Senior Ambulatory Surgery Facility Coder

🕒 February 17

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

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Logo of LCMC Health

LCMC Health

10,000+ employees

We believe a hospital should actually be hospitable.

📋 Description

• 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. • 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.

🎯 Requirements

• 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. • 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. • System Knowledge - 3M 360 Encoding and Grouping Software, EPIC HB or PB Coding modules.

🏖️ Benefits

• 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.

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