Medical coder jobs in Baton Rouge, LA - 31 jobs

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Associates degree, Bachelors degree, or coding certification (CCS or CPC) with 3 years' experience OR 5 years' experience in medical coding without degree or certification Thorough knowledge of medical terminology, managed care financial agreements; Thorough knowledge of CPT-4, HCPC, and ICD-9 codes Job Title: Coder 2 - Clinic Job Summary: To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Quality and Performance Improvement Research, develops and implements standardized process for quality monitoring of inpatient and outpatient coding and abstracting. Conducts quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist. Assists Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implements innovative ideas and process changes. Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. Collaboration and Partnership Establishes and maintains interdepartmental relationships with Network providers to facilitate cooperation and compliance. Assists the Physician Network, Revenue Management Department and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities of education and process improvement. Collaborates with Management to identify and coordinate educational needs based audit results and new technologies. Provide support to the Coding and Reimbursement Specialist of monthly statistics and educational programs to staff on a regular basis. Provides technical assistance to the Systems Specialist for authorized coding database retrieval and identification and resolution of software and system functionality. Other Duties As Assigned Performs other duties as assigned or requested.

The position is in the medical clinics (not remote position) and reports directly to the supervising physician and Director of Operations and Director of Revenue Cycle Management for all matters, including job duties, performance evaluations, approval of leave, and other assignments as deemed necessary for the benefit of the Baton Rouge Orthopaedic Clinic (BROC). Duties/Responsibilities: In this position, you will play a vital role in accurately coding medical procedures and services provided in our center. Your expertise and attention to detail will ensure compliance with coding guidelines and reimbursement requirements. If you are passionate about orthopedic coding, possess strong analytical skills, and have a deep understanding of medical terminology and coding systems, we invite you to apply for this exciting opportunity. Required Skills/Abilities: Review medical documentation and assign appropriate ICD-10, CPT, and HCPCS codes for orthopedic surgical procedures, consultations, and other related services. Ensure accurate coding of diagnoses, procedures, and services based on medical records, operative reports, and other relevant documentation. Conduct regular audits and quality checks to maintain coding accuracy and compliance with regulatory guidelines. Collaborate with physicians, nurses, and other healthcare professionals to clarify documentation and gather additional information as needed. Stay updated on changes in coding guidelines, regulations, and payer requirements related to orthopedic ambulatory surgical centers. Assist with coding-related inquiries and provide education and support to healthcare providers and staff. Help optimize the revenue cycle by ensuring appropriate reimbursement through accurate coding and documentation. Appeal denied claims. Research and resolve coding issues. Submit appeals of denied claims and track results. Education and Experience: High school diploma or equivalent required. Certified Professional Coder (CPC) credential from AAPC or equivalent certification preferred. 1 to 2 years of experience in Orthopedic Coding required. In-depth knowledge of ICD-10, CPT coding systems and guidelines, specifically related to orthopedic procedures. Strong understanding of medical terminology, anatomy, and physiology. Proficiency in using coding software, electronic health record (EHR) systems, and other related tools. View all jobs at this company

The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Experience - RHIT/RHIA plus 5 years of acute care coding experience, or RHIT/RHIA with ICD-10 curriculum plus 3 years of acute care coding experience, or 7 years acute care coding experience; CCS substitutes for 1 year of acute care coding experience Education - High School or equivalent Coding/Abstracting Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion. Quality/Performance Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record. Maintains an accuracy rate of not less than 93% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary. Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility. Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. DRG Coding Confirm APC Assignment Determines the appropriate sequencing of diseases, diagnoses, and surgeries. The Coder accurately assigns appropriate codes to patient records using ICD-9-CM system and CPT-4 guidelines. Other Duties as Assigned Performs other duties as assigned or requested.

The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Responsibilities * Coding/Abstracting * Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion. * Quality/Performance * Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record. * Maintains an accuracy rate of not less than 93% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary. * Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility. * Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. * DRG Coding Confirm APC Assignment * Determines the appropriate sequencing of diseases, diagnoses, and surgeries. The Coder accurately assigns appropriate codes to patient records using ICD-9-CM system and CPT-4 guidelines. * Other Duties as Assigned * Performs other duties as assigned or requested. Qualifications Experience - RHIT/RHIA plus 5 years of acute care coding experience, or RHIT/RHIA with ICD-10 curriculum plus 3 years of acute care coding experience, or 7 years acute care coding experience; CCS substitutes for 1 year of acute care coding experience Education - High School or equivalent

