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
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Senior Coder - Orthopedics - Full Time
LCMC Health 4.5
Medical coder job in New Orleans, LA
Your job is more than a job Why a Great Place to Work: You're more than your job. Everyone is. And that's what makes you great at your job-all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we've built a culture that supports and celebrates the extraordinary. You'll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you'll find that our everyday makes it easy to live your extraordinary.
Essential Function:
The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I.
* Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers.
* Validates charges by comparing charges with health record documentation as necessary.
* Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding.
* Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems.
* Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion.
* Consistently meets or exceeds coding quality and productivity standards established by coding department.
* Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information.
* Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
* Performs other duties as assigned by leadership.
* Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
Job Qualifications:
Education:
Minimum Required:
* Completion of an American Health Information Management Association (AHIMA) approved coding program or
* an American Academy of Professional Coders (AAPC) approved coding program or
* Associate degree in health information management or related field or
* an equivalent combination of years of education and experience required
Experience:
Minimum Required:
Minimum two (2) years of current complex outpatient and inpatient coding required
Preferred:
License/Certification:
Minimum Required:
* Certified Coding Associate (CCA) from American Health Information Management Associations (AHIMA) or
* Certified Inpatient Coder (CIC) and Certified Outpatient Coder (COC) combination from the American Academy of Professional Coders (AAPC)
* Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program
Preferred:
* RHIA/ RHIT, Certified Coding Specialist (CCS) certification
Special Skills/Training:
Minimum Required:
* Comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding, and MS-DRG or APC grouping and components of charge description master for charging functions
* Must possess knowledge of third-party reimbursement regulations and billing practices
* Experience utilizing encoding/grouping software
* Ability to use standard desktop and windows-based computer systems, including basic understanding of email, internet, and computer navigation
* High ethical standards
* Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG, and APC coding principles and guidelines
* Experience in ICD-10-CM/PCS coding and reimbursement training
* Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory, and provider-based clinic encounters
* Knowledge of hospital and professional coding including provider-based billing
* Knowledge of documentation regulations of Joint Commission and CMS
* Experience with concurrent coding reviews
* Knowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices
* Experience in assisting and identifying learning needs as well as providing training to coding staff
* Strong analytical abilities and problem-solving skills
* Excellent oral, written, and interpersonal communication skills
* Ability to organize and set priorities to ensure objectives are met in a timely manner
* Ability to adapt to change and handle challenges proactively
* Ability to effectively collaborate with physicians and managerial staff at all levels
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
WORK SHIFT:
Variable Hours (United States of America)
LCMC Health is a community.
Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary
Your extras
* Deliver healthcare with heart.
* Give people a reason to smile.
* Put a little love in your work.
* Be honest and real, but with compassion.
* Bring some lagniappe into everything you do.
* Forget one-size-fits-all, think one-of-a-kind care.
* See opportunities, not problems - it's all about perspective.
* Cheerlead ideas, differences, and each other.
* Love what makes you, you - because we do
You are welcome here.
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference.
1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
2. To ensure quality care and service, we may use information on your application to verify your previous employment and background.
3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.
$51k-65k yearly est. 5d ago
CODING SPECIALIST - HIM OPERATIONS
North Oaks Health System 4.2
Medical coder job in Hammond, LA
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.
$37k-48k yearly est. 27d 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 13d 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
HEALTH INFORMATION COORD 1, 2 or 3
Louisiana State University Health Sciences Center Portal 4.6
Medical coder job in New Orleans, LA
The HIC works independently. The employee answers directly to the Office Manager. The employee must be able to phone lines in a courteous and polite manner. The employee must be able to direct all calls or be willing to find the information requested by the caller. The employee must be knowledgeable in computer skills, fax machine, scanning, and copier. The employee must be flexible.
$51k-62k yearly est. 2d ago
ROI Medical Records Specialist - On SIte
MRO Careers
Medical coder job in New Orleans, LA
The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*
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.
