Coder 2 – Patient Financial Services

Job not on LinkedIn

November 27

🎸 Mississippi – Remote

Although this job is listed in Mississippi, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

🦅 H1B Visa Sponsor

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Franciscan Missionaries of Our Lady Health System

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Healthcare • Non-profit • Social Impact

Franciscan Missionaries of Our Lady Health System is one of the largest healthcare systems in Louisiana, serving over half of the state's population and the largest metropolitan area in Mississippi. This non-profit, Catholic organization offers a comprehensive range of healthcare services through its network of hospitals, clinics, and physicians, focusing on quality patient care, community health, and education. Headquartered in Baton Rouge, Louisiana, the mission of the organization is to provide excellence in health services and to care for the sick across Louisiana and Mississippi.

10,000+ employees

Founded 1911

🤝 Non-profit

🌍 Social Impact

📋 Description

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

🎯 Requirements

• Associates degree, Bachelor's 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