The Coder/Abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10-CM and CPT 2005 edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the Health Information Management Association. All work is carried out in accordance with the Health Information Management department and CHS approved policies and procedures. Population served: Interact with physicians, patients and family members as needed.
Current RHIT, RHIA or CCS.
$48k-64k yearly est. 27d ago
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Inpatient Regional Coder
AMG Integrated Healthcare Management
Medical coder job in Lafayette, LA
Job Category: Administration Job Type: Full-Time Facility Type: Corporate Shift Type (Clinical Positions): Day Shift At AMG we offer our employees much more than just a job in the healthcare industry. We offer unique career opportunities for people who have a desire to be part of a team that contributes to making a difference each day for our patients. We invite you to join our team and share your gifts and talents. You will have the opportunity to work for an Employee Stock Ownership Plan (ESOP), as AMG is an employee-owned company!
Acadiana Management Group, LLC dba AMG, Integrated Healthcare Management (AMG), an employee-owned company, is hiring a full-time home-based Inpatient Regional Coder. At a minimum, two-years Long Term Acute Care (LTAC) and/or Inpatient acute care coding experience is required. Must be certified as an RHIT, RHIA, CCS, or CPC. A secure work area and internet access are required.
Join our dynamic team and enjoy a career where you can make a difference with AMG, Integrated Healthcare Management!
Apply Now
Job Requirements
* RHIT/RHIA or Certified Coder (CCS, CPC) required
* Must have a required minimum of 2 years' coding experience in LTACH or Inpatient Acute Care with a strong knowledge of DRG's.
* Well organized and able to multi-task
* Comfortable with maintaining daily open communication with the hospital team: CEO, MD, Case Management and Clinical Liaison's.
* Attendance via Zoom for Coding meetings and weekly hospital team meetings
* Perform ICD-10-CM, ICD-10-PCS and CPT coding for all assigned long term care acute hospitals
* Review medical records and code clinical data such as diseases, operations, procedures, and therapies according to coding guidelines and facility-specific policies for multiple facilities
* Perform preliminary coding for potential admissions based on the pre-admission evaluation.
* Perform initial and concurrent coding of all in-house patients and update diagnosis in information system as necessary according to facility policies.
* Perform final coding on all discharges according to billing policies.
* Initiate timely queries per coding ethics and clinical documentation improvement guidelines for any documentation clarification that is needed in the medical record.
* Work with case management on receiving procedures timely.
* Update case management and facility team with all changes in DRG.
* Self-motivated with an ability to work with limited direction and distraction
* Proficient in 3M
About Us
AMG is a hospital system committed to our patients, our people, and to the pursuit of healing. As a Top-5 Post-Acute hospital system, we're known for excellence, integrity, community, and compassion.
Our mission is to return patients to their optimal level of well-being in the least restrictive medical environment. We accomplish this through a multi-disciplined approach that includes aggressive clinical and therapeutic interventions, as well as family involvement. Our high staff to patient ratio ensures individualized attention. Our nurses, therapists, and physicians work with each patient to obtain the best possible outcomes.
Acadiana Management Group, LLC is an equal opportunity employer.
$37k-51k yearly est. 60d+ ago
Experienced Medical Coder
La Health Solutions
Medical coder job in Metairie, LA
MedicalCoder - Orthopedics, Neurology & Pain Management
Location: Metairie | Full-Time
LA Health Solutions, an integrated multispecialty medical facility, is seeking a detail-oriented MedicalCoder specializing in orthopedics, neurology, and pain management. The ideal candidate will have a strong understanding of ICD-10, CPT, and HCPCS coding, medical billing processes, and payer-specific guidelines.
Key Responsibilities:
Accurately code diagnoses, procedures, and medical services.
Ensure compliance with federal regulations and payer guidelines.
Collaborate with billing staff to resolve discrepancies and optimize reimbursement.
Provide coding guidance and training to healthcare providers and staff.
Analyze coding data and generate accuracy/compliance reports.
Qualifications:
CPC or CCS certification required.
3-5 years of coding experience in orthopedics, neurology, or pain management.
Proficiency with EHR and medical billing software.
Strong analytical skills, attention to detail, and effective communication.
Benefits: Health, vision, dental, retirement plans, paid time off, and continuing education opportunities.
LA Health Solutions is an equal opportunity employer.