Prior work experience in Release of Information in a physician's office or HIM Department is a plus.
Knowledge of medical terminology is a plus.
Knowledge of HIPAA regulations is preferred.
*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.
$24k-31k yearly est. 60d+ ago
Medical Records Technician (Cancer Registrar)
Department of Veterans Affairs 4.4
Medical coder job in New Orleans, LA
Serves within the VISN 16 South Central VA Health Care Network Health Care Systems. The Cancer Registrar is responsible for abstracting and coding clinical data from patient medical records using appropriate classification systems and analyzing health records according to published governmental standards. Data entry is also required by the certified cancer registrar.
NOTE: Starting and ending salaries will vary based on location requested. Minimum salary will be the lowest step 1 salary of the applicable pay tables and max will be the highest step 10 salary rate of the pay tables.
This is an open continuous announcement. Applications will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available. Applications will remain on file until April 30, 2026.
Total Rewards of a Allied Health Professional
The duties of the Medical Records Technician (Cancer Registrar) includes, but is not limited to:
* Read and comprehend detailed and complex medical information from patient medical records (computer system).
* Information to code meets regulatory agencies and state requirements and includes malignant and/or benign disease information including topography; morphology; laterality; SEER Extent of Disease; TNM stage; date, source and basis of diagnosis; grade (differentiation); date and type of treatment received prior to MEDVAMC registration; date, type and disposition of treatment received at MEDVAMC; last contact date; vital status; source, place and cause of death; quality of life and disease status at 4 months after registration; non- neoplastic condition that affect treatment; and referral diagnosis. .
* Maintains clinical registries and work to meet the standards of regulatory and accrediting agencies related to approved cancer and/or other programs requiring registries.
* Adheres to the guidelines set forth by the American College of Surgeons (ACoS) in the Registry Operations and Data Standards (ROADS), the AJCC Staging Manual International Classification of Diseases for Oncology (ICDO), ICD-9, and SEER Surgical Codes when coding tumor registry abstracts.
* Independently codes a wide variety of medical diagnostic, therapeutic, and surgical procedures.
* Analyzes the consistency of abstracting of registry data, cancer diagnosis, and histology, treatment (including surgical procedures, chemotherapy, immunotherapy, hormonal therapy and radiation therapy.)
* Code minimum number of charts based on time on the job with an error rate that falls within the departmental guidelines.
* Assist in developing, implementing policies and procedures to process, document, store and retrieve medical record information conforming to Federal, State and local statutes.
* Review abstracting/coding to ensure accuracy and communicate any discrepancies to the supervisor.
* Responsible for maintaining the security and integrity of the administrative and clinical records in the possession of the cancer registry.
This announcement is being used to fill a variety of positions across 8 Veterans Affairs Medical facilities located in Alexandria, LA, Biloxi, MS, Fayetteville, AR, Houston, TX, Jackson, MS, Little Rock, AR New Orleans, LA, and Shreveport, LA. Applicants may select the location(s) they wish to be considered in the application. Exact duties and expectations will be discussed during the interview process.
Work Schedule: Work schedules may vary based on the location requested and needs of the service. Tour of duty is subject to change based on the needs of the facility.
Recruitment Incentive (Sign-on Bonus): Not Authorized.
Permanent Change of Station (Relocation Assistance): Not Authorized
Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: Will vary based on the location selected
Permanent Change of Station (PCS): Not Authorized
$29k-36k yearly est. 7d ago
Biographic Records Specialist
Tulane University 4.8
Medical coder job in New Orleans, LA
Support position responsible for the collection, input, and maintenance of various data used by the fund-raising database system. This position researches and evaluates information, and ensures that information is entered into the internal database in a timely manner, and that it is current, accurate, and conforms to AIS standards• Strong written and oral communication skills
* Strong and consistent attention to detail
* Ability to think critically and creatively to solve problems
* Ability to meet work milestones and deadlines
* Ability to maintain confidentiality of data and other information
* Ability to work collaboratively as a member of a team
* High school diploma or equivalent
* 1 year experience with relational databases, database input, and maintenance tools
* Experience in a higher education or nonprofit setting.
