Coder 2 - Clinic

Franciscan Missionaries of Our Lady University • Baton Rouge, LA

54d

About The Position

To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations.

Requirements

• Associates degree, Bachelors degree, or coding certification (CCS or CPC) with 3 years' experience OR 5 years' experience in medical coding without degree or certification
• Thorough knowledge of medical terminology, managed care financial agreements
• Thorough knowledge of CPT-4, HCPC, and ICD-9 codes

Responsibilities

• Research, develops and implements standardized process for quality monitoring of inpatient and outpatient coding and abstracting.
• Conducts quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist.
• Assists Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area.
• Implements innovative ideas and process changes.
• Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics.
• Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students.
• Establishes and maintains interdepartmental relationships with Network providers to facilitate cooperation and compliance.
• Assists the Physician Network, Revenue Management Department and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission.
• Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities of education and process improvement.
• Collaborates with Management to identify and coordinate educational needs based audit results and new technologies.
• Provide support to the Coding and Reimbursement Specialist of monthly statistics and educational programs to staff on a regular basis.
• Provides technical assistance to the Systems Specialist for authorized coding database retrieval and identification and resolution of software and system functionality.
• Performs other duties as assigned or requested.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1-10 employees