FMOL HealthManager Coding Physician Group FMOL HealthManager Coding Physician GroupBaton Rouge, LAWorks closely with team members who reviews with special concentration on specialty services, surgical procedures, and inpatient medicine services ensuring appropriate coding of charges. Promotes and encourages the growth and development of staff members by encouraging their participation in approved continuing education activities such as professional conferences, seminars, and workshops.
East Baton Rouge Parish School SystemSTEM Coding/Robotics-Magnet Teacher East Baton Rouge Parish School SystemSTEM Coding/Robotics-Magnet TeacherCrestworth, LASummary: The job of Classroom Teacher is done for the purpose/s of providing support to the instructional process by serving as a teacher with specific responsibility for supervising students within the classroom and other assigned areas; developing lesson plans and delivering group and individual student instruction within established curriculum guidelines; collaborating with other teachers, other professional staff, and administrators in addressing instructional and/or classroom issues; and responding to a wide range of inquiries from students' parents or guardians regarding instructional program and student progress. Oversees assistant teachers, student teachers, instructional assistants, volunteers and/or student workers for the purpose of ensuring the operation of an effective and efficient classroom structure that supports the teacher and students in achieving classroom and individual goals.
Institute for Building Technology and SafetyCode Enforcement Officer Institute for Building Technology and SafetyCode Enforcement OfficerBaton Rouge, LouisianaCommunicates with supervisors, employees, other departments, city council members, board members, attorneys, contractors, property owners, landlords, outside agencies, community groups, the public, and other individuals as needed to coordinate work activities, review status of work, exchange information, or resolve problems. Responsibilities: Under close supervision of a departmental supervisor, performs specialized work enforcing city codes and ordinances pertaining to signs, housing, litter, overgrowth, abandoned vehicles, rubbish, and other code violations.
LCMC HealthCDM Analyst - Revenue Integrity LCMC HealthCDM Analyst - Revenue IntegrityLouisianaDemonstrated high level of computer skills, including spreadsheet programs, word processing, database programs, and various Microsoft applications and the ability to quickly learn and utilize new systems. Demonstrate knowledge of OPPS reimbursement methodologies, as well as Medicare reimbursement and billing guidelines, familiar with CMS transmittals and manuals, and with the cms.gov website to obtain quarterly HCPCS, OCE, and MUE updates .
Mary Bird Perkins Cancer CenterClaims Analyst Mary Bird Perkins Cancer CenterClaims AnalystBaton Rouge, LouisianaThis culture of innovation helps attract the best cancer minds in the country, from expert physicians and highly specialized scientists to forward-thinking leaders in supportive care and other disciplines. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Otsuka America PharmaceuticalNewField Reimbursement Manager (FRM) - Southern California Otsuka America PharmaceuticalField Reimbursement Manager (FRM) - Southern CaliforniaBaton Rouge, LAMinimum $134,615.00 - Maximum $201,250.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, primarily focusing on Nephrology and Rare Disease.
Prime Occupational MedicineClinic Receptionist Prime Occupational MedicineClinic ReceptionistPort Allen, LALearn new tasks, remember processes, maintain focus, complete tasks independently, make timely decisions in the context of a workflow, ability to communicate with employees and visitors, ability to complete tasks in situations that have a speed or productivity quota. The worker is required to have close visual acuity to perform an activity such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
LCMC HealthSenior Coder - Specialty Surgeries LCMC HealthSenior Coder - Specialty SurgeriesLouisianaCommunicates 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. 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.
MindlanceBenefits Operations - CW Account Advisor I MindlanceBenefits Operations - CW Account Advisor IBaton Rouge, LAThis role reports to this job: SUPERVISOR, CUSTOMER SERVICE Necessary Contacts: Enrollment & Billing, Claims, Provider Relations, Benefit Operations, Network Administration, Sales/Marketing, Accounting and Legal departments as well as members, providers, groups, brokers, other plans, insurance companies, Social Security Administration and Centers for Medicare and Medicaid Services (CMS). Familiarity with medical and health insurance terminology preferred Conflict resolution skills and remains calm under pressure/stressful situations Must be able to to demonstrate critical thinking and problem solving skills Demonstrate attention to detail The ability to actively listen and ask appropriate questions, to effectively understand issues that are presented from customers.
Pathology Group of LouisianaNewMedical Billing Office Specialist Pathology Group of LouisianaMedical Billing Office SpecialistBaton Rouge, LAAt Pathology Group of Louisiana, our mission is to provide the finest quality pathology services to patients, referring physicians, outpatient surgery centers and hospitals with the greatest accuracy in the most cost-effective manner as rapidly as possible. • Work the Demographic Queue to verify and update patient personal and payer-related information prior to claim creation and submission, ensuring accurate billing data and minimizing insurance rejections and denials.