* Knowledge of university organizational structure and functions.
* General knowledge of fundraising software and Microsoft Office Suite.
$31k-36k yearly est. 38d 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
Reimbursement Specialist
Promptcare 3.7
Medical coder job in Madisonville, LA
PromptCare is seeking a highly motivated, experienced and detail-oriented Reimbursement Specialist to join our team. The ideal candidate will have experience in infusion reimbursement and be able to work in a fast-paced environment. The Specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. Documentation and computer input of the new referral and subsequent patient admission from start to finish is critical and must always follow PromptCare's policies and procedures. If you are a detail-oriented individual with a passion for healthcare billing and collections, we encourage you to apply for this exciting opportunity in the Homecare Infusion industry. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion
Reporting to: Departmental Lead, Supervisor or Manager
Job Type: Non-Exempt, Full-time, 40 hours per week, Monday-Friday
Location: Madisonville, LA
Requirements
High School Diploma or equivalent
2-3 years of experience in electronic claims submission and medical collections preferred
Working knowledge of insurance plans including Medicare and Medicaid required
Industry experience with billing/collections in DME, home infusion and/or enteral preferred
Accounts receivable and accounting experience preferred
Knowledge of CPR+ and/or Caretend software preferred
Job Responsibilities, included but not limited to:
Collections of third-party payor accounts for assigned payers
Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research
Maintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plans
Identify adjustments, payment trends and denials and ensure problems are escalated as necessary
Maintain confidentiality in all aspects of patient care, employee activities and office environment
Communicate changes regularly or as often as needed
Work collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collections
Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
Field and troubleshoot calls from patients regarding benefit, claims and patient balances
Pro-actively seek resolutions to any billing issues that may arise
Perform CPR+/Caretend related transactions accurately and timely
Perform other duties as assigned
Physical Demands
The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed.
Benefits & Perks
Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Volunteer and Engagement Opportunities
Employee Referral Bonuses
Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans
Equal Employment Opportunity
The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.
$32k-38k yearly est. 60d+ ago
HEALTH INFORMATION COORDINATOR 1-2
State of Louisiana 3.1
Medical coder job in New Orleans, LA
LSU Health Sciences Center offers a challenging academic environment with the best attributes of a health sciences center. We are committed to excellence through a talented and diverse faculty and staff. We appreciate your interest in joining our LSU Health New Orleans community. As a campus of Louisiana State University, LSU Health New Orleans offers excellent benefits including health care and retirement plans, and generous sick and vacation leave.
LSU Health New Orleans School of Dentistry, Department of Oral Surgery is seeking motivated applicants for the position of Health Information Coordinator 1 or 2.
The candidate applying should possess the following Core Competencies
* Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.
* Focusing on Customers: The ability to understand and meet the needs, preferences, and experiences of internal and external customers.
* Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.
One year of experience in administrative services; OR
One year of training in or completion of a business or clerical-related curriculum from a business school or technical institute.
EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the required general experience.The official job specifications for this role, as defined by the State Civil Service, can be found here.
Duties and responsibilities included but not limited to:
* Schedule patient appointment including new, established, and referral visits to oral pathologist, speech pathologist, imaging, and any other therapy appointments.
* Provide doctors with any documents received that requires signature, then fax response back and scan documents.
* Receives and ensures that all referral paperwork submitted is processed.
* Enters all the patient data in WinOMS, Axium, and one drive.
* Advise patients on insurance specific guidelines and notify them of non-covered services.
* Collects payments from patient for services.
* Completes encounter slips for billing
* Secure all payment deposits
* Ensures the scheduling of all follow up visits
*
Position-Specific Details:
Location: LSU Health New Orleans School of Dentistry: 1100 Florida Blvd, New Orleans, LA 70119
Hours of Operations: 8:00 AM-4:30 PM Monday-Friday
Appointment Type: This is a Civil Service position -Probationary Appointment -This position will require selected applicant to be in a probationary status for at least 6 months
Compensation: Rate of Pay is dependent upon applicants' qualifications.
