Explore 2 coder jobs from 2 hiring companies in Grambling, LA, US. Filter by remote, salary, experience, and company, then open any listing to apply.

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Coder Jobs

South Central Louisiana Human Services Authority

Titus Regional Medical Center

Onsite

<h2>About the Department</h2><img src="https://secure.neogov.com/images/AgencyImages/jobposting/1546/jobpostings/image/HSA LOGO.jpg" data-id="null" data-name="HSA LOGO.jpg" alt="Logo of the Northeast Delta Human Services Authority featuring a stylized phoenix and the letters " data-url="https://secure.neogov.com/images/AgencyImages/jobposting/1546/jobpostings/image/HSA LOGO.jpg" style="width: 300px;" class="fr-fic fr-dii" data-uw-rm-alt-original="HSA LOGO.jpg" data-uw-rm-alt="BE"> This is a contract position offering no benefits.&nbsp; <div style="color: inherit; font-style: normal; text-indent: 0px; text-align: center;" data-pasted="true">NORTHEAST DELTA HUMAN SERVICES AUTHORITY MISSION:</div><div style="color: inherit; font-style: normal; text-indent: 0px; text-align: center;">Serve as a catalyst for individuals with mental health, developmental disabilities, and addictive disorders to help them realize their full human potential by offering quality, excellent care with greater accessibility.</div> Northeast Delta Human Services Authority is seeking a candidate to serve as a&nbsp;Certified Billing Coder&nbsp;for the Billing Department and functional interaction with the clinics providing medical billing and coding support for NEDHSA clinics. In general, NEDHSA clinics provides specialized BH outpatient services for substance abuse, mental health, and developmentally disabled as well as primary care services. Services include outpatient and intensive outpatient counseling, evaluation for possible referrals to inpatient facilities, aftercare services, education, tobacco recovery, prevention and consultation as well as primary care services. In addition to outpatient clinics, NEDHSA operates Reaching Independence through Support and Education (R.I.S.E) Treatment Center, which is a residential treatment program for pregnant women with substance use disorders and their dependent children. <h2>Position Duties</h2><undefined>One year of experience in patient coding; OR Registration with the American Health Information Management Association as a Registered Health Information Technician (RHIT), a Certified Coding Specialist (CCS), or a Registered Health Information Administrator (RHIA). </undefined><h2>Other Qualifications</h2>Serves as billing and coder to ensure correct codes are used to bill behavioral health and primary care services per government and insurance regulations. Reviews and verifies documentation supports diagnoses, procedures and treatment results.Analyzes medical billing records and identifies billing and coding deficiencies. Serves as resource and subject matter expert to upper management, billing department and clinical staff. Collaborate with counselors and or physicians on coding matters.Maintain billing and coding fee schedule updating as necessary and keeping the billing department and clinical staff informed of updates with codes and rates per disciplines.Will randomly audit/review a percentage of progress notes for coding accuracy and notify clinical staff of coding/billing discrepancies prior to claims submission.Knowledgeable of coding primary care and outpatient behavioral health records according to CPT-HCPCS and ICD-10 and ICD-11 CM for purpose of reimbursement and compliance with federal regulations according to diagnosis procedure.Comply with medical and coding guidelines and polices.Compile billing errors and distribute to the clinic, tracking billing errors to compile on a spreadsheet, checking the clearinghouse for rejections and denials corrections claims as necessary. Resubmit or appeal denied claims. Check clearinghouses and payer sites for EOB's (Explanation of Benefits) and review for denials. Call insurance if needed to get claims paid. Prepare and print HCFA 1500 paper claims for mailing. Prepare write off list and submit for approval. Complete write-offs process.Maintain a spreadsheet to track credit balances for refunding.Accounts Receivable- Review and keep Accounts Receivables current and up to date. Call on claims that are going into the over 60 day category to see why they aren't paid yet, especially on the Healthy Plans. Present findings at team meetings. Analyzes claims denial data to also track for technical assistance needs. Research denials to determine the reason, and then notify fee setters and or managers of ways to improve and prevent denials in the future. Follow-up to make sure claims that were denied for varied reasons are fixed (if fixable) and flagged for resubmission in the EHR system.May serve as a backup biller which includes Reviewing/monitoring billing batches to troubleshoot and inform clinical staff to correct any errors in the billing batches that would prevent claims from processing. Troubleshoot to get clinical errors resolved involving missing or incorrect diagnosis and service type code errors on progress notes. Notify and request fee setters to fix errors regarding incorrect guarantor information. Follow-up to make sure these fixes are done and that claims are flagged for resubmission.Billing Statements &amp; Office of Debt Recovery (ODR): Run statements monthly. Review statements to make sure QMB clients or others that aren't supposed to get statements do not receive a billing statement. Track accounts to ensure clients receive 3 billing statements prior to sending collection letters. Identify delinquent accounts for non-payment. Prepare 60 and 30 day collection letters for delinquent accounts. Write off accounts to Office of Debt Recovery (ODR) that have received collection letters and been approved. Run Action Code report and reconcile it to the ODR placement file.Contact Information:For further information about this vacancy, contact:Ms. Janesia Raybon, MPA Human Resources Director A Northeast Delta&nbsp;Human Services Authority 2513 Ferrand Street&nbsp; Monroe, LA &nbsp;71201 318-362-4237 (office)