The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. * Coding/Abstracting * Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion. * Quality/Performance * Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record. * Maintains an accuracy rate of not less than 93% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary. * Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility. * Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. * DRG Coding Confirm APC Assignment * Determines the appropriate sequencing of diseases, diagnoses, and surgeries. The Coder accurately assigns appropriate codes to patient records using ICD-9-CM system and CPT-4 guidelines. * Other Duties as Assigned * Performs other duties as assigned or requested. Experience - RHIT/RHIA plus 5 years of acute care coding experience, or RHIT/RHIA with ICD-10 curriculum plus 3 years of acute care coding experience, or 7 years acute care coding experience; CCS substitutes for 1 year of acute care coding experience Education - High School or equivalent

Status: Full Time Shift: Monday-Friday with possibility of rotating weekend Exempt: No Ensures all Outpatient, Anesthesia, Interventional/Diagnostic Radiology and North Oaks Clinic Records, (i.e. Emergency Department, Series, Observation and any other Outpatient records) are coded accurately using ICD-10-CM and CPT diagnostic, procedural and evaluation and management codes per applicable regulatory guidelines, compliance policies and standards of ethical coding. Reviews records for completion of documentation ensuring documentation reflects the severity of illness, the services provided and the level of service billed. Reviews Clinic, Outpatient Hospital, Observation, and Inpatient records to ensure documentation reflects the severity of illness of the patient, the services provided, and the level of service billed. Responsible for Coding/Auditing the Professional component of E&M, Surgical Coding for Outpatient, Observation, Inpatient, and Chargemaster. Other information: 1.MINIMUM EXPERIENCE: Minimum of two years of experience in coding evaluation and management services and procedures preferred Or One year experience in chart auditing with Provider/Clinic Staff education preferred. Or Minimum of one year of outpatient coding experience…assigning ICD-10-CM and CPT codes to outpatient records including but not limited to diagnostic, procedural, and E/M codes preferred. Required: Credentialed candidate with RHIA, RHIT, CCS, CCS-P, or CPC. CPC-A without previous coding experience will be evaluated based on an internal testing method (AHIMA-Based Coding Test). A passing grade of 80% must be achieved. 2.SPECIALIZED OR TECHNICAL EDUCATION/CERTIFICATION REQUIRED: * High School graduate or equivalent and up. * RHIA, RHIT, CCS, CCS-P, or CPC, CPC-A is required. * Successful completion of Basic Coding Course, Medical Terminology Course, and Basic Human Anatomy.Working knowledge of computers and keyboards.Must be polite and able to promote positive public relations with medical staff, co-workers, and any other persons within the health system. 3.MANUAL OR PHYSICAL SKILL REQUIRED: * Must have good visual acuity to determine the quality of work. * Must have good hearing acuity to answer phones. 4.PHYSICAL EFFORT REQUIRED: * Must be able to sit for extended periods. PHYSICAL DEMANDS: Strength:Sedentary Push:Occasionally Pull:Occasionally Carry:Occasionally Lift:Occasionally Sit:Frequently Stand:Occasionally Walk:Occasionally Responsibilities: * Accurately codes abstracts records by reviewing all documentation including dictated reports and/or ancillary results as needed to assign the definitive diagnostic, procedural and evaluation, and management codes as substantiated by physician documentation. 2.Assigns diagnosis and procedure codes as specified in the Official Guidelines for Coding and Reporting, based on substantiated documentation in the record. 3.If diagnoses cannot be substantiated due to lack of physician documentation, a physician query will be issued for clarification of diagnosis. 4.Complete required abstracting 5.Assists with account and claim work queues. 6.Must maintain coding accuracy/quality per internal quality monitoring and quality standard of 97% * Maintains coding productivity standards as outlined below: * ED Diagnostic & E&M-66/day * ED E& M Only-80/day * OP, ED, Series Records-19/hour * L&D, Observation-19/hour * 8.Accurately Code/Audit Inpatient and Outpatient Hospital services for NOPG Clinic Provider reviewing all documentation including dictated reports and/or ancillary results as needed to assign the definitive procedural and evaluation and management codes as substantiated by physician documentation. 9.Meet with physicians to ensure physician documentation substantiates the severity of illness of the patient, the services provided and the level of care billed. 10.Maintain physician reports indicating documentation deficiencies by physicians to determine education deficits. 11.Verify all demographic information that impacts billing and report all errors to PBS- (Professional Billing Services) staff. 12.Review charges and documentation in the patient medical record, identify errors, deficiencies, and/or variances with correct coding standards. Responsibilities include but not limited to posting charges and working assigned WQ's. 13.Initiate the addition of CPT/HCPCS codes to be added to clinic charge master when applicable. 14.Work directly with clinics to improve charge capture and documentation. 15.Preparation of materials for New Provider Orientation. 16.Responsible for assisting Billing and Collection staff with identifying appropriate documentation needed for appeals/denials. 17.Assist with Annual Provider chart audits promptly. 18.Accurately enters E&M level charges on all patients admitted through the ED as indicated. 19.Maintains coding competency and enhances coding expertise through ongoing educational programs applicable to coding and compliance by obtaining required CEU's to maintain coding credentials. 20.Maintains good working relationships with all personnel. 21.Adhere to hospital and department policies and procedures and all other applicable regulatory guidelines such as JCAHO, CMS, AMA CPT Assistant, AHA Coding Clinic, and NOHS compliance programs for confidentiality, safeguarding of protected health information. 22.Attends hospital and department in-service education programs as scheduled 23.Adhere to other job-related instructions and other job-related duties as requested. 24.Adhere to standards of ethical coding and correct coding initiative guidelines. 25.Keep personal items and office equipment to prevent injury to self and others. 26.Must be highly motivated, a self-starter, and work independently. 27.Meet with physicians to ensure physician documentation substantiates the severity of illness of the patient, the services provided and the level of care billed. 28.Maintain physician reports indicating documentation deficiencies by the physician to determine education deficits. 29.Verify all demographic information that impacts billing and report all errors to PBS- (Professional Billing Services) staff. 30.Review charges and documentation in the patient medical record, identify errors, deficiencies, and/or variances with correct coding standards. Responsibilities include but not limited to posting charges and working assigned WQ's. 31.Initiate the addition of CPT/HCPCS codes to be added to clinic charge master when applicable. 32.Work directly with clinics to improve charge capture and documentation. 33.Preparation of materials for New Provider Orientation. 34.Responsible for assisting Billing and Collection staff with identifying appropriate documentation needed for appeals/denials. 35.Assist with Annual Provider chart audits promptly. 36.Maintain a working relationship with coding vendor which includes but is not limited to reviewing charge data, keying charge data, acting as a liaison between Providers and coding vendor, and assisting with denials. 37.Review billing audits for NOPG Clinic Providers and performs follow-up education and re-audits as appropriate with providers and staff. 38.Continuously evaluate the quality of clinical documentation to spot incomplete or inconsistent documentation for NOPG Clinic Provider encounters that impact charge and/or code selection.Communicates variances to the appropriate manager. 39.Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Academy of Professional Coders. 40.Assist in communicating updates for LCD's/NCD's to applicable clinic staff. 41.Keeps abreast of new technology in documentation, charging, chargemaster coding, and abstracting software and other forms of automation and stays informed about transaction code sets, HIPAA requirements, and other future issues impacting the billing and coding function. 42.Perform special projects or random audits. 43.Perform Chargemaster reviews, including but not limited to, review all ICD-10-CM diagnoses, CPT procedures, and HCPCS codes for additions, deletions, or revisions. 44.Performs charge master compliance audits. 45.Conduct analysis and prepare reports as directed. 46.Assist in preparation of action plans for compliance and/or Administration. 47.Maintain coding competency and enhance coding expertise through ongoing educational programs applicable to coding and compliance. 48.Maintain coding credentials and timely complete CEU's as required. 49.Remain knowledgeable of all AHA Coding Clinics for ICD-10-CM, CPT& HCPCS updates, and any other applicable coding guidelines per all regulatory requirements. 50.Use interpersonal skills effectively to build and maintain cooperative working relationships. 51.Inspire confidence from physicians and co-workers by performing and communicating in a highly professional, responsive, and supportive manner at all times. 52.Demonstrate consistent willingness to maintain a good working rapport with all personnel. 53.Communicate effectively, express ideas clearly, actively listening and always follow appropriate channels of communication. 54.Demonstrate responsiveness to others ensuring complete follow-up on matters requiring additional attention. 55.Remain knowledgeable of and adheres to hospital and department policies and procedures. 56.Perform other duties as required and/or directed. 57.Follow standards of ethical coding and adheres to correct coding initiative guidelines. 58.Follow North Oaks Health System's compliance programs and all federal and state regulatory guidelines.