$37k-51k yearly est. 60d+ ago
Medical Coder
Specialty Management Services of Ouachita LLC
Medical coder job in Monroe, LA
Alli Management Solutions is seeking a MedicalCoder to join our growing team. Alli is a management services organization that provides a variety of services to businesses in the medical industry. Our services include management, consulting, revenue cycle (billing), accounting, human resources, IT support, and Anesthesia. Alli, Louisiana's premiere medical management company, manages the myriad of expectations for physician practices, small healthcare facilities, large hospitals, and on-site employee medical clinics for a Fortune 200 company. This position is full-time, Monday - Friday and offers a competitive salary, PTO, benefits, and paid holidays.
SUMMARY:
Under the general directions of the Team Leader, Medical Record Department, this specialist is responsible for accurate coding of all inpatient, outpatient, and emergency service diagnosis and conditions, working from the appropriate documentation in the Medical Record of the patient.
Reviews medical records and abstracts key data elements to facilitate the billing process and to maintain a clinical and financial database.
Performs duties in support of the company's mission to ensure the highest quality of patient care in an economically sound and efficient manner.
EDUCATION, TRAINING AND EXPERIENCE:
High school degree or equivalent required
Education required for Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
Advanced knowledge in medical and anatomical terminology, clinical medicine theory, and reimbursement principles
In-depth knowledge of medical record content and sequence
Experience with coding software
In-depth knowledge of coding/classification systems appropriate for inpatient, outpatient, and emergency care, specifically ICD-10-CM, and CPT-4
LICENSURE/CERTIFICATION REQUIREMENTS:
CCS or CPC coding certification required
$36k-50k yearly est. Auto-Apply 60d+ ago
Medical Coder
Alli Management Solutions
Medical coder job in Monroe, LA
Job Description
Alli Management Solutions is seeking a MedicalCoder to join our growing team. Alli is a management services organization that provides a variety of services to businesses in the medical industry. Our services include management, consulting, revenue cycle (billing), accounting, human resources, IT support, and Anesthesia. Alli, Louisiana's premiere medical management company, manages the myriad of expectations for physician practices, small healthcare facilities, large hospitals, and on-site employee medical clinics for a Fortune 200 company. This position is full-time, Monday - Friday and offers a competitive salary, PTO, benefits, and paid holidays.
SUMMARY:
Under the general directions of the Team Leader, Medical Record Department, this specialist is responsible for accurate coding of all inpatient, outpatient, and emergency service diagnosis and conditions, working from the appropriate documentation in the Medical Record of the patient.
Reviews medical records and abstracts key data elements to facilitate the billing process and to maintain a clinical and financial database.
Performs duties in support of the company's mission to ensure the highest quality of patient care in an economically sound and efficient manner.
EDUCATION, TRAINING AND EXPERIENCE:
High school degree or equivalent required
Education required for Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
Advanced knowledge in medical and anatomical terminology, clinical medicine theory, and reimbursement principles
In-depth knowledge of medical record content and sequence
Experience with coding software
In-depth knowledge of coding/classification systems appropriate for inpatient, outpatient, and emergency care, specifically ICD-10-CM, and CPT-4
LICENSURE/CERTIFICATION REQUIREMENTS:
CCS or CPC coding certification required
$36k-50k yearly est. 20d ago
Coder 3 - Hospital (PRN)
Franciscan Missionaries of Our Lady University 4.0
Medical coder job in Baton Rouge, LA
The MedicalCoder 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
$39k-48k yearly est. 5d ago
Coder 2 - Clinic
Fmolhs Career Portal
Medical coder job in Baton Rouge, LA
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.
$37k-51k yearly est. Auto-Apply 60d+ ago
Medical Coder
Baton Rouge Orthopaedic Clinic
Medical coder job in Baton Rouge, LA
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
$37k-51k yearly est. 60d+ ago
Coder 3 - Hospital (PRN)
Fmolhs
Medical coder job in Baton Rouge, LA
The MedicalCoder 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.
$37k-51k yearly est. Auto-Apply 6d ago
Coder 3 - Hospital (PRN)
FMOL Health System 3.6
Medical coder job in Baton Rouge, LA
The MedicalCoder 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
$36k-47k yearly est. 5d ago
Clerical Medical Coder
Elite Health Solutions
Medical coder job in Shreveport, LA
Medical Billing & Codiing Specialist in Shreveport, LA, Fulltime schedule, start date ASAP. About the Role: We're looking for a detail-loving, accuracy-driven Billing & Coding Specialist to join a healthcare team that depeneds on clean claims and well-organized information. If you enjoy making everything line up just right--codes, charts, claims, documentation --you'll fit in perfectly.
