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Senior Ambulatory Surgery Facility Coder - Remote

Roles & Responsibilities

  • High School Diploma/GED or equivalent with 3 years of work experience, or Associate’s degree with 1 year of experience, or Diploma/Certification in Coding with 1 year of experience
  • Preferred: Associate's Degree in Health Information Management (HIM) or completion of AHIMA- or AAPC-approved coding program
  • Certifications: RHIT, RHIA, or CCS (preferred) from AHIMA/CCHIIM
  • Basic knowledge of ICD-10-CM/PCS, CPT/HCPCS, MS-DRG/APC coding principles; medical terminology; PPS methodology for inpatient and outpatient encounters; and ability to navigate EHR/billing systems

Requirements:

  • Assign ICD-10-CM/PCS and CPT/HCPCS codes to reflect services provided for emergency, outpatient, inpatient, and ancillary encounters, including charging
  • Review coding claim edits and denials; process edits, denials, and appeals according to guidelines
  • Ensure compliance with federal/state/local laws, accreditation standards, and payer requirements; maintain privacy and confidentiality
  • Participate in the Coding Training Program and meet productivity and accuracy milestones while utilizing EHR/billing software

Job description

Your job is more than a job

The Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist.

Your Everyday

GENERAL DUTIES

Coding and Computer Related Knowledge:

  • Gains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and HCPCS codes to reflect services provided. Also implements knowledge of software programs related to EHR coding and billing.

Regulatory and Payer Knowledge:

  • Implements knowledge of 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. Follows compliance requirements for Medicare and/or other third-party payers.

Claim Edits, Denials and Follow-Up Knowledge:

  • Reviews coding claim edits and denials for assigned charts and processes coding claim edits, denials and appeals according to guidelines.

Productivity and Accuracy:

  • Meets productivity, accuracy competencies and learning milestones as outlined in the program.

Participation and Engagement:

  • Participates in the Coding Training Program.

Privacy, Confidentiality and Standards of Conduct:

  • Complies with the organization's compliance and 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.

The Must-Haves

EDUCATION/EXPERIENCE QUALIFICATIONS

  • Required: High School Diploma/GED or equivalent and 3 years of work experience, or Associate’s and 1 year of experience, or Diploma/Certification in Coding and 1 year of experience.
  • Preferred: Associate's Degree in HIM or similar or Completion of AHIMA Approved coding program or AAPC coding program.

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

  • Basic knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines
  • Basic knowledge of medical terminology, anatomy and physiology, diagnostic, and procedural coding (PCS /CPT) and MS-DRG or APC grouping and components of charge description master for charging functions as needed.
  • Basic knowledge of Prospective Payment System (PPS) methodology for inpatients; knowledge of payment methodology for outpatient, ambulatory and/or provider-based clinic encounters.
  • Ability to use standard desktop and windows-based computer system, including basic understanding of email, internet, and computer navigation.
  • Excellent oral, written and interpersonal communication skills.
  • System Knowledge - 3M 360 Encoding and Grouping Software, EPIC HB or PB Coding modules.
  • Basic knowledge of documentation regulations for inpatient, outpatient or ambulatory records.

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

Your extras

  • Deliver healthcare with heart. 
  • Give people a reason to smile. 
  • Put a little love in your work. 
  • Be honest and real, but with compassion.  
  • Bring some lagniappe into everything you do. 
  • Forget one-size-fits-all, think one-of-a-kind care. 
  • See opportunities, not problems – it’s all about perspective. 
  • Cheerlead ideas, differences, and each other. 
  • Love what makes you, you - because we do

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.

 

Simple things make the difference. 

1.    To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 

2.    To ensure quality care and service, we may use information on your application to verify your previous employment and background.  

3.    To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 

4.    To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States. 

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