Job Description Join CareSouth as a Full Time Medical Records Supervisor /Release of Information (Health Information Management Supervisor) and take your career to the next level in the heart of Baton Rouge, LA. Experience a vibrant, energetic work environment that fosters innovation and excellence in health care. This onsite role offers the unique opportunity to lead a dedicated team of professionals focused on optimizing health information processes. Collaborate with forward-thinking colleagues to implement cutting-edge solutions that ensure integrity and safety in patient information management. Your problem-solving skills will be invaluable as you drive improvements that make a tangible impact on our community's health care services. As a team member you'll be able to enjoy benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Flexible Spending Account, Competitive Salary, and Paid Time Off. At CareSouth, we prioritize a relaxed yet high-performance culture, setting you up for success and professional growth. Don't miss your chance to be part of a team that truly values empathy and excellence. Day to day as a Health Information Management Supervisor The Health Information Management Supervisor (HIMS) at CareSouth plays a pivotal role in overseeing the daily operations of the Health Information Management department. This position is entrusted with the critical responsibility of maintaining the security, confidentiality, completeness, and accuracy of patient records in alignment with established policies, national guidelines, HIPAA regulations, and relevant state and federal laws. The HIMS ensures the timely and accurate release of health information and forms, effectively managing requests from external entities such as attorneys, physicians, and insurance companies. Additionally, this role involves supervising Health Information Management Technicians (HIM Techs), ensuring the quality and integrity of their work product as they contribute to the overall effectiveness of CareSouth's health care services. This position is essential in safeguarding patient information while promoting a culture of excellence and innovation within the organization. Are you the Health Information Management Supervisor we're looking for? To excel as a Medical Records Supervisor/Release of Information (Health Information Management Supervisor) (HIMS) at CareSouth, candidates must possess a robust set of skills and experience. Proficiency in HIM operations and a thorough understanding of the release of information processes are critical. Strong supervisory skills are essential for effectively managing the Health Information Management Technicians and guiding them toward success in their roles. Candidates should be adept with Microsoft applications, as they are integral to daily operations and documentation. A deep knowledge of HIPAA regulations is crucial for maintaining compliance and ensuring the confidentiality of patient records. Organizational skills are necessary to manage multiple responsibilities and ensure the timely release of information. Moreover, effective oral and written communication skills are vital for interacting with external entities, facilitating smooth collaboration and conveying complex information clearly and accurately. These skills will empower the HIMS to uphold the integrity and excellence that CareSouth is known for in the health care industry. Knowledge and skills required for the position are: HIM operations experience Release of information. Supervisory skills. Great skills with Microsoft applications Knowledgeable about HIPAA Organization skills Oral and written communication skills Will you join our team? So, what do you think? If you can meet these requirements and perform this job as described above, we would be happy to have you as part of our team! CareSouth conducts background checks and drug screens.

