Revenue Cycle Coding Coordinator - Remote

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job researches, analyzes and resolves pre-bill errors/edits related to provider based billing and outpatient diagnostic testing. Works closely with the business office in researching post billing denials, patient inquiries, identifies and documents, and recommends solutions to the root cause of the problems to improve the overall internal and operational system efficiencies and optimizes revenues. Advises department leadership on HIM and billing issues including soft coding processes to ensure all charges and medical documentations are appropriate and complete.
Education

Required - High school diploma or equivalent.

Work Experience

Required - None.

Preferred - Coding review experience in ICD-9-CM / ICD-10-CM.

Certifications

Required - Certification from an accredited billing and coding trade school;

OR

Successful completion of the company's coding intern program.

Certified Professional Coding certification required within 6 months of employment (CPC, CPC-H, CIC, CPC-P, CANPC, CCC, CEDC, CEMC, CGIC, CGSC, CIRCC or COSC).

Knowledge Skills and Abilities (KSAs)

• Proficiency in using computers, software, and web-based applications.
• Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout required job processes.
• Analytical, interpretive, decision-making, judgment and technical writing skills.
• Leadership, interpersonal and time management skills and ability to prioritize, organize and coordinate multiple areas and assignments under fast-paced, changing conditions and constant interruptions to meet deadlines.
• Ability to be self-directed, work with minimal or no supervision, and maintain confidentiality.
• Deductive reasoning skills and ability to anticipate issues that adversely impact the function of the department and to solve problems.
• Ability to be detail oriented and develop and facilitate presentations, seminars, and workshops.
• Ability to work evenings, weekends, holidays, and extended shifts and travel throughout and between facilities as needed.

Job Duties

• Resolves or coordinates the resolution of pre-bill edits, post-bill denials and patient inquiries on a timely basis related to limited outpatient accounts such as provider-based billing and outpatient diagnostic testing in Epic and X-claim.
• Resolves and provides education and feedback to billing and follow-up team to continuously reduce the number of edits.
• Plans, organizes, and prioritizes work, maintains department quality assurance and productivity standard, and exhibits continuous improvement of knowledge related to coding edits.
• Reviews policies, procedures, and practices for compliance with established legal standards and state guidelines and ensures that all work complies with standard departmental procedures and guidelines.
• Manages professional development and completes special projects as assigned.
• Performs other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental 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 accommodations may be made to enable individuals with disabilities to perform the essential functions.

Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. 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. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

The incumbent has no occupational risk for exposure to communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Individuals who reside in and will work from the state of Colorado are not eligible for remote work position.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or [email protected]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

EEO is the Law links in English, Spanish, Chinese, and Arabic.

Affirmative Action Policy Statement