What You'll Do: Review clinical documentation and assign accurate ICD-10, CPT, and NCPCS codes; prepare and submit insurance claims with a focus on timeliness and quality; follow up on denials, rejections, and outstanding; maintain compliance with payer rules and industry standards; communicate with providers and team members to ensure complete, accurate billing data.
What We're Looking For: Previous experience in medical billing and coding; strong attention to detail and a love for organized workflows; knowledge of insurance guidelines and reimbursement processes; positive, professional attitude; certification (CPC, CCS, or similar)
Accurate billing and coding keeps everything moving smoothly -- care gets covered, claims get paid, and patients are taken care of. If you take pride in getting things right the first time, this is your kid of role.
Competitive pay range. Start ASAP.
Please contact Sandy Simon @ Elite Health Solutions at ************ or *****************************
$36k-50k yearly est. Easy Apply 60d+ ago
Medical Coder
Jchcc Dba Inclusivcare
Medical coder job in Avondale, LA
GENERAL SUMMARY OF DUTIES: Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities.
SUPERVISION EXERCISED: None
ESSENTIAL FUNCTIONS:
Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies.
Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed.
Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes; must be able to present effectively to physician groups.
Review all coding-related denials to identify trends, root causes, and systemic risks; recommend preventive strategies to reduce future denials.
Review Athena coding rejections and validate relevance to FQHC encounters, eliminating non-applicable or payer-inaccurate edits.
Collaborate with Billing Specialists to identify coding risks, compliance concerns, and documentation gaps that may impact reimbursement.
Ensure appropriate use of CPT, HCPCS, ICD-10-CM, and FQHC-specific codes in accordance with payer and regulatory guidance.
Prepare compliance, audit, and denial trend reports for the Revenue Cycle Manager and leadership.
Travel to InclusivCare locations as needed to support onsite audits, provider education, or operational needs.
Ensure compliance with HIPAA and all applicable federal and state regulations governing patient health information.
Perform other duties as assigned by the Revenue Cycle Manager.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION/EXPERIENCE: AAPC Coding Certification required. A minimum of three (3) years of professional medical coding experience is required. Experience in a Federally Qualified Health Center or community health center setting is recommended. Ongoing training related to FQHC coding, payer policy updates, and regulatory compliance are required annually for job retention.
KNOWLEDGE: Thorough understanding of ICD-10-CM, CPT, HCPCS, and FQHC-specific billing and coding guidelines. Knowledge of payer policies including Medicaid, Medicare, and commercial insurance products. Proficiency with electronic health record and practice management systems, including Athena. Strong computer skills, including Microsoft Excel and Word.
LANGUAGE SKILLS: Ability to read, analyze, and interpret medical records, coding guidelines, payer policies, and government regulations. Ability to effectively communicate coding concepts and audit findings to Providers and clinical leadership, both verbally and in writing.
MATHEMATICAL SKILLS: Ability to work with basic mathematical concepts such as percentages, ratios, and trend analysis as they relate to audit results and denial patterns.
REASONING ABILITY: Ability to define problems, collect and analyze data, establish facts, and draw valid conclusions. Ability to interpret complex coding and regulatory guidance and apply it to varied clinical scenarios.
CERTIFICATES, LICENSES, REGISTRATIONS: Current AAPC Coding Certification required.
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions, with proper medical documentation/clearance, if applicable.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
$37k-51k yearly est. Auto-Apply 14d ago
Medical Coder
Inclusivecare: Healthcare for All
Medical coder job in Avondale, LA
GENERAL SUMMARY OF DUTIES: Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities.
SUPERVISION EXERCISED: None
ESSENTIAL FUNCTIONS:
* Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies.
* Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed.
* Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes; must be able to present effectively to physician groups.
* Review all coding-related denials to identify trends, root causes, and systemic risks; recommend preventive strategies to reduce future denials.
* Review Athena coding rejections and validate relevance to FQHC encounters, eliminating non-applicable or payer-inaccurate edits.
* Collaborate with Billing Specialists to identify coding risks, compliance concerns, and documentation gaps that may impact reimbursement.
