NewRN, DRG Coder / Clinical Auditor Pivotal Placement ServicesRN, DRG Coder / Clinical AuditorBaton Rouge, LA$90,000–$104,841 / yearHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals—from staff to leadership—with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.
Medical Coder II Tulane UniversityMedical Coder IINew Orleans, LALegally protected demographic classifications (such as a person's race, color, religion, age, sex, national origin, shared ancestry, disability, genetics, veteran status, or any other characteristic protected by federal, state, or local laws) are not relied upon as an eligibility, selection or participation criteria for Tulane's employment or educational programs or activities. REQUIRED BACKGROUND CHECK, PHYSICAL, AND DRUG SCREENING FOR INCUMBENTS WHO HAVE CONTACT OR EXPOSURE TO ANIMALS OR ANIMAL TISSUES: Selected candidates must complete and pass a background check and an occupational health screening as a condition of employment.
Medical Coder I Tulane UniversityMedical Coder INew Orleans, LALegally protected demographic classifications (such as a person's race, color, religion, age, sex, national origin, shared ancestry, disability, genetics, veteran status, or any other characteristic protected by federal, state, or local laws) are not relied upon as an eligibility, selection or participation criteria for Tulane's employment or educational programs or activities. If you need assistance in completing an application or during any phase of the interview process, please contact the Office of Human Resources by phone at 504-865-4748 or by email at hr@tulane.edu.
Coder 3 - Hospital FMOL HealthCoder 3 - HospitalBaton Rouge, LAExperience - RHIT/RHIA plus 5 years of acute care coding experience, or RHIT/RHIA with ICD-10 curriculum plus 3 years of acute care coding experience, or 7 years acute care coding experience; CCS substitutes for 1 year of acute care coding experience. The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures.
Physician Coder: Transplant Surgery MedKoderPhysician Coder: Transplant SurgeryMandeville, LARemoteFull timeWith a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Description: Physician Coder: Transplant Surgery is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement.
Physician Coder: Oncology Surgery MedKoderPhysician Coder: Oncology SurgeryMandeville, LARemoteFull timeWith a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. We are currently looking for candidates with experience specializing in the following areas: Oncology Surgery coder with expertise in E/M services, as well as surgeries related to the following areas: Breast (and reconstructions), Colorectal, Gynecological, Head/Neck/Throat, Lung, and Urological, to include co-surgeries and assistants.
Physician Coder: Neurosurgery MedKoderPhysician Coder: NeurosurgeryMandeville, LARemoteFull timeMinimum of 5 years of physician coding experience (recent hands-on production) in the specialty of Neurosurgery, specifically for craniotomies, skull defects, shunts, tumors, cerebral/peripheral angiograms, nerve transfers, nerve pedicle transfer, nerve grafts, sutures of the nerves, transections of nerves, RPNI surgery (Regenerative Peripheral Nerve Interface), E/M leveling, and office procedures. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work.
Physician Coder: Plastic Surgery MedKoderPhysician Coder: Plastic SurgeryMandeville, LARemoteFull timeMinimum of 5 years of physician coding experience (recent hands-on production) in the specialty of Plastic Surgery, specifically forbreast reconstruction, Mohs, cosmetic procedures, skin grafts, flaps, tissue transfers, pediatric congenital malformations, and complex surgical cases that involve multiple provider specialties, including E/M leveling and office procedures. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work.
Physician Coder: Trauma Surgery MedKoderPhysician Coder: Trauma SurgeryMandeville, LARemoteFull timeWith a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Description: Physician Coder: Trauma Surgery is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement.
Sr Outpatient Coder Houston Methodist HospitalSr Outpatient CoderLAMust have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC).
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)LA$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
NewCoder Bienville Medical Center, Inc.CoderArcadia, LAPart timeThe MR Coder accurately codes hospital procedures for providers to ensure proper reimbursement by the proper assignment of ICD-9-CDM and ICD-10-CDM, HCPCS, and CPT codes. The Medical Records Coder, under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete.