Mary Bird Perkins Cancer Center is Louisiana's leading cancer care organization, caring for more patients each year than any other facility in the region. And with strategic hospital and physician partnerships, we are delivering on our mission to improve survivorship and lessen the burden of cancer. Mary Bird Perkins and its partners work together to provide state-of-the-art treatments and unparalleled collaborative, comprehensive cancer services. This culture of innovation helps attract the best cancer minds in the country, from expert physicians and highly specialized scientists to forward-thinking leaders in supportive care and other disciplines. Together, with our hospital and physician partners, we are one-hundred percent focused on cancer care. Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve. Job Description: SCOPE: To provide coverage for release of health information, including written and verbal requests for health information. Analyzes and answers correspondence in compliance with applicable MBPCC policies, HIPAA regulations, and governmental (local and federal) regulatory requirements. Requires interactions with insurance companies, hospitals, physician's offices, lawyers, patients and/or family members. FUNCTIONS: 1. Processes incoming request for release of information. Handles all case management requests and other request as required. 2. Identifies specific MosaiQ databases and retrieves medical records, disc, billing to complete the ROI request. Tracks medical records during ROI request processing. 3. Interacts with insurance companies, co-workers, hospitals, physician's offices, lawyers, patients and/or family members. 4. Provide HIM support to physicians and other staff and other duties as assigned by the supervisor. 5. Processes daily reports to comply with HIM procedures. 6. Uses interpersonal skills effectively to build and maintain cooperative working relationships 7. Follows policies and procedures to contribute to the efficiency of the Release of Information in the HIM department. QUALIFICATIONS: High School diploma or equivalent required. At least one (1) year of administrative and/or clerical experience in a medical office or hospital HIM Department required Experience in release of information, handling patient medical records, and knowledge about HIPAA regulations required. Proficiency in Microsoft Office including applications in word processing and Excel spreadsheets.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **Position Highlights** **This is a Remote Role** + Full Time: 8:00am-4:30pm CST + Ability working in a high-volume environment. + Release of Information processing + Managing incoming faxes + Occasional call support + Documenting information in multiple platforms using two computer monitors. + Proficient in Microsoft office (including Word and Excel) **Preferred Skills** + Knowledge of HIPAA and medical terminology + Familiar with different EHR and Billing Systems + Experience working with subpoenas **We offer:** + Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor + Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . 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The Release of Information Specialist is responsible and accountable for all aspects of releasing confidential health information from patient charts, itemized bills and claim forms in compliance with HIPAA, federal and state laws as well as hospital policies. Comprehensive knowledge and understanding of accurately identifying the correct patient using all available patient identifiers within the electronic Master Patient Index. The Release of Information Specialist utilizes Epic, along with other EHR systems to process authorizations and ensure the secure, timely and accuracy of information is being released. Retrieve requests for medical records via work queues, fax, interoffice, mail and in-person. Provides personalized customer service to all requestors. Assist patients and requestors with queries and navigation of authorization forms transmitted through patient portal, email and/or in-person. Assist co-workers in achieving timely release of records, maintains coverage for the release of information area. Ensures all authorizations for information are processed, documented and tracked electronically. Adhere to all Woman's Hospital and HIM Department's policy and procedures pertaining to safeguarding and validating release of information. Perform other duties assigned by department management according to policies and procedures and the mission of Woman's Hospital. Requirements: High school diploma or equivalent. Experience in a Health Information Management department or equivalent work in a related healthcare field preferred. Responsibilities: Accurately releases designated portions of the medical record based on request type, ensuring proper authorization is obtained and verified in accordance with federal and state laws, HIPAA and hospital policies. Applies safeguarding when handling sensitive data (e.g., HIV/AIDS, behavioral health, substance abuse, genetic testing). Reviews, validates, rejects, and processes requests for health information using Epic and associated systems. Demonstrates strong working knowledge of privacy, security and confidentiality practices when handling PHI. Maintains compliance with internal protocols and external regulatory standards to protect sensitive information during any form of release, transmission or communication. Communicates professionally with patients, auditors, attorneys, insurance companies and other external and internal requestors via phone, email, and portal. Coordinates with departments (i.e. Patient Accounting, Behavioral Health, PMHU and Radiology) to obtain required documentation of approval and/or certification. Adheres to legal and regulatory updates that impact ROI processes. Adapts to changes in documentation, forms, and electronic workflows to ensure continued compliance and service quality. Ensures all documentation related to ROI activities is complete, accurate, and accessible for management or lead to review and sign certification letter. Supports departmental quality management goals through consistent documentation and processing output and feedback. Any other duties as assigned by Woman's Hospital. Schedule: Monday - Friday 8:00 AM - 4:30 PM Pay Range: Hourly/Non-Exempt $13.00 - $18.00 A Work Experience with Purpose Woman's is one of the largest specialty hospitals in the country dedicated to the care of women and infants. Nationally recognized for exceptional patient care, innovative programs, and a supportive work environment, we consistently exceed state and national benchmarks for patient satisfaction-a reflection of our commitment to those we serve. We're home to Louisiana's largest delivery service and perform thousands of procedures annually, including over 8,500 surgeries and 35,000 breast procedures. Woman's was the first hospital in the Baton Rouge area to earn Magnet designation for nursing excellence, and we're honored to be named one of Modern Healthcare's Best Places to Work in Healthcare year after year. We are proud of the care our staff provides to patients-and to one another-every day. For more information or to contact our recruiting team, email us at *****************. Woman's Hospital is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law.

