Coder Senior (30-hours) - Remote

100 LCMC Health; New Orleans (LA); Remote; USD 60,000 - 100,000; Full time

Job summary

An established healthcare provider seeks a skilled Coder Senior to ensure accurate coding of inpatient and outpatient records across various specialties. This pivotal role involves applying ICD-10-CM/PCS and CPT codes, validating charges, and collaborating with clinical staff to resolve documentation issues. The ideal candidate will possess a strong understanding of medical terminology, coding regulations, and reimbursement practices. If you are passionate about healthcare and coding, this opportunity offers a chance to make a significant impact in a supportive and inclusive environment, contributing to the mission of delivering exceptional care to the community.

Qualifications

• 2 years of coding experience in outpatient and inpatient settings required.
• Knowledge of coding guidelines and regulations is essential.

Responsibilities

• Apply appropriate diagnostic and procedural codes for inpatient and outpatient records.
• Communicate effectively with clinical staff regarding documentation issues.

Skills

ICD-10-CM/PCS coding

CPT coding

Medical terminology

Analytical skills

Interpersonal communication

Problem-solving skills

Knowledge of reimbursement regulations

Education

High School Diploma or GED

Associate's Degree in Health Information Management

Tools

Encoding/grouping software

Standard desktop and Windows-based systems

Job description

Coder Senior (30-hours) - Remote

Coder Senior (30-hours) - Remote

Your job is more than a job

The Coding Senior will be responsible for applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of inpatient 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.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I.

Your Everyday

• 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.
• Validates charges by comparing charges with health record documentation as necessary.
• 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.
• Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems.
• Tracks issues (i.e. missing documentation, charges, and physician queries) that require follow-up to facilitate coding in a timely fashion.
• Consistently meets or exceeds coding quality and productivity standards established by the coding department.
• Adheres to LCMC confidentiality requirements as they relate to the release of any individual or aggregate patient information.
• Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
• Performs other duties as assigned by leadership.
• Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

The Must-Haves

Minimum:

EXPERIENCE QUALIFICATIONS

2 years experience as an outpatient and inpatient hospital or clinic coder is required.

EDUCATION QUALIFICATIONS

High School Diploma, GED or equivalent or appropriate work experience in medical coding is required.

Preferred:

An Associate's Degree in HIM or similar degree is preferred.

Completion of AHIMA Approved coding program or AAPC coding program is preferred.

LICENSES AND CERTIFICATIONS

A certification in the following areas is also preferred:

Registered Health Information Technician from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA

Registered Health Information Administrator from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA

Certified Coding Specialist from the Commission on Certification for Health Informatics and Information Management (CCHIIM)

SKILLS AND ABILITIES

Comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge description master for charging functions.

Must possess knowledge of third party reimbursement regulations and billing practices.

Experience utilizing encoding/grouping software.

Ability to use standard desktop and windows based computer system, including basic understanding of email, internet, and computer navigation.

High ethical standards.

Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.

Experience in ICD-10-CM/PCS coding and reimbursement training.

Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.

Knowledge of hospital and professional coding including provider based billing.

Knowledge of documentation regulations of Joint Commission and CMS.

Experience with concurrent coding reviews.

Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices.

Experience in assisting and identifying learning needs as well as providing training to coding staff.

Strong analytical abilities and problem-solving skills.

Excellent oral, written and interpersonal communication skills.

Ability to organize and set priorities to ensure objectives are met in a timely manner.

Ability to adapt to change and handle challenges proactively and with poise.

Ability to effectively collaborate with physicians and managerial staff at all levels.

WORK SHIFT:

Days (United States of America)

LCMC Health is a community.

Our people make health happen. 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. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary.

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.