Job Position: Medical Coder/Biller
Location: Baton Rouge, LA 70806
Pay Rate: $17-$22/hr
Shift: Part Time (~20-25 hours per week) during the hours ofMonday-Friday 8:30a-5:00p
AMMON Healthcare is hiring a Medical Biller/Coder responsible for accurately coding patient encounters, submitting clean claims, managing accounts receivable, and ensuring timely reimbursement. This role requires strong knowledge of CPT, ICD-10, HCPCS, and payer guidelines, with proven experience working in Athenahealth (Athena One) for billing, coding, and claim management.
Key Responsibilities
- Review and code all provider documentation using ICD-10, CPT, and HCPCS with high accuracy.
- Enter and validate charges in Athena; ensure proper linking of diagnoses and procedures.
- Submit clean claims through Athena Collector and resolve claim edits or rejections.
- Manage accounts receivable, including denials, appeals, and follow-up with payers.
- Verify insurance coverage, benefits, and authorization requirements when needed.
- Monitor claim status and correct coding or documentation issues to prevent delays.
- Work closely with providers to clarify documentation and ensure compliant coding.
- Maintain compliance with federal, state, and payer-specific billing regulations.
- Generate reports in Athena for productivity, AR aging, and claim performance.
- Protect patient confidentiality and adhere to HIPAA standards at all times.
Required Qualifications
- Minimum 2 years of medical billing/coding experience in an outpatient or clinic setting.
- Hands-on experience with Athenahealth (AthenaOne) required.
- Strong knowledge of ICD-10, CPT, HCPCS, and payer reimbursement rules.
- Experience with denial management, appeals, and AR follow-up.
- Ability to interpret provider documentation and apply correct codes.
- High attention to detail, accuracy, and time management.
- Strong communication skills and ability to work independently.
Preferred Qualifications
- Certification: CPC, CCA, CCS, or equivalent (preferred but not required).
- Experience with Medicare, Medicaid, and commercial payer billing.
- Knowledge of clinical workflows and documentation improvement.
Work Environment
- Fast-paced outpatient or multi-specialty clinic setting.
- Requires consistent use of Athena EMR, billing dashboards, and claim management tools.
- Collaboration with providers, front desk, and administrative staff.
Performance Expectations
- Maintain 95-98% coding accuracy.
- Keep AR days within organizational benchmarks.
- Resolve claim denials within 7-14 days.
- Submit charges within 24-48 hours of encounter completion.
Louisiana-Specific Billing Requirements
- Must understand Medicaid Bayou Health plans (Healthy Blue, Aetna Better Health, AmeriHealth, LA Healthcare Connections, United).
- Must follow LDI payer rules for clean claims and appeals.