Who We Are: Cardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health. What We Offer: Choice of three health insurance plans Dental insurance coverage Vision insurance coverage 401(k) with company match and profit-sharing plan Company-paid short-term and long-term disability coverage Company-paid life insurance for you and your family Access to company-provided training and educational resources Eligibility for annual merit-based performance increases Accrued General Purpose Time (GPT) Eight company-paid holidays Special company events, including Christmas parties, Family Day, employee engagement activities, and Spirit Days Complimentary Employee Assistance Program (EAP) for all employees and their dependents About the Role As a Medical Records Clerk, you will play an important role in maintaining the accuracy, security, and organization of patient medical records. You'll help ensure that all patient information is scanned, filed, and delivered properly, supporting the clinic's commitment to excellent patient care and confidentiality. How You'll Drive Our Mission Forward Accurately scan papers into patient charts according to CIS standards, maintaining HIPAA privacy and security at all times. Keep the file room organized and ensure that documents and charts are scanned with the utmost accuracy and timeliness. Create and label new charts and maintain or repair existing charts to preserve their physical integrity. Deliver or forward all necessary documentation to appropriate departments, whether electronic or paper, in a timely and efficient manner. Take on other duties as assigned to support the mission, goals, and patient care philosophy of CIS. What Makes You a Great Match High school diploma preferred. Ability to learn and maintain accuracy in filing and recordkeeping procedures. Good communication skills to work effectively with team members and other departments. Commitment to patient privacy, confidentiality, and high standards of accuracy.

