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Contract Coder Jobs in Sioux Falls, SD (NOW HIRING)

JLG Architects

Quality Manager

Sioux Falls, SD · On-site

$90K - $120K/yr

... code compliant, and aligned with contract documents, owner requirements, and JLG standards. Why JLG? Because we work together to empower the future of architecture and design, driving dynamic ...

Collabera Technologies

Clerk

Sioux Falls, SD · On-site

$14 - $16/hr

Clerk Contract: Sioux Falls, South Dakota, US Salary Range: 14.00 - 16.00 | Per Hour Job Code: 370821 End Date: 2026-09-02 Days Left: 29 days, 3 hours left Apply Position Details * Client : Financial ...

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Contract Coder information

See Sioux Falls, SD salary details

$15

$27

$43

How much do contract coder jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for contract coder in Sioux Falls, SD is $27.35, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $34.42 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a contract coder?

To thrive as a Contract Coder, you need in-depth knowledge of medical coding systems, anatomy, and healthcare reimbursement guidelines, typically supported by certifications such as CPC, CCS, or RHIT. Experience with coding software, electronic health records (EHRs), and claims management platforms is highly valued. Attention to detail, time management, and effective communication are vital soft skills for collaborating with healthcare providers and meeting project deadlines. These abilities ensure coding accuracy, regulatory compliance, and efficient workflow in a contract-based or remote environment.

What is a contract coder?

A Contract Coder is a professional who reviews medical records and assigns standardized codes for billing, insurance claims, and data analysis. They typically work on a contract or freelance basis for healthcare providers, hospitals, or insurance companies. This role requires knowledge of medical terminology, coding systems like ICD-10 and CPT, and compliance regulations. Contract Coders ensure accurate medical documentation and proper reimbursement while often working remotely or on a flexible schedule.

What are the typical work arrangements and environments for contract coders?

Contract Coders often work remotely or on-site for healthcare organizations, medical billing companies, or consulting firms, depending on the needs of the client. Assignments may range from short-term projects to longer contracts, with the flexibility to manage your own schedule and workload. Most contract coders collaborate virtually with other coding professionals, auditors, and healthcare staff, using secure platforms to handle sensitive medical information. This setup allows professionals to work from diverse locations while maintaining productivity and confidentiality. It is important to have reliable internet access and be comfortable with independent, deadline-driven tasks.

What are the most commonly searched types of Coder jobs in Sioux Falls, SD? The most popular types of Coder jobs in Sioux Falls, SD are:
What are popular job titles related to Contract Coder jobs in Sioux Falls, SD? For Contract Coder jobs in Sioux Falls, SD, the most frequently searched job titles are:
What job categories do people searching Contract Coder jobs in Sioux Falls, SD look for? The top searched job categories for Contract Coder jobs in Sioux Falls, SD are:
Contract Coder jobs near you
Infographic showing various Contract Coder job openings in Sioux Falls, SD as of July 2026, with employment types broken down into 69% Full Time, and 31% Contract. Highlights an 74% In-person, and 26% Remote job distribution, with an average salary of $56,888 per year, or $27.4 per hour.