Certified Billing Coder

Billing Coder

One year billing/coding experience or RHIT/CCS/RHIA certification; CPT/HCPCS, ICD-10/11 knowledge; ability to review documentation, audit notes, and manage claims.

<div>Job: Director of Revenue Integrity  
Classification: Exempt/Salaried 
 
Job Summary: 
Leads the Revenue Integrity team (CDM and Fee Schedule), HIM and Coding areas. Responsible for developing reporting and other analytics to identify opportunities or problems, process improvements, and other system changes; responsible for Chargemaster files and fee schedules. Partners with the contracting function with identification of payer issues, payer scorecards and payer meetings in partnership with contracting. Facilitates underpayment recovery processes and trend tracking. Leads denial management mitigation and under-payment efforts across TRMC. Facilitates TRMC Billing and Charging Council meetings and process for new service set-up and/or service charges.  
 
Essential Functions: 
-Facilitates the TRMC Billing and Charging council that oversees and implements new service/business start-up and service/business closures for the organization.  
-Collaborates and aligns with leadership, vendors and staff across the revenue cycle to drive continuous improvement and ensure optimal revenue cycle efficiency and accuracy.  
-Directs and coordinates the activities of Revenue Integrity service operations by mentoring and managing staff for superior performance that exceeds patient and customer expectations.  
-Leads and directs Charge Master and Fee Schedule updates, pricing and maintenance activities. 
-Leads and directs HIM/Coding staff and vendors in the hospital and clinic HIM, coding, CDI, provider charging and coding education and exceptional customer service.  
-Leads and directs under-payment and denial mitigation efforts across TRMC. Including creating presentations to share the results of denial mitigation and underpayment analysis with Revenue Cycle leadership, Revenue Cycle vendor and Contracting.  
-Define and meets revenue cycle performance goals and metrics. Evaluates performance and effectiveness of management, vendors and staff related to the applicable revenue cycle metrics and works to continuously improve performance, outcomes and timely and accurate record processing and coding.  
-Develops partnerships between Revenue Integrity and revenue department heads for the dissemination of regulatory changes to ensure compliance and revenue integrity with government and non-government payers and charge capture requirements.  
-Develops and oversees the delivery of education to revenue cycle, clinical departments and providers on chargemaster and fee schedule updates, Medicare Final Rule, accurate charge capture practices and charge reconciliation.  
-Works collaboratively with Revenue Services staff, Finance and the Clinical Departments to continually analyze billing processes through developing trending, and modeling to ensure accurate and optimal revenue capture.  
-Coordinates and oversees all retrospective, concurrent, internal and external revenue integrity audits.  
-Assists in internal and external audits and ensures that coding activities are compliant with internal and external policies and regulatory standards, budget related performance and department specific functions.  
-Defines and meets revenue integrity performance benchmarks. Evaluates the performance and effectiveness of management and staff against those benchmarks and works continuously to improve performance and outcomes.  
-Provides appropriate levels of coaching to develop individuals/team skills and abilities to drive performance improvement.  
-Develops and implements policies, procedures and training to guide and support service, and ensures orientation and continuing education for all areas of the Revenue Integrity department.  
-Builds a collaborative team culture and ensures a high level of employee engagement and satisfaction.  
-Manages and meets the operating and capital budget for assigned areas and prepares departmental financial, operating and performance variance reports.  
-Reviews facility site needs including occasional onsite visits to proactively provide service and support and assesses the charge master and billing system for opportunities for optimal revenue capture and to incorporate standardized workflows.  
-May provide information and analysis with vendor proposals and negotiations related to charge master compliance review and maintenance tools.  
-Services as a technical resource in developing and documenting routine custom billing system tests, builds, and enhancements that will improve maintenance and/or prevent billing errors.  
-Staff to the Revenue Cycle Steering committee, including development of the agenda, minutes, and project management of the follow-up actions from the committee meetings.  
-Performs other duties assigned. 
-Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare &amp; Medicaid Services (CMS). 
 
