Professional Services Coder II, PRN Tulane UniversityProfessional Services Coder II, PRNNew Orleans, LAMust demonstrate the ability to communicate clearly and professionally, act as a liaison among providers, administrators (DBON) and the coding staff and respond timely and accurately to inquiries. This position is responsible for the timely abstraction and coding of professional surgical services based on provider documentation, ensuring that all services are in compliance with the Tulane University Medical Group Guidelines.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)LA$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Claims Specialist- Liab Crawford & CoClaims Specialist- LiabNew Orleans, LAVerifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves within designed authority, as necessary, during the processing of the claim. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford.
Clinical Documentation Improvement (Cdi) Specialist LCMC HealthClinical Documentation Improvement (Cdi) SpecialistNew Orleans, LASedentary: Very light physical requirements- Sedentary Work- Exerting up to 10 pounds of force occasionally (occasionally means activity or conditions exist up to 1/3 of the work day), and/or, a negligible amount of force frequently (frequently means activity or condition exists from 1/3 to 2/3 of the work day) to lift, carry, push, pull, or otherwise move objects, including the human body. Collaborates with interdisciplinary teams including, but not limited to Physician Advisors (PAD), physicians, nurse practitioners, PA's, mid-level practitioners, and the department managers for Revenue Integrity, Coding, Data Quality, Case Management and Health Information Management.
Clinical Documentation Improvement (CDI) Specialist Louisiana Childrens Medical Center IncClinical Documentation Improvement (CDI) SpecialistNew Orleans, LASedentary: Very light physical requirements- Sedentary Work- Exerting up to 10 pounds of force occasionally (occasionally means activity or conditions exist up to 1/3 of the work day), and/or, a negligible amount of force frequently (frequently means activity or condition exists from 1/3 to 2/3 of the work day) to lift, carry, push, pull, or otherwise move objects, including the human body. Collaborates with interdisciplinary teams including, but not limited to Physician Advisors (PAD), physicians, nurse practitioners, PA's, mid-level practitioners, and the department managers for Revenue Integrity, Coding, Data Quality, Case Management and Health Information Management.
NewSr Hospital Coder- Remote Ochsner Clinic FoundationSr Hospital Coder- RemoteNew Orleans, LouisianaRemoteUtilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment and works closely with management to resolve problems and meet deadlines. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
Physician Coder: Radiology MedKoderPhysician Coder: RadiologyMandeville, LARemoteWith a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Description: Physician Coder: Radiology is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement.
Physician Coder: Multi-Specialty MedKoderPhysician Coder: Multi-SpecialtyMandeville, LARemoteWith a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. We are currently looking for candidates with recent coding experience specializing in the following areas: Multi-specialty Physician Coder withstrong proficiency in E/M leveling (expertise must include teaching physician scenarios, split/shared services, and incident-to billing).
Medical Billing Specialist InclusiveCareMedical Billing SpecialistAvondale, LAEDUCATION/EXPERIENCE: Certificate or diploma in Insurance Billing and Coding an accredited institution; or a minimum of five (5) years direct ambulatory or community health billing related experience and/or training; or equivalent combination of education and experience. Duties will include but is not limited to the following: processing claim denials, verification of insurance/claim status, resubmission of claims, follow up and maintenance of claims, patient assistance with billing issues.
Clinical Data AMS Sr. Consultant DeloitteClinical Data AMS Sr. ConsultantNew Orleans, LA$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
Medical Scribe CVS Health CorpMedical ScribeLA$17–$25.65 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Care Management Associate, Engagement Hub - Work From Home CVS Health CorpCare Management Associate, Engagement Hub - Work From HomeWork At Home-Louisiana, LA$18.50–$38.82 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
Care Management Associate, Engagement Hub CVS Health CorpCare Management Associate, Engagement HubLA$18.50–$31.72 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
Senior Forward Deployed Engineer, ServiceNow Deloitte Touche Tohmatsu LtdSenior Forward Deployed Engineer, ServiceNowNew Orleans, LA$155,600–$306,800 / yearDemonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.
Senior Forward Deployed Engineer, Servicenow DeloitteSenior Forward Deployed Engineer, ServicenowNew Orleans, LA$155,600–$306,800 / yearDemonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.
Wound Care Nurse - RN - Full Time Project RestorixWound Care Nurse - RN - Full TimeNew Orleans, LAWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associate degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
Revenue Cycle Precertification Nurse- LPN- PRN Ochsner Clinic FoundationRevenue Cycle Precertification Nurse- LPN- PRNNew Orleans, LouisianaEven though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. Coordinates with physician and/or staff for appropriate level of care setting and essential clinical documentation to support medical necessity of services ordered and works collaboratively with Case Management to establish level of care for direct admits and inpatient stays.
Medical Director - ENT CVS Health CorpMedical Director - ENTLA$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOLA$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Physician - OB/GYN physician - Women’s Wellness & Menopause Center Ochsner Clinic FoundationPhysician - OB/GYN physician - Women’s Wellness & Menopause CenterNew Orleans, LouisianaEven though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. In cooperation with other members of the department clinical staff, an Ochsner Staff Physician will provide and coordinate patient care by abiding by Ochsner’s core values of Patients First, Integrity, Compassion, Inclusivity, Teamwork and Excellence and The Responsibilities of the Professional Staff To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.