Revenue Cycle- Coding Coordinator- Remote

Ochsner Clinic Foundation•New Orleans, LA

14h•Remote

About The Position

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.

Requirements

High school diploma or equivalent.
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-A, CPC-H, CIC, CPC-P, CANPC, CCC, CEDC, CEMC, CGIC, CGSC, CIRCC or COSC).
Employee holding a CPC-A (Apprentice) designation are considered certified and must obtain removal of the apprentice status upon meeting AAPC experience requirements.
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.
Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

Nice To Haves

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

Responsibilities

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.
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.