* Ensure appropriate use of CPT, HCPCS, ICD-10-CM, and FQHC-specific codes in accordance with payer and regulatory guidance.
* Prepare compliance, audit, and denial trend reports for the Revenue Cycle Manager and leadership.
* Travel to InclusivCare locations as needed to support onsite audits, provider education, or operational needs.
* Ensure compliance with HIPAA and all applicable federal and state regulations governing patient health information.
* Perform other duties as assigned by the Revenue Cycle Manager.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION/EXPERIENCE: AAPC Coding Certification required. A minimum of three (3) years of professional medical coding experience is required. Experience in a Federally Qualified Health Center or community health center setting is recommended. Ongoing training related to FQHC coding, payer policy updates, and regulatory compliance are required annually for job retention.
KNOWLEDGE: Thorough understanding of ICD-10-CM, CPT, HCPCS, and FQHC-specific billing and coding guidelines. Knowledge of payer policies including Medicaid, Medicare, and commercial insurance products. Proficiency with electronic health record and practice management systems, including Athena. Strong computer skills, including Microsoft Excel and Word.
LANGUAGE SKILLS: Ability to read, analyze, and interpret medical records, coding guidelines, payer policies, and government regulations. Ability to effectively communicate coding concepts and audit findings to Providers and clinical leadership, both verbally and in writing.
MATHEMATICAL SKILLS: Ability to work with basic mathematical concepts such as percentages, ratios, and trend analysis as they relate to audit results and denial patterns.
REASONING ABILITY: Ability to define problems, collect and analyze data, establish facts, and draw valid conclusions. Ability to interpret complex coding and regulatory guidance and apply it to varied clinical scenarios.
CERTIFICATES, LICENSES, REGISTRATIONS: Current AAPC Coding Certification required.
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions, with proper medical documentation/clearance, if applicable.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
$37k-51k yearly est. 13d ago
EMR (Licensed) Part Time
Pafford 4.0
Medical coder job in Alexandria, LA
ESSENTIAL FUNCTIONS OF THE JOB:
• Provides and directs fast, efficient Basic Life Support to the ill and injured utilizing all basic and abilities and techniques, including but not limited to the placement of airway adjuncts, supraglottic airways, and AED use including defibrillation;
• Recognizes and understands a medical emergency and makes reasonable and acceptable differential diagnosis;
• Performs critical physical examinations;
• Understands and anticipates the pharmacological treatment of critically ill and injured patients;
• Understands and anticipates potentially life-threatening presentation of non-cardiac emergencies and institutes appropriate emergency therapy where essential for the preservation of life;
• Deals with medical and emotional needs of any victim of acute illness or injury with the goal of reducing mortality and morbidity;
• Responsible for managing and directing all first responders at the scene of a medical emergency such as EMR's, Police Departments, and other EMT's;
• Responsible for quality patient-care as established by the Company;
• Files standardized reports of patient information and care for the use of receiving hospital and administration, including nature of request for aid, pertinent past history, therapy provided diagnosis, disposition and sufficient patient information for billing purposes;
• Maintains effective communication with physician on duty at hospital to relate patient condition and obtain orders for treatment;
• Follows standard written protocols when a physician cannot be contacted;
• Transports the ill and injured to institutions of medical care;
• Operates emergency vehicles in a safe manner under all conditions;
• Cleans and maintains equipment;
• Properly completes patient statistics and medical information forms for administrative use;
• Performs technical rescues in removing victims from varied terrain and circumstances and,
• Follows standard operating policies and procedures as developed and directed by the Company.
ADDITIONAL EXAMPLES OF WORK PERFORMED:
• Cleans and maintains (minor maintenance) vehicles;
• Cleans and maintains living quarters;
• Maintains records of vehicles, supplies, training and daily work; and,
• Performs other related duties as assigned.
GENERAL INFORMATION:
The supervisor makes assignments in terms of shifts to be worked and the general scope of the work assignment. The incumbent performs the work in accordance with the procedures, policies and medical orders provided. The incumbent must exercise judgment in applying the proper guideline to the proper situation. The work is spot checked and evaluated on the basis of feedback from the patient, medical staff and others.
MINIMUM QUALIFICATIONS:
• Must possess and maintain:
• EMR Licensure
• CPR for the Health Care Provider
• Good knowledge of the street systems, addresses and physical layout of the area, and of the rescue equipment and the emergency medical equipment used in Basic Life Support.