This position is part of a CPG, as part of a Career Progression Group, vacancies may be filled from this recruitment as a (Dental Assistant 1 or 2) depending on the level of experience of the selected applicant(s). Please refer to the 'Job Specifications' tab located at the top of the LA Careers 'Current Job Opportunities' page of the Civil Service website for specific information on salary ranges, minimum qualifications and job concepts for each level. There is also an additional $1 Longevity Pay for every hour worked.
Louisiana is a State As a Model Employer (SAME) that supports the recruitment, hiring, and retention of individuals with disabilities.
LSU Health New Orleans seeks candidates who will contribute to a climate where students, faculty, and staff of all identities and backgrounds have equitable access and success opportunities. As an equal opportunity employer, we welcome all to apply without regard to race, color, religion, age, sex, national origin, physical or mental disability, genetics, protected veteran status, military status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. LSU Health New Orleans is also designated as a State As a Model Employer (SAME) agency and provides assistance to persons needing accommodations or with the accessibility of materials. For those seeking such accommodations or assistance related to this search, we encourage you to contact the Office of Human Resource Management (*****************).
How To Apply:
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy, please click the following link: *********************************************
* Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
For further information about this vacancy contact:
Ora Jones
LSU Health Sciences Center
HR Management Department
************
$34k-47k yearly est. 7d ago
Surgical Coordinator I
Louisiana Organ Procurement Agency 3.9
Medical coder job in Covington, LA
Job DescriptionDescription:
Job Title: Surgical Coordinator I
Department: Clinical
Reports to: Director of Surgical Services
Exemption: Non-Exempt
Date Revised: 10/30/2020
Responsible for the coordination of the organ donation process during the recovery of organs for transplantation and research. Participates with hospital development and professional/public education programs using a team approach. Develops and maintains a positive professional liaison between LOPA and the medical/civic community. Utilizes discretion and sensitivity with respect to the circumstances, views and beliefs of others in all interactions, including donor families.
Essential Functions
Reviews authorization form, serology results, organs to be recovered, Potential Transplant Recipient identifier, and ABO prior to organ recovery.
Is familiar with and adheres to coroner's restrictions and/or requests
Reviews and is familiar with Donor ID from UNET prior to beginning of recovery
Communicate effectively with anesthesia and hospital staff in the OR setting
Sets up equipment and supplies for organ preservation. Prepares aortic and portal vein cannulation
Communicates effectively with recovery surgeons in OR setting
Assists with recovery of HFV by guiding the surgeon on how HFV should be recovered. Completes appropriate documentation for HFV recovery.
Assist in the recovery of research organs by reviewing protocol with surgeon or by assisting LOPA's research coordinators with the recovery
Opens supplies in preparation for recovery. Demonstrates sterile and aseptic technique.
Labels, packages, and verifies all organs, vessels, and tissue typing specimens according to protocol
Transports and sets up all supplies required for the preservation and packaging of organs
Completes appropriate documentation for organs and tissues recovered, donor chart, and completion of case duties
Assists with post mortem care including disposition of the donor, cleaning of OR and DCU, and equipment
Monitor kidneys while on the perfusion machine
Provides assistance to the ORC and/or OR coordinator during organ recovery
Job Role Expectations
Maintains competency annually, reviews and completes all assigned tasks in Q-Pulse by assigned deadline
Effective communication with internal and external colleagues
Adheres to all LOPA, AOPO, and UNOS guidelines relevant to the organ recovery processes
Maintains BLS certification
Attends monthly meetings, assigned educational opportunities, and other assigned scheduled events
Organizational Expectations
Upholds LOPA core values of selfless, authentic and passionate
Use constructive and positive communication
Be a team player
Hold yourself and other accountable
Keep a positive attitude
Be respectful of others
Timely completion of all required educational training, tasks and SOP reviews by assigned due date
Role Progression
Progression to Surgical Coordinator II role includes successful completion of Surgical Coordinator I orientation and competency in all requirements of the Surgical Coordinator I job role.