Professional Services Coder II, PRN Tulane UniversityProfessional Services Coder II, PRNNew Orleans, LAMust demonstrate the ability to communicate clearly and professionally, act as a liaison among providers, administrators (DBON) and the coding staff and respond timely and accurately to inquiries. This position is responsible for the timely abstraction and coding of professional surgical services based on provider documentation, ensuring that all services are in compliance with the Tulane University Medical Group Guidelines.
Sr Hospital Coder- Remote Ochsner Health SystemSr Hospital Coder- RemoteJefferson, LARemoteUtilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment and works closely with management to resolve problems and meet deadlines. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
Physician Coder: Cardiology MedKoderPhysician Coder: CardiologyMandeville, LARemoteFull timeWith a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Description: Physician Coder: Cardiology is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement.
Inpatient Coder Houston Methodist HospitalInpatient CoderLAHouston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.
Coder, Health Information Management Central Louisiana Surgical HospitalCoder, Health Information ManagementAlexandria, LAWhile performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Notifies Director immediately of any potential problems involving coding, charges, equipment failures or other issues that could impact productivity.
Senior Coder - Specialty Surgeries Louisiana Childrens Medical Center IncSenior Coder - Specialty SurgeriesNew Orleans, LACommunicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers.
Senior Coder - PB Professional Coding - Cardiology Specialty Louisiana Childrens Medical Center IncSenior Coder - PB Professional Coding - Cardiology SpecialtyNew Orleans, LAEssential Function: The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding.
Coder Cardiovascular Institute of the SouthCoderHouma, LouisianaCardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). RHIA, RHIT, CPC, CPC-A, CCA, CCS certification, or cardiology coding experience of 5 years preferred.
Senior Ambulatory Surgery Facility Coder LCMC HealthSenior Ambulatory Surgery Facility CoderLouisianaWhile 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. 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.
Medical Billing Specialist MONARCH MEDICAL MANAGEMENT LLCMedical Billing SpecialistMetairie, LAMonarch Medical Management, a multispecialty medical management organization, is seeking an experienced Medical Billing Specialist with strong expertise in orthopedics, neurology, pain management, physical therapy, and chiropractic services. Investigate denial causes including coding errors, authorization issues, medical necessity, timely filing, COB, bundling edits, and documentation gaps.
NewCoding Specialist InfinxCoding SpecialistNew Orleans, LARemoteFull timeThe Medical Coder assigns accurate diagnosis and procedure codes for inpatient, outpatient, and ambulatory encounters including clinic visits, ambulatory surgery, observation, emergency department, and ancillary services. Resolve coding-related claim rejections and denials by reviewing payer responses, applying corrected codes or modifiers, providing supporting documentation, and following claims through to resolution.
NewCoding Specialist TIS International (USA) IncCoding SpecialistNew Orleans, LARemoteThis marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S. Summary Description: The Medical Coder assigns accurate diagnosis and procedure codes for inpatient, outpatient, and ambulatory encounters including clinic visits, ambulatory surgery, observation, emergency department, and ancillary services. Resolve coding-related claim rejections and denials by reviewing payer responses, applying corrected codes or modifiers, providing supporting documentation, and following claims through to resolution.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorLA$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
HIM Coding Tech II (Full Time) Lake Charles Memorial Health SystemHIM Coding Tech II (Full Time)Lake Charles, LAAs a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Codes Inpatient, Observation and Same Day Surgery (SDS) charts using ICD10-CM and CPT coding guidelines.
HB Coding Auditor/Educator - Remote Ochsner Health SystemHB Coding Auditor/Educator - RemoteShreveport, LARemoteEven though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users.
Inpatient Hospital Coding Auditor/Educator- Remote Ochsner Clinic FoundationInpatient Hospital Coding Auditor/Educator- RemoteShreveport, LouisianaRemoteEven though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. Required – Certification as Registered Health Information Administrator, Registered Health Information Technician, Certified Coding Specialist, Certified Coding Specialist-Physician based, Certified Professional Coder, Licensed Practical Nurse, OR Registered Nurse.
HIM Coding Tech II (Full Time) Lake Charles Memorial HospitalHIM Coding Tech II (Full Time)Lake Charles, LAAs a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. DESCRIPTION OF POSITION: Codes Inpatient, Observation and Same Day Surgery (SDS) charts using ICD10-CM and CPT coding guidelines.