Good ability to:
• perform technical medical skills with a high degree of accuracy;
• understand and effectively deal with emotional and medical needs of victims of injuries, acute illnesses, or psychological emergencies;
• maintain a professional and objective approach to the care of ill or injured persons;
• learn new concepts in rescue and medical skills and techniques and in pre-hospital care;
• perform a variety of limited mechanical work involved in the use, testing and maintenance of rescue and medical equipment;
• direct the work of, and teach other personnel;
• understand and follow oral and written instructions and orders;
• maintain a profession al attitude when representing the Company;
• establish and maintain effective working relationships with other employees, assisting agencies, hospital personnel, and the general public;
• drive and operate emergency ambulance units; and,
• author reports with narrative and numeric information.
• Additionally, incumbents must maintain a high degree of academic and practical knowledge in emergency medicine, and must attend sufficient continuing education classes, courses, and seminars both on and off duty to maintain annual certification, as required by the state in which you will be working.
OTHER REQUIREMENTS:
The work requires the incumbent to operate emergency medical vehicles, move medical equipment and extract injured persons from a wide variety of situations. Situation can involve vehicular, industrial and residential accidents, injuries or illness and occur anywhere in our coverage area. At times the work requires movement over various types of terrain, (hilly, steep, rocky, rough, and/or wet/slippery surfaces). The incumbent at all times must be able to carry or help carry someone from the site of the injury to the mode of transportation (vehicle/helicopter) and attend the injured party to the hospital. In order to perform a physical assessment of the injured party, the incumbent must see, hear, and communicate with the injured party.
Incumbents will be issued and must wear Company issued uniforms while on duty; additionally, incumbents will be responsible for the maintenance and cleaning of uniforms, as well as all issued equipment.
Incumbents are required to carry a Company issued pager/radio at all times in order to receive immediate notification of an assignment.
Equal Employment Opportunity (EEO) Statement
Pafford EMS is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants for employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable federal, state, or local law.
We believe that diversity strengthens our team and enhances our ability to serve the communities in which we operate.
**PLEASE NOTE: Pafford Emergency Medical Services reserves the right, at the discretion of the appropriate appointing authority, to waive any of the minimum qualifications for those applicants whose general or specific qualifications would otherwise qualify the applicant for the position or lead the appointing authority to believe that the applicant is capable of performing the assigned duties and fulfilling the assigned responsibilities.
$24k-32k yearly est. 60d+ ago
ROI Medical Records Specialist - Local Travel
MRO Careers
Medical coder job in Harahan, LA
The ROI Specialist is responsible for providing support at various client sites for the Release of Information (ROI) requests for patient medical record requests*
Candidate is required to work on-site at facility in Harahan, LA and assist with coverage at any surrounding facilities within the New Orleans, LA area.
TASKS AND RESPONSIBILITIES:
Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request.
Answer phone calls concerning various ROI issues.
If necessary, responds to walk-in customers requesting medical records and logs information provided by customer into ROI On-Line database.
If necessary, responds and processes requests from physician offices on a priority basis and faxes information to the physician office.
Logs medical record requests into ROI On-Line database.
Scans medical records into ROI On-Line database.
Complies with site facility policies and regulations.
At specified sites, responsible for handling and recording cash payments for requests.
Other duties as assigned.
SKILLS|EXPERIENCE:
Demonstrates proficiency using computer applications. One or more years experience entering data into computer systems. Experience using the internet is required.
Demonstrates the ability to work independently and meet production goals established by MRO.
Strong verbal communication skills; demonstrated success responding to customer inquiries.
Demonstrates success working in an environment that requires attention to detail.
Proven track record of dependability.
High School Diploma/GED required.
Demonstrated proficiency using computer applications. One or more years experience entering data into computer systems. Experience using the internet is required.
Strong verbal communication skills; demonstrated success responding to customer inquiries.
Demonstrated success working in an environment that requires attention to detail.
Proven track record of dependability.
Prior work experience in Release of Information is a plus.
Knowledge of medical terminology is a plus.
Knowledge of HIPAA regulations is preferred.
Ability to travel between facilities.
Driver's License Required.
*This job description reflects management's assignment of essential functions. It does not prescribe or reflect the tasks that may be assigned.