Completion of training to dissect and place kidneys on perfusion machine and show competence to perform tasks independently
Work Environment
Possible exposure to communicable diseases, bloodborne pathogens, airborne illnesses, hazardous materials, pharmacological agents with little likelihood of harm if established health precautions are followed.
May, at times, have exposure to blood, packaged organs and tissues for transplant and/or research in a hospital setting or while in the office.
Possible mental and visual fatigue associated with detailed work
Travel within the U.S., including flying
Travel to branch office locations
Work is done indoors in an office setting
Work in a fast-paced environment with a sometimes demanding time schedule
Physical Demands
Moving self in different positions to accomplish tasks in various environments including tight and confined spaces.
Remaining in a stationary position, often standing or sitting for prolonged periods.
Reaching with hands and arms
Adjusting or moving objects up to 10 pounds in all directions.
Communicating with others verbally and electronically to exchange information.
Stooping, bending, kneeling or crouching
Considerable time spent walking
Repeating motions that may include the wrists, hands and/or fingers.
Use of fine motor skills
Doing work that requires visual acuity
Need for ability to hear
Operating medical equipment
Operating motor vehicles.
Assessing the accuracy, neatness and thoroughness of the work assigned.
Sedentary work that primarily involves sitting/standing.
Medium work that includes moving or lifting objects up to 50 pounds.
Work Hours
Full time, On-Call position
Scheduled up to 12 days/24 call shifts per month
Available as needed Monday-Friday 8am to 5pm unless on PTO
Holiday call rotation of each individual holiday
Maintains personal and professional balance, takes care of self
Education and Experience
Medical terminology with experience in patient care setting
Surgical Technology certificate or diploma preferred
Previous OPO experience or 2 years work experience as a Surgical Technologist preferred
Knowledge, Skills & Abilities
Knowledge of Microsoft Office and Google Suite
Ability to deliver effective and professional verbal and written communication
Ability to establish and maintain relationships with internal and external colleagues
Ability to apply common sense understanding and to solve problems
Ability to be flexible in a dynamic work environment
Knowledge of medical terminology
Ability to maintain confidentiality
“The above is intended to describe the general content and requirements of the job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Other duties may be assigned by management as necessary”.
Please visit our careers page to see more job opportunities.
Requirements:
$26k-34k yearly est. 7d ago
CODING SPECIALIST - HIM OPERATIONS
North Oaks Health System 4.2
Medical coder job in Hammond, LA
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.
$37k-48k yearly est. 8d ago
Medical Billing & Coding
Monarch Medical Management
Medical coder job in Metairie, LA
LA Health Solutions is an integrated medical facility focused on providing the community with multispecialty care with clinics across the Greater New Orleans and Baton Rouge area. 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.
Job Summary: We are seeking a detail-oriented and experienced MedicalCoder with a specialization in Orthopedics, Neurology, and Pain Management to join our healthcare team. The ideal candidate will possess comprehensive knowledge of medical coding standards, healthcare billing processes, and the specific coding requirements for these specialties. The MedicalCoder will be responsible for accurately coding patient diagnoses, procedures, and medical services to ensure proper billing and compliance with healthcare regulations.
Please note, this role is not remote and will require in-office presence. The work schedule is Monday through Friday, from 8:00 AM to 5:00 PM.
Key Responsibilities:
Medical Coding:
Accurately assign and sequence ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and medical services related to orthopedics, neurology, and pain management.
Review and analyze patient medical records and documents to ensure proper coding and billing.
Compliance and Accuracy:
Ensure all coding is compliant with federal regulations, payer-specific guidelines, and industry standards.