Configuration and Coding Analyst

Avera Health

Sioux Falls, SD • On-site

$63K - $96K/yr

Full-time

Medical, Retirement, PTO

Posted 6 days ago

Job description

Location:
Avera Health Plans
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.
$63,960.00 - $96,200.00
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
The Configuration & Coding Analyst is responsible for the design, configuration, implementation, testing, and ongoing support of health plan claims administration system to ensure accurate, compliant, and automated claims adjudication. This role serves as a critical link between Health Plan Operations, Clinical Services, Provider Network, Compliance, and Information Technology by translating benefit plans, provider contracts, reimbursement methodologies, medical policies, fee schedules, and regulatory requirements into system configuration.
The analyst configures and maintains claims editing software and core claims system functionality, including benefits, fee schedules, coding edits, provider reimbursement rules, and authorization requirements. The position is responsible for validating claims processing and logic, maintaining coding integrity, troubleshooting configuration issues, and supporting continuous system optimization to improve automation, regulatory compliance, operational efficiency, accurate claims payment and provider coding reconsiderations.
What you will do
  • Design, configure, implement, test, and maintain health plan claims administration systems, including benefits, fee schedules, provider reimbursement methodologies, claims editing rules, authorization requirements, and related workflows to support accurate and automated claims adjudication.
  • Interpret and translate Evidence of Coverage (EOCs), Summary of Benefits and Coverage (SBCs), provider contracts, reimbursement methodologies, medical policies, coding updates, and regulatory requirements into compliant system configuration and technical specifications.
  • Configure and maintain claims editing software and coding logic, including ICD-10-CM, CPT, HCPCS, modifiers, NCCI edits, CARC/RARC codes, revenue codes, and reimbursement edits to ensure accurate claims pricing, payment, and compliance with coding standards and payer policies.
  • Perform end-to-end testing, validation, and quality assurance of system configuration changes to ensure claims adjudicate accurately according to benefit design, provider contracts, coding guidelines, and applicable federal and state regulations.
  • Investigate, troubleshoot, and resolve claims processing issues, payment discrepancies, suspended or denied claims, and configuration defects by conducting root cause analysis and implementing corrective system solutions.
  • Research, evaluate, and implement quarterly and ongoing updates to medical coding, reimbursement methodologies, regulatory requirements, and health plan policies to ensure system configurations remain current and compliant with CMS, Medicare, Medicaid, ACA, HIPAA, NCQA, and commercial payer requirements.
  • Develop and maintain configuration documentation, testing plans, workflow documentation, audit trails, and technical specifications to support configuration management, regulatory compliance, accreditation activities, and organizational change management.
  • Collaborate with Health Plan Operations, Clinical Services, Provider Network, Compliance, Finance, Information Technology, vendors, and other stakeholders to translate business requirements into effective system solutions and support enterprise health plan initiatives.
  • Serve as a subject matter expert for claims configuration, coding, reimbursement methodologies, and health plan system functionality by providing technical guidance, supporting production issues, participating in system implementations and upgrades, and promoting continuous operational improvement.

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:
  • Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA) or other nationally recognized coding organization Upon Hire or
  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire or
  • Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) Upon Hire
  • Epic Certification - Epic Epic Tapestry Certification or required to participate in Epic coursework and pass certification exams within 90 days of hire. within 90 Days
  • 4-6 years Coding with knowledge and understanding of provider reimbursement methodologies, medical terminology, human anatomy, physiology, ICD-10-CM, CPT, HCPCS coding, and NCCI edits.
  • Demonstrated critical thinking skills through evaluation, analysis, and creative solutions.
  • Ability to think broadly, identifying and understanding implications to the entire organization including excellent communication, documentation and problem-solving skills.
  • Ability to work independently and as part of a cross-functional team.

Preferred Education, License/Certification, or Work Experience:
  • Bachelor's in Healthcare Administration, Information Systems, or related field or Epic Tapestry Certification with 3+ years of experience.
  • 4-6 years Experience with complex system design, preferred experience with claims adjudication platforms or ecosystems, specifically Epic Tapestry.
  • Background and knowledge of Health Plans operations and understanding of health plan processes, systems and regulations including claims processing, benefit configuration, enrollment and provider networks. Including familiarity with CMS regulations, HIPAA and payer-provider contracting.
  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
  • Experience with Epic Chronicles and data models, Care Management or other related modules.
  • Familiarity with EDI (Electronic Data Interchange) formats (e.g., 834, 837, 835) and integration best practices.

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.
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About Avera Health

Sourced by ZipRecruiter

Avera Health, based in Sioux Falls, SD, US, is a significant player in the healthcare industry. This notable network of healthcare providers, hospitals, and health facilities serves over a million people across five Midwestern states. The health network was formed with the 1994 partnership of the Benedictine and Presentation Sisters, with its roots in compassionate service dating back to the late 1800s. Renowned for its commitment to providing excellent care and improving the health of individuals and communities, it has made significant strides in the medical field. Notable achievements include consistently high rankings in the top 15% of U.S. hospitals for clinical performance and patient outcomes.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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