MRO's employees work at client facilities throughout the United States. We are proud of the culture we create for our employees and offer an outstanding work environment. We strive to match the right applicant to the right position. To learn more about us, visit www.mrocorp.com. MRO is an Equal Opportunity Employer.
INDMP
$24k-31k yearly est. 2d ago
EMR (Licensed)
Pafford EMS
Medical coder job in Minden, LA
Provides Basic Life Support including medical evaluation, treatment and stabilization of the critically ill and injured; responds to emergency rescue situations involving potent ial loss of life or bodily injury; maintains control, manages and directs patient care at the scene of a pre-hospital emergency; provides training and instruction to lesser trained personnel; performs other duties as required.
ESSENTIAL FUNCTIONS OF THE JOB:
• Provides and directs fast, efficient Basic Life Support to the ill and injured utilizing all basic and abilities and techniques, including but not limited to the placement of airway adjuncts, supraglottic airways, and AED use including defibrillation;
• Recognizes and understands a medical emergency and makes reasonable and acceptable differential diagnosis;
• Performs critical physical examinations;
• Understands and anticipates the pharmacological treatment of critically ill and injured patients;
• Understands and anticipates potentially life-threatening presentation of non-cardiac emergencies and institutes appropriate emergency therapy where essential for the preservation of life;
• Deals with medical and emotional needs of any victim of acute illness or injury with the goal of reducing mortality and morbidity;
• Responsible for managing and directing all first responders at the scene of a medical emergency such as EMR's, Police Departments, and other EMT's;
• Responsible for quality patient-care as established by the Company;
• Files standardized reports of patient information and care for the use of receiving hospital and administration, including nature of request for aid, pertinent past history, therapy provided diagnosis, disposition and sufficient patient information for billing purposes;
• Maintains effective communication with physician on duty at hospital to relate patient condition and obtain orders for treatment;
• Follows standard written protocols when a physician cannot be contacted;
• Transports the ill and injured to institutions of medical care;
• Operates emergency vehicles in a safe manner under all conditions;
• Cleans and maintains equipment;
• Properly completes patient statistics and medical information forms for administrative use;
• Performs technical rescues in removing victims from varied terrain and circumstances and,
• Follows standard operating policies and procedures as developed and directed by the Company.
ADDITIONAL EXAMPLES OF WORK PERFORMED:
• Cleans and maintains (minor maintenance) vehicles;
• Cleans and maintains living quarters;
• Maintains records of vehicles, supplies, training and daily work; and,
• Performs other related duties as assigned.
GENERAL INFORMATION:
The supervisor makes assignments in terms of shifts to be worked and the general scope of the work assignment. The incumbent performs the work in accordance with the procedures, policies and medical orders provided. The incumbent must exercise judgment in applying the proper guideline to the proper situation. The work is spot checked and evaluated on the basis of feedback from the patient, medical staff and others.
MINIMUM QUALIFICATIONS:
• Must possess and maintain:
• EMR Licensure
• CPR for the Health Care Provider
¡ Good knowledge of the street systems, addresses and physical layout of the area, and of the rescue equipment and the emergency medical equipment used in Basic Life Support.
• Good ability to:
• perform technical medical skills with a high degree of accuracy;
• understand and effectively deal with emotional and medical needs of victims of injuries, acute illnesses, or psychological emergencies;
• maintain a professional and objective approach to the care of ill or injured persons;
• learn new concepts in rescue and medical skills and techniques and in pre-hospital care;
• perform a variety of limited mechanical work involved in the use, testing and maintenance of rescue and medical equipment;
• direct the work of, and teach other personnel;
¡ understand and follow oral and written instructions and orders;
¡ maintain a profession al attitude when representing the Company;
¡ establish and maintain effective working relationships with other employees, assisting agencies, hospital personnel, and the general public;
¡ drive and operate emergency ambulance units; and,
• author reports with narrative and numeric information.
• Additionally, incumbents must maintain a high degree of academic and practical knowledge in emergency medicine, and must attend sufficient continuing education classes, courses, and seminars both on and off duty to maintain annual certification, as required by the state in which you will be working.