Conduct regular audits and reviews to ensure coding accuracy and completeness.
Stay up-to-date with changes in coding standards, healthcare regulations, and payer requirements.
Billing and Documentation:
Collaborate with billing staff to ensure accurate and timely submission of claims.
Resolve coding discrepancies and issues with insurance companies and healthcare providers.
Provide documentation and coding guidance to healthcare providers to optimize reimbursement and minimize claim denials.
Data Analysis and Reporting:
Analyze coding data to identify trends, discrepancies, and opportunities for improvement.
Generate reports on coding accuracy, compliance, and financial performance.
Training and Education:
Provide training and support to healthcare providers and staff on coding practices and documentation requirements.
Stay informed about continuing education opportunities and attend relevant workshops, seminars, and conferences.
Qualifications:
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required.
Minimum of 3-5 years of medical coding experience, with a focus on orthopedics, neurology, and pain management.
Proficiency in ICD-10-CM, CPT, and HCPCS coding systems.
Strong understanding of medical terminology, anatomy, and physiology related to orthopedics, neurology, and pain management.
Familiarity with electronic health record (EHR) systems and medical billing software.
Excellent attention to detail and accuracy.
Strong analytical and problem-solving skills.
Effective communication and interpersonal skills.
Ability to work independently and as part of a team.
Preferred Skills:
Experience with private insurance billing and commercial insurance billing.
Knowledge of payer-specific coding guidelines and reimbursement policies.
Understanding of healthcare revenue cycle management.
Experience in conducting coding audits and training sessions.
Job Type: Schedule: Full-Time | Monday - Friday | 8:00 AM - 5:00 PM
Benefits:
Health, Vision and Dental Insurance after 60 DAYS
Continued Education Programs
Paid Time Off
Retirement Plans
LA Health Solutions 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
$27k-36k 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
Health Information Coordinator 1-2
Louisiana State University Health Sciences Center Portal 4.6
Medical coder job in New Orleans, LA
Under general supervision, the employee must provide excellent customer service to all patients, incumbent in this position will perform a variety of clerical and administrative duties to assist in the areas of patient relations, collections, data entry, file maintenance and others. The incumbent will interact with LSU Faculty and patients.
$44k-57k yearly est. 9d ago
Reimbursement Specialist
Promptcare Companies Inc. 3.7
Medical coder job in Madisonville, LA
Job DescriptionDescription:
PromptCare is seeking a highly motivated, experienced and detail-oriented Reimbursement Specialist to join our team. The ideal candidate will have experience in infusion reimbursement and be able to work in a fast-paced environment. The Specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. Documentation and computer input of the new referral and subsequent patient admission from start to finish is critical and must always follow PromptCare's policies and procedures. If you are a detail-oriented individual with a passion for healthcare billing and collections, we encourage you to apply for this exciting opportunity in the Homecare Infusion industry. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion
Reporting to: Departmental Lead, Supervisor or Manager
Job Type: Non-Exempt, Full-time, 40 hours per week, Monday-Friday
Location: Madisonville, LA
Requirements:
High School Diploma or equivalent
2-3 years of experience in electronic claims submission and medical collections preferred
Working knowledge of insurance plans including Medicare and Medicaid required
Industry experience with billing/collections in DME, home infusion and/or enteral preferred
Accounts receivable and accounting experience preferred
Knowledge of CPR+ and/or Caretend software preferred
Job Responsibilities, included but not limited to:
Collections of third-party payor accounts for assigned payers
Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research
Maintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plans
Identify adjustments, payment trends and denials and ensure problems are escalated as necessary
Maintain confidentiality in all aspects of patient care, employee activities and office environment
Communicate changes regularly or as often as needed
Work collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collections
Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
Field and troubleshoot calls from patients regarding benefit, claims and patient balances
Pro-actively seek resolutions to any billing issues that may arise
Perform CPR+/Caretend related transactions accurately and timely
Perform other duties as assigned
Physical Demands
The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed.