CompassusNurse Practitioner - PPV CompassusNurse Practitioner - PPVBaton Rouge, LAIf providing Palliative Care: • Performs routine and urgent assessments • Consistent communication of availability to manager • A minimum of 4 days of availability per month is required, however a minimum number of visits per month is not guaranteed to the PPV NP • Ability to triage consults by patient acuity • Performs bedside palliative care with patient/family education • Orders, performs, and interprets laboratory and radiology tests within scope of professional practice • Prescribes medications including controlled substances to the extent delegated and licensed • Orders treatments and durable medical equipment as indicated • Performs other therapeutic measures as indicated • Consults with palliative care physician or designees as needed, informs primary physician of services provided and collaborates with other physicians as needed • Assists in all facets of care coordination for palliative care referrals • Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided • Complies with applicable laws and regulations with respect to Collaborative Agreements • Completes accurate billing and coding activities for all patient encounters according to CMS guidelines • Defines goals for professional growth and participates actively in professional activities and organizations • Engages in active and frequent self-care activities for personal and professional growth and longevity • Adheres to the practice of confidentiality regarding patients, families, staff and the Organization • Assists patients and families in identification of goals of treatment and ongoing plans of care at every visit. Communicates these goals among Interdisciplinary Team (IDT) • Collaborates/Communicates with Medical Director, attending Physician, hospital staff and IDT: • Participates in monthly IDT meeting with market team • Collaborates/ Communicates with IDT needs of patient for clinical and psycho-social interventions • Assists in identifying the need for intervention of other IDT members • Effectively communicates patient and family needs to IDT • Completes and submits required clinical documentation within 24 hours of visit completion • Educates patient and caregiver regarding: • Care of patient • Disease process • Goal setting • Symptom control • Treatment options • Prognosis • Advance Care Planning.
DatavantNewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTBaton Rouge, LARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
DatavantNewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusBaton Rouge, LARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
TriWest Healthcare AllianceClaims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystBaton Rouge, LARemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
FMOL HealthRevenue Cycle Operations Analyst FMOL HealthRevenue Cycle Operations AnalystBaton Rouge, LAMonitors Productivity • Monitors productivity of team members to ensure unit is operating efficiently and effectively; Looks for patterns and communicates any issues to manager for resolution. Related certification program in areas such as billing, medical office, coding and accounting can be substituted for 1 year of experience, such as CPC, CCS or equivalent.
DatavantNewProFee Audit Specialist- PRN DatavantProFee Audit Specialist- PRNBaton Rouge, LARemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Blue Cross and Blue Shield of LouisianaAccount Advisor I - Call Center Blue Cross and Blue Shield of LouisianaAccount Advisor I - Call CenterBaton Rouge, LARemotePursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._. + Reviews and researches billing and healthcare claim inquiries from members and providers, to ensure proper benefits and/or payments are applied correctly; researches multiple computer systems/applications to verify data/information accuracy.
UnitedHealth Group IncHospice Chaplain-PRN UnitedHealth Group IncHospice Chaplain-PRNBaton Rouge, LAPrimary Responsibilities Demonstrate proficiency in providing spiritual care to persons of all races ages genders sexual orientation social class and mentalemotional status Demonstrate ability for patientcaregiver to lead the spiritual conversation for the Chaplain to walk alongside himher in hisher spiritual journey and refraining from sharing ones own beliefs unless asked to do so by the patientcaregivers Demonstrate knowledge of a wide range of spiritual resources to support each persons belief system provide resources as appropriate and network with other religious leaders in the community to refer patientscaregivers to these leaders when necessary Demonstrate ability to work efficiently and effectively within the Interdisciplinary Team and provide insight in the IDG meeting concerning the patientcaregivers emotional and spiritual needs Provide spiritual and emotional care to members of the Hospice Staff when requested. Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
TriWest Healthcare AllianceSupervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminBaton Rouge, LARemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
FMOL HealthPatient Account Representative 4 - Hospital (PFS Epic Ticket Coordinator) FMOL HealthPatient Account Representative 4 - Hospital (PFS Epic Ticket Coordinator)Baton Rouge, LAThis role responsible for collections on delinquent insurance and patient balances and for working credit balance reports, posting payments and adjustments, and filing claims and appeals denials with managed care companies. Key tasks include reviewing accounts on EPIC system, providing information requested and applying critical thinking to resolve issues between balances and/or credits belonging to managed care vs the patient.
