NewForensic Medical Coder Ensemble Health PartnersForensic Medical CoderNew Orleans, LARemote$24.65–$27.10Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects.
RN, DRG Coder / Clinical Auditor Pivotal Placement ServicesRN, DRG Coder / Clinical AuditorBaton Rouge, LA$90,000–$104,841 / yearHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals—from staff to leadership—with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.
NewSpecialized Coder - Cardiology, Vascular and CVTS Ensemble Health PartnersSpecialized Coder - Cardiology, Vascular and CVTSBaton Rouge, LARemote$29.75–$32.70Extensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorBossier City, LARemote$57,400–$99,000Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorLafayette, LARemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Medical Coder I Tulane UniversityMedical Coder INew Orleans, LALegally protected demographic classifications (such as a person's race, color, religion, age, sex, national origin, shared ancestry, disability, genetics, veteran status, or any other characteristic protected by federal, state, or local laws) are not relied upon as an eligibility, selection or participation criteria for Tulane's employment or educational programs or activities. If you need assistance in completing an application or during any phase of the interview process, please contact the Office of Human Resources by phone at 504-865-4748 or by email at hr@tulane.edu.
Coder 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.
Physician Coder: Transplant Surgery MedKoderPhysician Coder: Transplant SurgeryMandeville, 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: Transplant Surgery is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement.
Physician Coder: Neurosurgery MedKoderPhysician Coder: NeurosurgeryMandeville, LARemoteMinimum of 5 years of physician coding experience (recent hands-on production) in the specialty of Neurosurgery, specifically for craniotomies, skull defects, shunts, tumors, cerebral/peripheral angiograms, nerve transfers, nerve pedicle transfer, nerve grafts, sutures of the nerves, transections of nerves, RPNI surgery (Regenerative Peripheral Nerve Interface), E/M leveling, and office procedures. With 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.
Physician Coder: Oncology Surgery MedKoderPhysician Coder: Oncology SurgeryMandeville, 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 experience specializing in the following areas: Oncology Surgery coder with expertise in E/M services, as well as surgeries related to the following areas: Breast (and reconstructions), Colorectal, Gynecological, Head/Neck/Throat, Lung, and Urological, to include co-surgeries and assistants.
Physician Coder: Plastic Surgery MedKoderPhysician Coder: Plastic SurgeryMandeville, LARemoteMinimum of 5 years of physician coding experience (recent hands-on production) in the specialty of Plastic Surgery, specifically forbreast reconstruction, Mohs, cosmetic procedures, skin grafts, flaps, tissue transfers, pediatric congenital malformations, and complex surgical cases that involve multiple provider specialties, including E/M leveling and office procedures. With 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.
Physician Coder: Trauma Surgery MedKoderPhysician Coder: Trauma SurgeryMandeville, 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: Trauma Surgery is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement.
Physician Coder: Multi-Specialty Inpatient MedKoderPhysician Coder: Multi-Specialty InpatientMandeville, 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: Multi-Specialty Inpatient is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement.
Lead Coder, Hospital OP Coding LCMC HealthLead Coder, Hospital OP CodingNew Orleans, LACodes 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.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)LA$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Sr Outpatient Coder Houston Methodist HospitalSr Outpatient CoderLAMust have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC).
Lead Inpatient DRG Coder - Remote LCMC HealthLead Inpatient DRG Coder - RemoteNew Orleans, LARemoteCodes 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.
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.
Sr 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: Cardiology MedKoderPhysician Coder: CardiologyMandeville, LARemoteFull timeWith 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: Cardiology is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement.
Inpatient Coder Houston Methodist HospitalInpatient CoderLAHouston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.
Senior Coder - Specialty Surgeries Louisiana Childrens Medical Center IncSenior Coder - Specialty SurgeriesNew Orleans, LACommunicates 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.
Senior Coder - PB Professional Coding - Cardiology Specialty Louisiana Childrens Medical Center IncSenior Coder - PB Professional Coding - Cardiology SpecialtyNew Orleans, LAEssential 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.). 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.
Coder Cardiovascular Institute of the SouthCoderHouma, LouisianaCardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). RHIA, RHIT, CPC, CPC-A, CCA, CCS certification, or cardiology coding experience of 5 years preferred.
Coder Bienville Medical Center Inc.CoderArcadia, LAPart timeThe MR Coder accurately codes hospital procedures for providers to ensure proper reimbursement by the proper assignment of ICD-9-CDM and ICD-10-CDM, HCPCS, and CPT codes. The Medical Records Coder, under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete.
Senior Ambulatory Surgery Facility Coder - Remote LCMC HealthSenior Ambulatory Surgery Facility Coder - RemoteNew Orleans, LARemoteWhile 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.
Senior 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.
Senior Coder - Specialty Surgeries LCMC HealthSenior Coder - Specialty SurgeriesNew Orleans, LACommunicates 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.
Senior Coder - PB Professional Coding - Cardiology Specialty LCMC HealthSenior Coder - PB Professional Coding - Cardiology SpecialtyNew Orleans, LAEssential 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.). 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.