Benefits & Perks
Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Volunteer and Engagement Opportunities
Employee Referral Bonuses
Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans
Equal Employment Opportunity
The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.
$32k-38k yearly est. 17d ago
Billing & Reimbursement Specialist I, TUMG Business Services
Tulane University 4.8
Medical coder job in New Orleans, LA
In accordance with the accepted standards and practices of physician billing entities, to represent the physicians of the Tulane University Medical Group in the realization of all appropriate reimbursement for medical services rendered to patients. Support the billing and collection activities under the direction of the Supervisor, Manager and/or Director. Work in association with all areas of the Tulane University Medical Group Business Services, partners, Tulane University Hospital and Clinic Staff, and other internal and external persons. Responsible for initial billing, claim follow up, resolution of rejected claims, claim edits resolution, handling of special accounts and keeping management informed of trends, updates and unusual or urgent issues. Promote an environment of high productivity and job satisfaction.
* Familiar with governmental billing rules and regulations and other third party billing requirements
* Knowledge and experience with ICD9 and CPT4 coding
* Experience with personal computers, word processing (Microsoft Office skills)
* Excellent oral and written communication skills
* Must be able to work independently and meet deadlines
* Well-developed judgment and decision-making abilities
* High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
* Three years physicians billing experience
* Knowledge of group medical practice
* Experience with compiling and analyzing data
* Knowledge of IDX physicians billing software is a major asset
$36k-40k yearly est. 60d+ ago
HEALTH INFORMATION CORD SUPV A
State of Louisiana 3.1
Medical coder job in Independence, LA
Lallie Kemp Regional Medical Center is a 24-bed acute care critical access hospital serving the Florida Parishes region of Southeast Louisiana. We offer a wide range of services including general surgery and a 24-hour emergency department. At Lallie Kemp Regional Medical Center, we are able to bring you a wide range of services close to home, provided by a network of board certified physicians.
This Health Information Coordinator Supervisor A position is located in the Interview Admit/Screening Department . The employee will supervise the collection, preparation, maintenance, storage, and processing of patient information and data. Shift will be Monday-Friday, 10 am- 6:30 pm.Three years of experience in administrative services in a medical setting.The official job specifications for this role, as defined by the State Civil Service, can be found here.
Job Duties:
* Assist Health Information Coordinator Supervisor Bin overall day to-day operations including but not limited to written and verbal communication and
* supervision/coordination of staff.
* Ensure safety meetings are conducted monthly, and safety procedures are adhered to.
* Reviews and resolves patient issues on a case-by-case basis when necessary for smooth operations of the Admit /Screening Department.
* Recommends changes in hospital wide policies and procedures as needed.
* Ensures understanding of new and/or modified policies and procedures to subordinates.
* Trains new employees and perform competency reviews.
* Ensure employee responsibility according to the payroll policy.
* Document employee's performance in activity file as needed on behavior and productivity.
* Attends Educational In-Services, Mandatory Training and Annual Review as required by hospital policy and procedure or deemed necessary by supervisor.
* All other duties assigned include ensuring departmental coverage.
Position Specific Details:
Appointment Type: Probational, Promotional, or Job Appointment
Career Progression: This position is not a part of the CPG.
Work Schedule: This is a Monday- Friday position 10 am-6:30pm.
How To Apply:
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy, click on the "Apply" link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
* Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
Please list all work history and detailed job duties on the Application.
Contact Information:
For more information about this vacancy please contact:
Sonia Johnson, HR Analyst
Lallie Kemp Medical Center, Human Resources
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Louisiana is a State As a Model Employer (SAME) that supports the recruitment, hiring, and retention of individuals with disabilities.
How much does a medical coder earn in Mandeville, LA?
The average medical coder in Mandeville, LA earns between $31,000 and $59,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Mandeville, LA
$43,000
What are the biggest employers of Medical Coders in Mandeville, LA?
The biggest employers of Medical Coders in Mandeville, LA are: