Health Information Coder

State of Louisiana•Monroe, LA

10h•Onsite

About The Position

NORTHEAST DELTA HUMAN SERVICES AUTHORITY MISSION: Serve as a catalyst for individuals with mental health, developmental disabilities, and addictive disorders to help them realize their full human potential by offering quality, excellent care with greater accessibility. Northeast Delta Human Services Authority is seeking an experienced Health Information Coder to provide billing and coding support with minimal instructions and directions. This position is directly supervised by the Administrative Program Manager 2. This position is essential in ensuring correct codes are used to bill behavioral health and primary care services per government and insurance regulations. Analyzes medical billing records and identifies billing and coding deficiencies. Serves as a resource and subject matter expert to upper management, the billing department, and clinical staff.

Requirements

One year of experience in patient coding
Registration with the American Health Information Management Association as a Registered Health Information Technician (RHIT), a Certified Coding Specialist (CCS), or a Registered Health Information Administrator (RHIA).

Responsibilities

Maintains billing and coding fee schedule updates as necessary and keeps the billing department and clinical staff informed of updates with codes and rates per discipline.
Randomly audits/reviews a percentage of progress notes for coding accuracy and notifies clinical staff of coding/billing discrepancies prior to claim submission.
Works claims for the Monroe Clinic: duties include compiling billing and distributing to the clinic, tracking billing errors to complete on a spreadsheet, checking the clearinghouse for rejections and denials, and correcting claims as necessary. Also, resubmits or appeals denied claims.
Reviews and keeps Accounts Receivables current and up to date, calls on claims that are going into the over 60 day category to see why not paid, especially on Healthy Plans, presents finding at team meetings, analyzes claims denial data to track for technical assistance needs, researches denials to determine reason, then notifies fee setters and/or managers of ways to improve and prevent denials in the future, and follows up to makes sure claims that were denied for varied reasons are fixed and flagged for resubmission in the EHR system.
Runs statements monthly, reviews statements to make sure QMB clients or others that aren't supposed to get statements do not receive a billing statement, and tracks accounts to ensure clients receive 3 billing statements prior to sending collection letters.
Identifies delinquent accounts for non-payment and prepares 60- and 30-day collection letters for delinquent accounts.
Writes off accounts to the Office of Debt Recovery (ODR) that have received collection letters and been approved.
Serves as the backup to the Credentialing Specialist position.
May be required to work additional hours outside of the normal workday due to peak workloads and time-sensitive assignments.