Work Experience: 
-10 years in CDM, Fee Schedule, HIM and Coding and/or Revenue Cycle Management highly preferred 
-Excellent reporting capabilities using various IT systems and Google products 
-Excellent written and verbal communication skills because they are responsible for communicating with all levels of management to keep financial operations running smoothly.  
-Analytical skills, as this will play a major role in job.  
-RHIA or RHIT certifications through AHIMA preferred.  
-CPT and IDT-10 coding knowledge or experience preferred.  
 
Education:  
-A bachelor’s degree in Finance or Business-related field or equivalent experience preferred. 
 
Physical Demands and Work Environment    
Lifting/Carrying    Pushing/Pulling                
Lbs.      % Time     Lbs.      % Time    
1-10     34-66      1-10      34-66    
11-20     01-33     11-20      01-33    
21-50     01-33     21-50      01-33    
51-75     01-33     51-75      01-33    
76-100    01-33     76-100    01-33    
 
Movement           % Time    
Bend/Stoop/Twist         1-33    
Crouch/Squat               1-33    
Kneel/Crawl                 1-33    
Reach above Shoulder 1-33       
Reach below Shoulder 1-33    
Repetitive Arm             None    
Repetitive Hand           1-33    
Grasping                     1-33    
Squeezing                   1-33    
Climb Stairs                 None    
Walking Uneven           1-33    
Walking Even               34-66    
 
Environment        % Time    
Indoors              67-100    
Outdoors            1-33    
Extreme Heat      None    
Dusty                 None       
Excessive Noise   1-33    
 
Equipment       % Time    
Motor Vehicles    None    
Foot Pedals         None    
Extreme Heat      None    
Dusty                 None       
Excessive Noise   1-33    
 
Work near         % Time    
Machinery          None    
Electricity          None    
Sharps              0-33    
Chemicals          0-33    
Fumes               0-33    
Heights             None    
 
Vision           
Depth Perception    Required    
&lt; 20"                    Required    
Color                     Not Required    
Peripheral              Required    
 
Endurance       Hours at Once      Total in 12HR    
Sit                                 1                        3    
Stand                             4                       4.5    
Walk                              4                       4.5    
 
   
 
 </div>

Director of Revenue Integrity - Full Time

Director of Revenue Integrity

Leads Revenue Integrity, CDM, HIM and Coding; develops analytics; manages denials; collaborates with Finance and Contracting; oversees audits and service setup.

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Coder Jobs in Grambling, LA, US

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