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%) + Acts as a mentor and subject matter expert to others. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School/GED + 5 years of Hospital and/or Physician Coding + 1 year of Coding - all specialties and service lines + Extensive knowledge in Trauma/Teaching/Observation guidelines + Successful completion of coding courses in anatomy, physiology and medical terminology + Any of the following: + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) Preferred + Associate's Degree **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J270102

To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Associates degree, Bachelors degree, or coding certification (CCS or CPC) with 3 years' experience OR 5 years' experience in medical coding without degree or certification Thorough knowledge of medical terminology, managed care financial agreements; Thorough knowledge of CPT-4, HCPC, and ICD-9 codes Job Title: Coder 2 - Clinic Job Summary: To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Quality and Performance Improvement Research, develops and implements standardized process for quality monitoring of inpatient and outpatient coding and abstracting. Conducts quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist. Assists Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implements innovative ideas and process changes. Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. Collaboration and Partnership Establishes and maintains interdepartmental relationships with Network providers to facilitate cooperation and compliance. Assists the Physician Network, Revenue Management Department and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities of education and process improvement. Collaborates with Management to identify and coordinate educational needs based audit results and new technologies. Provide support to the Coding and Reimbursement Specialist of monthly statistics and educational programs to staff on a regular basis. Provides technical assistance to the Systems Specialist for authorized coding database retrieval and identification and resolution of software and system functionality. Other Duties As Assigned Performs other duties as assigned or requested.

To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Responsibilities Job Title: Coder 2 - Clinic To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. * Quality and Performance Improvement * Research, develops and implements standardized process for quality monitoring of inpatient and outpatient coding and abstracting. Conducts quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist. Assists Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implements innovative ideas and process changes. * Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. * Collaboration and Partnership * Establishes and maintains interdepartmental relationships with Network providers to facilitate cooperation and compliance. Assists the Physician Network, Revenue Management Department and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities of education and process improvement. * Collaborates with Management to identify and coordinate educational needs based audit results and new technologies. Provide support to the Coding and Reimbursement Specialist of monthly statistics and educational programs to staff on a regular basis. Provides technical assistance to the Systems Specialist for authorized coding database retrieval and identification and resolution of software and system functionality. * Other Duties As Assigned * Performs other duties as assigned or requested. Qualifications * Associates degree, Bachelors degree, or coding certification (CCS or CPC) with 3 years' experience OR 5 years' experience in medical coding without degree or certification * * Thorough knowledge of medical terminology, managed care financial agreements; Thorough knowledge of CPT-4, HCPC, and ICD-9 codes

To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Job Title: Coder 2 - Clinic To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. * Quality and Performance Improvement * Research, develops and implements standardized process for quality monitoring of inpatient and outpatient coding and abstracting. Conducts quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist. Assists Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implements innovative ideas and process changes. * Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students. * Collaboration and Partnership * Establishes and maintains interdepartmental relationships with Network providers to facilitate cooperation and compliance. Assists the Physician Network, Revenue Management Department and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities of education and process improvement. * Collaborates with Management to identify and coordinate educational needs based audit results and new technologies. Provide support to the Coding and Reimbursement Specialist of monthly statistics and educational programs to staff on a regular basis. Provides technical assistance to the Systems Specialist for authorized coding database retrieval and identification and resolution of software and system functionality. * Other Duties As Assigned * Performs other duties as assigned or requested. * Associates degree, Bachelors degree, or coding certification (CCS or CPC) with 3 years' experience OR 5 years' experience in medical coding without degree or certification * * Thorough knowledge of medical terminology, managed care financial agreements; Thorough knowledge of CPT-4, HCPC, and ICD-9 codes