Baton Rouge Physical TherapyPhysical Therapist Baton Rouge Physical TherapyPhysical TherapistBaton Rouge, Louisiana
FMOL HealthManager Clinical Documentation FMOL HealthManager Clinical DocumentationBaton Rouge, LAFacilitates compliant modifications to clinical documentation to accurately reflect patient severity of illness, risk of mortality through extensive interaction with physicians, Case Management, other patient care givers and HIM/Coding staff. Excellent written and verbal communication skills, critical thinking skills and interpersonal skills to build effective partnering relationships with physicians, coding staff, and multidisciplinary hospital staff.
Vertex PharmaceuticalsField Reimbursement Manager - Kidney (East Texas-Louisiana) Vertex PharmaceuticalsField Reimbursement Manager - Kidney (East Texas-Louisiana)LouisianaCompliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
FMOL HealthCoder 3 - Hospital FMOL HealthCoder 3 - HospitalBaton Rouge, LAExperience - 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. The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures.
UnitedHealth Group IncHospice RN-Weekend-PRN UnitedHealth Group IncHospice RN-Weekend-PRNBaton Rouge, LAClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. As members of the Optum family of businesses we are dedicated to helping people feel their best including our team members who create meaningful connections with patients their families each other and the communities we serve.
Blue Cross and Blue Shield of LouisianaSenior Clinical Documentation Integrity Specialist Blue Cross and Blue Shield of LouisianaSenior Clinical Documentation Integrity SpecialistBaton Rouge, LAPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._. The Senior Clinical Documentation Integrity Specialist ensures accurate, complete, and compliant clinical documentation that appropriately reflects severity of illness, risk of mortality, and supports correct reimbursement.
LCMC HealthSenior Ambulatory Surgery Facility Coder LCMC HealthSenior Ambulatory Surgery Facility CoderLouisianaWhile 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. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics.
LCMC HealthLead Inpatient DRG Coder LCMC HealthLead Inpatient DRG CoderLouisianaCodes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT.
TriWest Healthcare AllianceSr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerBaton Rouge, LARemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
TriWest Healthcare AllianceClaims Reviewer TriWest Healthcare AllianceClaims ReviewerBaton Rouge, LARemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
TriWest Healthcare AllianceUtilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerBaton Rouge, LARemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Moffatt & NicholDevelopment Manager / Technical Lead for Engineering Consultant Moffatt & NicholDevelopment Manager / Technical Lead for Engineering ConsultantBaton Rouge, LAThe firm provides clients worldwide with customized service and a level of excellence that have become the firm's hallmark in several primary practice areas - ports and harbors; coastal, environmental and water resources; urban waterfronts and marinas; transportation, bridges and rail; inspection and rehabilitation; and energy. As part of the IT Group, the Development Manager / Technical Lead is a highly experienced technical leader and working manager responsible for leading and empowering the development team to deliver high-quality software solutions that align with the firm's objectives.
LCMC HealthSenior HB Coder LCMC HealthSenior HB CoderLouisianaAdditional Job DescriptionThe 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.). 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.
FMOL HealthCoder 2 - Clinic FMOL HealthCoder 2 - ClinicBaton Rouge, LAAssociates 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 codesJob Title: Coder 2 - ClinicJob Summary:To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. 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.
CVS Health CorpInformatics Consultant CVS Health CorpInformatics ConsultantLA$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
Ryder System IncApplication Security Engineer Ryder System IncApplication Security EngineerBaton Rouge, LACompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
MaximusData Conversion Lead MaximusData Conversion LeadBaton Rouge, LAFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
LCMC HealthMedical Collector- Medicare and Managed Medicare LCMC HealthMedical Collector- Medicare and Managed MedicareLouisianaWhile 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. Conduct relevant research to complete the appeals process to include assessing, complete and accurate documentation, tracking, responding to, and / or resolving appeals with third party payers in a timely manner.
FMOL HealthPatient Account Representative 2 - Hospital FMOL HealthPatient Account Representative 2 - HospitalBaton Rouge, LAMakes written and verbal inquiries to third party payers, reconciles patient accounts, and makes payment arrangements in an effort to ensure that patients are free from financial burden and that patient interests are appropriately represented. Reviews patient papers and documentation for reported information accuracy, and researches errors on patient accounts, billing and insurance problems, and lost payments in order to ensure accurate record maintenance and prudent departmental operation.