• Perform complex coding for CPT, HCPCS, and ICD-10 with a focus on high-impact, payer-sensitive services • Lead expansion and validation of new and underutilized codes (e.g., 90785, T1016, G-codes, state-specific Medicaid codes) • Apply and validate advanced modifier usage, including Medicaid and MCO-specific requirements, to ensure accurate reimbursement • Conduct deep-dive research on payer policies, fee schedules, and billing requirements across Medicaid, MCOs, and commercial plans • Establish coding standards and best practices across the organization • Serve as the subject matter expert (SME) for coding logic in automation and AI initiatives • Translate complex coding rules into scalable system logic for upstream claim automation • Perform manual chart reviews using Medical Decision Making (MDM) guidelines • Validate appropriate E/M level selection • Identify opportunities for appropriate upcoding where documentation supports higher acuity • Establish a 'gold standard' baseline for CPT coding accuracy • Lead analysis of coding-related denials and rejections, including diagnosis and modifier-related issues • Identify root causes and drive upstream fixes to prevent recurrence • Provide expert guidance on complex denial scenarios and appeals strategy, particularly for Medicaid and MCO plans • Support review of payment discrepancies (paid vs. expected based on fee schedules) • Provide coding insight into payer behavior and reimbursement variances across Medicaid and MCOs • Work closely with Clinical teams to ensure documentation supports coding accuracy • Partner with RCM leadership on billing strategy and optimization initiatives • Support training and documentation (e.g., SOPs, internal knowledge base content)

Role Description Lifekind Health is looking for a full-time Certified Coder II (CPC or CCS) to join our team. The Medical Coder II performs more complex coding assignments. This role requires independent judgment, strong knowledge of coding guidelines, and the ability to resolve more advanced coding issues. About the position: - Code moderate to complex encounters - Assign ICD-10-CM, CPT, HCPCS, and modifiers with a high degree of accuracy - Review documentation for compliance and completeness; initiate provider queries as needed - Work claim edits, claim rejections, and denials requiring coding expertise - Assist with training and mentoring Medical Coder I staff - Stay current with coding updates, payer rules, and regulatory changes Qualifications - Associate’s degree in Health Information Management, Healthcare Administration, or 5 years of medical coding experience - Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or equivalent required - Strong understanding of coding guidelines and payer requirements - Ability to code independently with minimal supervision - Proficiency in resolving coding-related rejections, denials, and edits - Solid communication skills for provider interaction Benefits - Medical, dental, and vision coverage options for you and eligible dependents - Free basic Life/AD&D, Short-Term, and Long-Term Disability policies for those enrolled in medical, plus additional voluntary coverage options - 401(k) Retirement plan - Medical and Dependent Care Flexible Spending Accounts - Generous vacation, sick, and holiday benefits Company Description Our mission is to bring care that’s whole, human, and healing. Blending medical, behavioral, and lifestyle support into a single plan because restoring life takes more than a prescription. At Lifekind Health, we strive every day to live up to that definition by providing the best care possible for our complex patient population. Our team of medical doctors, psychologists, chiropractors, acupuncturists, and dietitians work together within a revolutionary transdisciplinary model that addresses the quadruple aim of healthcare: enhancing patient experience, improving patient health, reducing healthcare costs, and increasing employee satisfaction. Lifekind Health and Savas Software are an Equal Opportunity Employer. We value a diverse workforce and inclusive workplace. People of color, people with disabilities, and lesbian, gay, bisexual, and transgender people are encouraged to apply. We consider all applicants without regard to race, color, ancestry, religion, gender, gender identity, gender expression, national origin, age, disability, socio-economic status, marital or veteran status, pregnancy status or sexual orientation.

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. Work Shift: Scheduled Weekly Hours: 40 Compensation: Salary Range: $19.00 - $30.50 Union Position: No Department Details Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. The position requires strong problem-solving skills, effective communication with medical professionals to improve documentation accuracy and the ability to work independently, We offer flexible hours and the ability to work remotely. Pay starts at $19.00/hr with additional credit given for work experience relative to this role. Summary 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. Job Description 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. Qualifications 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. If the associate is not certified at hire, the associate must be so within one year of the date of hire. 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.

Location: Remote - OhioDepartment: HIM Revenue CycleWeekly Hours: 20Status: Part timeShift: Days (United States of America) Job Summary: As the Outpatient Coder I, you will translate health care services and procedures into standardized codes on outpatient accounts. You will work with Epic work quests to maintain timeliness of coding, billing, and accounts receivable. You will communicate with providers, coders and clinical documentation specialists as needed for comprehensive patient record documentation. You will formulate, monitor and respond to all compliant documentation clarification requests to query the provider for resolution of incomplete documentation. The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive. REQUIREMENTS - Associate’s or bachelor’s degree in HIT/HIM OR High school diploma AND Certificate of Completion of AHIMA Coding Basics Program and Coding Assessment and Training Solutions Program - Must be able to pass internal coding test - Proficient in ICD-10-CM, CPT, and HCPCS coding - 1 year of outpatient coding - RHIA, RHIT, CCS or CCS-P certification or must obtain within 90 days of hire PREFERRED REQUIREMENTS - Associate or bachelor’s degree in Health Information Management or related field - Knowledge and experience with Epic, 3M 360 and other HIM coding applications - Knowledge of entire hospital billing revenue cycle process - 2 years of outpatient coding experience Salary Range - $41,200 - $61,360 We offer a competitive benefits package with coverage effective day one of employment which includes dental, vision, company paid life insurance, paid time off, a 401k retirement plan, an employee assistance program and other voluntary coverage options and employee discounts. This is a remote position; however, employment is limited to residents of certain U.S. states due to legal, tax, and regulatory requirements. At this time, we cannot offer employment to individuals residing in California, Colorado, Hawaii, Massachusetts, New Jersey, New York, Oregon, Pennsylvania, Washington, or U.S. territories. Eligibility is based on applicant’s primary residence at time of hire. ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus. Benefits: We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It’s what makes us one of the best places to work, and helps our employees live and work to their fullest potential. Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org Equal Opportunity Employer/Drug-Free Workplace