Status: Full Time Shift: M-F 6a-2:30p; 7a-3:30p with possible rotating weekend Exempt: No Ensures all Outpatient, Anesthesia, Interventional/Diagnostic Radiology and North Oaks Clinic Records, (i.e. Emergency Department, Series, Observation and any other Outpatient records) are coded accurately using ICD-10-CM and CPT diagnostic, procedural and evaluation and management codes per applicable regulatory guidelines, compliance policies and standards of ethical coding. Reviews records for completion of documentation ensuring documentation reflects the severity of illness, the services provided and the level of service billed. Reviews Clinic, Outpatient Hospital, Observation, and Inpatient records to ensure documentation reflects the severity of illness of the patient, the services provided, and the level of service billed. Responsible for Coding/Auditing the Professional component of E&M, Surgical Coding for Outpatient, Observation, Inpatient, and Chargemaster. Other information: 1.MINIMUM EXPERIENCE: Minimum of two years of experience in coding evaluation and management services and procedures preferred Or One year experience in chart auditing with Provider/Clinic Staff education preferred. Or Minimum of one year of outpatient coding experience…assigning ICD-10-CM and CPT codes to outpatient records including but not limited to diagnostic, procedural, and E/M codes preferred. Required: Credentialed candidate with RHIA, RHIT, CCS, CCS-P, or CPC. CPC-A without previous coding experience will be evaluated based on an internal testing method (AHIMA-Based Coding Test). A passing grade of 80% must be achieved. 2.SPECIALIZED OR TECHNICAL EDUCATION/CERTIFICATION REQUIRED: * High School graduate or equivalent and up. * RHIA, RHIT, CCS, CCS-P, or CPC, CPC-A is required. * Successful completion of Basic Coding Course, Medical Terminology Course, and Basic Human Anatomy.Working knowledge of computers and keyboards.Must be polite and able to promote positive public relations with medical staff, co-workers, and any other persons within the health system. 3.MANUAL OR PHYSICAL SKILL REQUIRED: * Must have good visual acuity to determine the quality of work. * Must have good hearing acuity to answer phones. 4.PHYSICAL EFFORT REQUIRED: * Must be able to sit for extended periods. PHYSICAL DEMANDS: Strength:Sedentary Push:Occasionally Pull:Occasionally Carry:Occasionally Lift:Occasionally Sit:Frequently Stand:Occasionally Walk:Occasionally Responsibilities: * Accurately codes abstracts records by reviewing all documentation including dictated reports and/or ancillary results as needed to assign the definitive diagnostic, procedural and evaluation, and management codes as substantiated by physician documentation. 2.Assigns diagnosis and procedure codes as specified in the Official Guidelines for Coding and Reporting, based on substantiated documentation in the record. 3.If diagnoses cannot be substantiated due to lack of physician documentation, a physician query will be issued for clarification of diagnosis. 4.Complete required abstracting 5.Assists with account and claim work queues. 6.Must maintain coding accuracy/quality per internal quality monitoring and quality standard of 97% * Maintains coding productivity standards as outlined below: * ED Diagnostic & E&M-66/day * ED E& M Only-80/day * OP, ED, Series Records-19/hour * L&D, Observation-19/hour * 8.Accurately Code/Audit Inpatient and Outpatient Hospital services for NOPG Clinic Provider reviewing all documentation including dictated reports and/or ancillary results as needed to assign the definitive procedural and evaluation and management codes as substantiated by physician documentation. 9.Meet with physicians to ensure physician documentation substantiates the severity of illness of the patient, the services provided and the level of care billed. 10.Maintain physician reports indicating documentation deficiencies by physicians to determine education deficits. 11.Verify all demographic information that impacts billing and report all errors to PBS- (Professional Billing Services) staff. 12.Review charges and documentation in the patient medical record, identify errors, deficiencies, and/or variances with correct coding standards. Responsibilities include but not limited to posting charges and working assigned WQ's. 13.Initiate the addition of CPT/HCPCS codes to be added to clinic charge master when applicable. 14.Work directly with clinics to improve charge capture and documentation. 15.Preparation of materials for New Provider Orientation. 16.Responsible for assisting Billing and Collection staff with identifying appropriate documentation needed for appeals/denials. 17.Assist with Annual Provider chart audits promptly. 18.Accurately enters E&M level charges on all patients admitted through the ED as indicated. 19.Maintains coding competency and enhances coding expertise through ongoing educational programs applicable to coding and compliance by obtaining required CEU's to maintain coding credentials. 20.Maintains good working relationships with all personnel. 21.Adhere to hospital and department policies and procedures and all other applicable regulatory guidelines such as JCAHO, CMS, AMA CPT Assistant, AHA Coding Clinic, and NOHS compliance programs for confidentiality, safeguarding of protected health information. 22.Attends hospital and department in-service education programs as scheduled 23.Adhere to other job-related instructions and other job-related duties as requested. 24.Adhere to standards of ethical coding and correct coding initiative guidelines. 25.Keep personal items and office equipment to prevent injury to self and others. 26.Must be highly motivated, a self-starter, and work independently. 27.Meet with physicians to ensure physician documentation substantiates the severity of illness of the patient, the services provided and the level of care billed. 28.Maintain physician reports indicating documentation deficiencies by the physician to determine education deficits. 29.Verify all demographic information that impacts billing and report all errors to PBS- (Professional Billing Services) staff. 30.Review charges and documentation in the patient medical record, identify errors, deficiencies, and/or variances with correct coding standards. Responsibilities include but not limited to posting charges and working assigned WQ's. 31.Initiate the addition of CPT/HCPCS codes to be added to clinic charge master when applicable. 32.Work directly with clinics to improve charge capture and documentation. 33.Preparation of materials for New Provider Orientation. 34.Responsible for assisting Billing and Collection staff with identifying appropriate documentation needed for appeals/denials. 35.Assist with Annual Provider chart audits promptly. 36.Maintain a working relationship with coding vendor which includes but is not limited to reviewing charge data, keying charge data, acting as a liaison between Providers and coding vendor, and assisting with denials. 37.Review billing audits for NOPG Clinic Providers and performs follow-up education and re-audits as appropriate with providers and staff. 38.Continuously evaluate the quality of clinical documentation to spot incomplete or inconsistent documentation for NOPG Clinic Provider encounters that impact charge and/or code selection.Communicates variances to the appropriate manager. 39.Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Academy of Professional Coders. 40.Assist in communicating updates for LCD's/NCD's to applicable clinic staff. 41.Keeps abreast of new technology in documentation, charging, chargemaster coding, and abstracting software and other forms of automation and stays informed about transaction code sets, HIPAA requirements, and other future issues impacting the billing and coding function. 42.Perform special projects or random audits. 43.Perform Chargemaster reviews, including but not limited to, review all ICD-10-CM diagnoses, CPT procedures, and HCPCS codes for additions, deletions, or revisions. 44.Performs charge master compliance audits. 45.Conduct analysis and prepare reports as directed. 46.Assist in preparation of action plans for compliance and/or Administration. 47.Maintain coding competency and enhance coding expertise through ongoing educational programs applicable to coding and compliance. 48.Maintain coding credentials and timely complete CEU's as required. 49.Remain knowledgeable of all AHA Coding Clinics for ICD-10-CM, CPT& HCPCS updates, and any other applicable coding guidelines per all regulatory requirements. 50.Use interpersonal skills effectively to build and maintain cooperative working relationships. 51.Inspire confidence from physicians and co-workers by performing and communicating in a highly professional, responsive, and supportive manner at all times. 52.Demonstrate consistent willingness to maintain a good working rapport with all personnel. 53.Communicate effectively, express ideas clearly, actively listening and always follow appropriate channels of communication. 54.Demonstrate responsiveness to others ensuring complete follow-up on matters requiring additional attention. 55.Remain knowledgeable of and adheres to hospital and department policies and procedures. 56.Perform other duties as required and/or directed. 57.Follow standards of ethical coding and adheres to correct coding initiative guidelines. 58.Follow North Oaks Health System's compliance programs and all federal and state regulatory guidelines.

