Coder Specialist – Dermatology/Rheumatology

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🔥 0 minutes ago

⚜️ Louisiana – Remote

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⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Logo of Ochsner Health

Ochsner Health

10,000+ employees

Founded 1942

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

💰 Grant on 2023-07

Healthcare • Healthcare Insurance • Non-profit

Ochsner Health is a comprehensive healthcare system dedicated to delivering health services to the people of Louisiana, Mississippi, and the Gulf South. Its mission is to serve, heal, lead, educate, and innovate in healthcare. As the largest academic medical center in Louisiana, Ochsner focuses on a clinically-integrated research program aimed at improving community wellness and educating future healthcare leaders. They offer a variety of services, including primary care, urgent care, women's and men's health, digital medicine, and specialized treatments such as cancer care, heart and vascular services, transplants, and more. Ochsner also emphasizes community engagement through partnerships, education, and outreach programs, while fostering an inclusive environment. They are committed to accessibility, patient stories, and transparency in billing and insurance information. Ochsner is a non-profit organization and an equal opportunity employer.

📋 Description

• Review and accurately code professional services, hospital outpatient surgeries/procedures, and observation patients • Maintain conformance with Medicare, Medicaid, and third-party payer guidelines to support accurate reimbursement • Assign ICD-10, CPT, and/or HCPCS codes within established coding guidelines • Review medical documentation and validate that it supports assigned codes • Research patient accounts in response to questions and errors • Meet department productivity and accuracy standards • Communicate with providers to clarify information or request additional documentation • Collaborate with team members and departments to meet monthly goals, including DNFB, Pre-AR, denials, and claim edits • Verify correct discharge disposition when appropriate • Remain knowledgeable about applicable laws, accreditation standards, and regulatory requirements • Report known or suspected unethical, questionable, safety, privacy, or compliance-related concerns

🎯 Requirements

• High School diploma or equivalent • 1 year of coding experience • Must have computer skills and dexterity required for data entry and retrieval of patient information • Effective verbal and written communication skills and ability to present information clearly and professionally • Proficient with Windows-style applications, role-specific software packages, and keyboard • Knowledge of ICD-9-CM, ICD-10, CPT, HCPCS, and coding principles • Decision making, problem solving, analytical, and quality management skills • Must comply with applicable Medicare, Medicaid, third-party payer, federal, state, and local requirements

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