OTHER REQUIREMENTS:
The work requires the incumbent to operate emergency medical vehicles, move medical equipment and extract injured persons from a wide variety of situations. Situation can involve vehicular, industrial and residential accidents, injuries or illness and occur anywhere in our coverage area. At times the work requires movement over various types of terrain, (hilly, steep, rocky, rough, and/or wet/slippery surfaces). The incumbent at all times must be able to carry or help carry someone from the site of the injury to the mode of transportation (vehicle/helicopter) and attend the injured party to the hospital. In order to
perform a physical assessment of the injured party, the incumbent must see, hear, and communicate with the injured party.
Incumbents will be issued and must wear Company issued uniforms while on duty; additionally, incumbents will be responsible for the maintenance and cleaning of uniforms, as well as all issued equipment.
Incumbents are required to carry a Company issued pager/radio at all times in order to receive immediate notification of an assignment.
**PLEASE NOTE:
Pafford Emergency Medical Services reserves the right, at the discretion of the appropriate appointing authority, to waive any of the minimum qualifications for those applicants whose general or specific qualifications would otherwise qualify the applicant for the position or lead the appointing authority to believe that the applicant is capable of performing the assigned duties and fulfilling the assigned responsibilities.
$24k-31k yearly est. 60d+ ago
Medical Records Clerk
Monarch Medical Management
Medical coder job in Slidell, LA
Monarch Medical Management is an integrated medical facility focused on providing the community with specialty orthopedic care. Our goal is to continue our mission in providing our patients with the highest level of care and compassion they deserve in a personalized setting. Our practice is a full-service provider of comprehensive bone, joint, and muscle care.
LOCATION: Slidell, LA
HOURS: Monday - Friday, 8am - 5pm
We are looking for a professional, service-oriented team player to join our team. As a full-time Medical Records Clerk, you will serve as the liaison between our medical records and accounting teams, providing support for the release of patients' medical records in a very busy medical practice. Candidates must be able to coordinate and track a variety of details to ensure a seamless patient experience.
General Summary
This is a non-exempt, clerical position responsible for gathering, processing, and maintaining patient medical records. The Medical Records Clerk will ensure that records are maintained in compliance with ethical, legal, and regulatory requirements of the medical services system.
Essential Job Responsibilities
Report to Direct Supervisor
Submit medical records requests as assigned by the direct supervisor.
Handle Phone Inquiries
Respond promptly to phone calls from medical and support personnel seeking medical records.
Record Management
Log all medical record requests and maintain a detailed record-keeping system.
Determine the appropriate records to release by reviewing requestor information and obtaining patient data from various sources.
Data Entry
Accurately enter data into the computer system, including scanning medical records into the database when necessary.
Compliance and Regulations
Ensure compliance with company policies and regulations, particularly adhering to HIPAA guidelines.
Apply knowledge of medical terminology and HIPAA regulations in daily tasks.
Issue Escalation
Identify and escalate any issues that may cause delays in the timely release of medical records to the manager.
Other Duties
Perform additional duties as assigned by the supervisor.
Experience & Requirements
Computer Proficiency
Demonstrated proficiency using computer applications and Electronic Medical Record (EMR) software.
Data Entry Experience
One or more years of experience entering data into computer systems.
Customer Interaction
Demonstrated success in responding to customer inquiries.
Dependability
Proven track record of dependability in previous roles.
Medical Records Background
Prior work experience in release of medical records is required.
Chiropractic clinic medical records experience is essential.
Knowledge
Knowledge of medical terminology is a plus.
Familiarity with HIPAA regulations is preferred.
Benefits
Health, Vision, and Dental Insurance after 60 days
Continued Education Programs
Paid Time Off
Retirement Plans
Monarch Medical Management is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
View all jobs at this company
$24k-31k yearly est. 60d+ ago
Coder (Fulltime)
Northern Louisiana Medical Center 3.0
Medical coder job in Ruston, LA
Job Description
The Coder/Abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10-CM and CPT 2005 edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the Health Information Management Association. All work is carried out in accordance with the Health Information Management department and CHS approved policies and procedures. Population served: Interact with physicians, patients and family members as needed.
Current RHIT, RHIA or CCS.
Job Posted by ApplicantPro
$48k-64k yearly est. 26d ago
Coder 2 - Clinic
Franciscan Missionaries of Our Lady University 4.0
Medical coder job in Baton Rouge, LA
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
$39k-48k yearly est. 60d+ ago
Coder 2 - Clinic
FMOL Health System 3.6
Medical coder job in Baton Rouge, LA
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