Medical Billing Specialist MONARCH MEDICAL MANAGEMENT LLCMedical Billing SpecialistMetairie, LAMonarch Medical Management, a multispecialty medical management organization, is seeking an experienced Medical Billing Specialist with strong expertise in orthopedics, neurology, pain management, physical therapy, and chiropractic services. Investigate denial causes including coding errors, authorization issues, medical necessity, timely filing, COB, bundling edits, and documentation gaps.
Coding Specialist TIS International (USA) IncCoding SpecialistNew Orleans, LARemoteThis marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S. Summary Description: The Medical Coder assigns accurate diagnosis and procedure codes for inpatient, outpatient, and ambulatory encounters including clinic visits, ambulatory surgery, observation, emergency department, and ancillary services. Resolve coding-related claim rejections and denials by reviewing payer responses, applying corrected codes or modifiers, providing supporting documentation, and following claims through to resolution.
Coding Specialist InfinxCoding SpecialistNew Orleans, LARemoteThis marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S. Summary Description: The Medical Coder assigns accurate diagnosis and procedure codes for inpatient, outpatient, and ambulatory encounters including clinic visits, ambulatory surgery, observation, emergency department, and ancillary services. Resolve coding-related claim rejections and denials by reviewing payer responses, applying corrected codes or modifiers, providing supporting documentation, and following claims through to resolution.
HIM Coding Tech II (Full Time) Lake Charles Memorial Health SystemHIM Coding Tech II (Full Time)Lake Charles, LAAs a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Codes Inpatient, Observation and Same Day Surgery (SDS) charts using ICD10-CM and CPT coding guidelines.
PB Cardiac Coding Educator/Auditor -Cardiac- Remote LCMC HealthPB Cardiac Coding Educator/Auditor -Cardiac- RemoteNew Orleans, LARemoteIdentifies potential areas of compliance vulnerability and risk, develops and identifies potential corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future. 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.
HIM Coding Tech II (Full Time) Lake Charles Memorial HospitalHIM Coding Tech II (Full Time)Lake Charles, LAAs a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. DESCRIPTION OF POSITION: Codes Inpatient, Observation and Same Day Surgery (SDS) charts using ICD10-CM and CPT coding guidelines.
Physician Coding Auditor MedKoderPhysician Coding AuditorMandeville, 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. Candidates ideally have recent auditing experience specializing in some of the following profee areas:Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, Peds NICU/PICU, and FQHC/RHC.
Coding Quality Auditor Houston Methodist HospitalCoding Quality AuditorLAHouston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.
Ambulatory Payment Classification Coordinator Houston Methodist HospitalAmbulatory Payment Classification CoordinatorLAMust have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC) • CPC-H - Certified Professional Coder - Hospital (AAPC) • CPC-I - Certified Professional Coder Instructor (AAPC) • CPC-A - Certified Professional Coder Associate (AAPC) • CCC - Certified Cardiology Coder (AAPC) • COC - Certified Outpatient Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC) •CPC-H - Certified Professional Coder - Hospital (AAPC) •CPC-I - Certified Professional Coder Instructor (AAPC) •CPC-A - Certified Professional Coder Associate (AAPC) •CCC - Certified Cardiology Coder (AAPC) •COC - Certified Outpatient Coder (AAPC).
NewCharge Master Analyst Sutter HealthCharge Master AnalystLA$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Patient Access Representative - Scott ED (Full Time, Nights) FMOL HealthPatient Access Representative - Scott ED (Full Time, Nights)Scott, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
Patient Access Representative - Scott ED (Full Time, Weekends) FMOL HealthPatient Access Representative - Scott ED (Full Time, Weekends)Scott, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
Patient Access Representative 1 - ED (7a-7p) FMOL HealthPatient Access Representative 1 - ED (7a-7p)Baton Rouge, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
Patient Access Representative 1 - ED (7p-7a) FMOL HealthPatient Access Representative 1 - ED (7p-7a)Baton Rouge, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
Patient Access Representative 1 - ED (North BR) FMOL HealthPatient Access Representative 1 - ED (North BR)Baton Rouge, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
NewClinical Documentation Improvement Specialist II SCP HealthClinical Documentation Improvement Specialist IILafayette, LouisianaWith a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care. To advise and educate Emergency Medicine, Hospital Medicine, Critical Care Medicine, Telemedicine, and Urgent Care internal and external clients (clinicians/facility/operations) on current documentation/coding requirements via phone, webinar, and/or in person for a minimum portfolio of 30 diverse contracts.
Sales Representative MedKoderSales RepresentativeMandeville, LAWith 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. Sales Presentations: Conduct engaging, high-impact presentations and product demonstrations (virtual and in-person) that clearly articulate the value of our services, using compelling storytelling and data-driven insights to captivate physicians, administrators, coders, and revenue cycle leaders.
Auditor, Risk Adjustment Oscar Health InsuranceAuditor, Risk AdjustmentArizona, LARemote$82,717–$108,566 / yearResponsibilities: Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts. Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNew Orleans, LA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
NewSenior Coding Educator HumanaSenior Coding EducatorShreveport, LouisianaRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystBaton Rouge, LARemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.