Join CareSouth as a Full Time Medical Records Supervisor /Release of Information (Health Information Management Supervisor) and take your career to the next level in the heart of Baton Rouge, LA. Experience a vibrant, energetic work environment that fosters innovation and excellence in health care. This onsite role offers the unique opportunity to lead a dedicated team of professionals focused on optimizing health information processes. Collaborate with forward-thinking colleagues to implement cutting-edge solutions that ensure integrity and safety in patient information management. Your problem-solving skills will be invaluable as you drive improvements that make a tangible impact on our community's health care services. As a team member you'll be able to enjoy benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Flexible Spending Account, Competitive Salary, and Paid Time Off. At CareSouth, we prioritize a relaxed yet high-performance culture, setting you up for success and professional growth. Don't miss your chance to be part of a team that truly values empathy and excellence. Day to day as a Health Information Management Supervisor The Health Information Management Supervisor (HIMS) at CareSouth plays a pivotal role in overseeing the daily operations of the Health Information Management department. This position is entrusted with the critical responsibility of maintaining the security, confidentiality, completeness, and accuracy of patient records in alignment with established policies, national guidelines, HIPAA regulations, and relevant state and federal laws. The HIMS ensures the timely and accurate release of health information and forms, effectively managing requests from external entities such as attorneys, physicians, and insurance companies. Additionally, this role involves supervising Health Information Management Technicians (HIM Techs), ensuring the quality and integrity of their work product as they contribute to the overall effectiveness of CareSouth's health care services. This position is essential in safeguarding patient information while promoting a culture of excellence and innovation within the organization. Are you the Health Information Management Supervisor we're looking for? To excel as a Medical Records Supervisor/Release of Information (Health Information Management Supervisor) (HIMS) at CareSouth, candidates must possess a robust set of skills and experience. Proficiency in HIM operations and a thorough understanding of the release of information processes are critical. Strong supervisory skills are essential for effectively managing the Health Information Management Technicians and guiding them toward success in their roles. Candidates should be adept with Microsoft applications, as they are integral to daily operations and documentation. A deep knowledge of HIPAA regulations is crucial for maintaining compliance and ensuring the confidentiality of patient records. Organizational skills are necessary to manage multiple responsibilities and ensure the timely release of information. Moreover, effective oral and written communication skills are vital for interacting with external entities, facilitating smooth collaboration and conveying complex information clearly and accurately. These skills will empower the HIMS to uphold the integrity and excellence that CareSouth is known for in the health care industry. Knowledge and skills required for the position are: HIM operations experience Release of information. Supervisory skills. Great skills with Microsoft applications Knowledgeable about HIPAA Organization skills Oral and written communication skills Will you join our team? So, what do you think? If you can meet these requirements and perform this job as described above, we would be happy to have you as part of our team! CareSouth conducts background checks and drug screens.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. + This is a Remote role (Temporary) 3-6months- Full-Time: Monday - Friday, 7:00 am - 3:30 pm EST - Comfortable working in a high-volume production environment.- Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical record status - Documenting information in multiple platforms using two computer monitors. - Proficient in Microsoft office (including Word and Excel) We offer: Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) - Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and Tuition Assistance To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .