocols and utilize required PPE during field activities. - Support data integrity by uploading, naming, and storing documentation per project standards. - Provide professional, courteous communication to internal teams, external partners, and property owners. Qualifications - Twelve (12) years prior work as a Site Inspector, Field Inspector, Damage Assessor, or similar inspection/field documentation role. - High School Diploma or GED. - Associates or higher degree in a relevant field and 10 years of experience may be considered in lieu of the full 12 years of experience listed. - Proficient with the use of mobile inspection tools and digital photo/document management. - Knowledge of relevant codes, standards, or safety practices used in field inspections. - Strong attention to detail; ability to follow inspection protocols; proactive risk identification. - Comfortable with fieldwork, including walking sites, standing for extended periods, bending, and lifting light equipment. - Physically fit and able to hike to remote properties at elevations of 10,000 feet above sea level and higher. - Ability and willingness to travel frequently to sites across New Mexico; valid driver’s license and reliable transportation. Preferred Qualifications - Experience in disaster recovery, mitigation, housing rehabilitation, or infrastructure inspection. - Familiarity with federal or state recovery programs (e.g., FEMA, HUD CDBG-DR) and related documentation practices. Benefits - Hourly rate based on location and experience: $30.00 - $35.00 / hour - 10 paid Holidays - Vacation Pay - Sick Pay - 401 (K) plan with matching - Company paid STD and LTD Equal Employment Opportunity All IEM employment decisions, including recruiting, hiring, placement, training availability, promotion, compensation, evaluation, disciplinary actions, and termination of employment, if necessary, are made without regard to an individual’s race, color, religion, creed, sex (including sexual orientation, gender identity, and gender expression), national origin, ancestry, age, physical or mental disability, medical condition, genetic information, pregnancy (including childbirth and related medical conditions), marital status, military or veteran status, citizenship or immigration status, or any other characteristic protected under applicable law. Reasonable Accommodation IEM is committed to providing reasonable workplace accommodation for individuals with disabilities. If you require assistance or reasonable accommodation during any part of the application or employment process, please email IEMhumanresources@iem.com with specific details about the requested accommodation. All accommodation requests are reviewed case-by-case in compliance with applicable law.