Coding Quality Auditor Houston Methodist HospitalCoding Quality AuditorLAHouston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.
Ambulatory Payment Classification Coordinator Houston Methodist HospitalAmbulatory Payment Classification CoordinatorLAMust have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC) • CPC-H - Certified Professional Coder - Hospital (AAPC) • CPC-I - Certified Professional Coder Instructor (AAPC) • CPC-A - Certified Professional Coder Associate (AAPC) • CCC - Certified Cardiology Coder (AAPC) • COC - Certified Outpatient Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC) •CPC-H - Certified Professional Coder - Hospital (AAPC) •CPC-I - Certified Professional Coder Instructor (AAPC) •CPC-A - Certified Professional Coder Associate (AAPC) •CCC - Certified Cardiology Coder (AAPC) •COC - Certified Outpatient Coder (AAPC).
NewPatient Access Representative - Scott ED (Full Time, Nights) FMOL HealthPatient Access Representative - Scott ED (Full Time, Nights)LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
NewPatient Access Representative 1 - ED (7a-7p) FMOL HealthPatient Access Representative 1 - ED (7a-7p)Baton Rouge, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
NewPatient Access Representative - Main Campus ED (PRN) FMOL HealthPatient Access Representative - Main Campus ED (PRN)Lafayette, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
NewPatient Access Representative - Scott ED (Full Time, Weekends) FMOL HealthPatient Access Representative - Scott ED (Full Time, Weekends)LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
Patient Access Representative 1 - ED (7p-7a) FMOL HealthPatient Access Representative 1 - ED (7p-7a)Baton Rouge, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
Patient Access Representative 1 - ED (North BR) FMOL HealthPatient Access Representative 1 - ED (North BR)Baton Rouge, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
NewCharge Master Analyst Sutter HealthCharge Master AnalystLA$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Billing & Coding Specialist Willis Knighton Medical CenterBilling & Coding SpecialistShreveport, LAExcellent communication skills are a must, as the coder will work closely with the physicians, managers, nurses and clerical staff as an integral part of the team. If you are interested in becoming a team member within one of the largest healthcare systems and physician networks in Louisiana, please apply here.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistLA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Senior Coding Educator Humana IncSenior Coding EducatorLARemote$71,100–$97,800 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Patient Access Representative - ED (PRN) Franciscan Missionaries of Our Lady Health SystemPatient Access Representative - ED (PRN)Lafayette, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
Patient Access Representative - ED (Full-Time, Days) Franciscan Missionaries of Our Lady Health SystemPatient Access Representative - ED (Full-Time, Days)Lafayette, LAThe Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker''s compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN''s, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration.
NewCoding Auditor - Partner SCP HealthCoding Auditor - PartnerLafayette, LouisianaWith a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care. Perform multi-specialty quality reviews as deemed necessary by leadership to include audits and edits as quality issues/concerns are identified (facility, coder, procedure, other operational statistic, provider, query, etc.).
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Baton Rouge, LARemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTBaton Rouge, LARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusBaton Rouge, LARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
NewProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTBaton Rouge, LARemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewProgram Integrity SURS Clinician State Of LouisianaProgram Integrity SURS ClinicianBaton Rouge, LADevelop cases while conferring with staff from the Centers for Medicare and Medicaid (CMS), Federal Bureau of Investigations (FBI), Medicaid Fraud Control Unit (MFCU), Office of Inspector General (OIG), United States Attorney and other governmental agencies participating in the review/investigations. Interpret claims and encounter histories by utilizing professional clinical publications such as the Current Procedural Terminology (CPT) manuals and companion guides, Healthcare Common Procedure Coding System (HPCS) and International Classification of Diseases (ICD) books.
NewRevenue Cycle Specialist - Lab LED FastStartRevenue Cycle Specialist - LabBaton Rouge, LAThis position is responsible for ensuring accurate front-end processes for laboratory patients-including registration, insurance verification, and medical necessity/ABN workflows-while also supporting downstream billing, coding, reimbursement, and denial management. The role requires a strong understanding of lab operations, CPT/HCPCS and ICD-10 coding, ABN regulations, payer policies, and the communication skills necessary to collaborate with physicians and clinical staff.