MedKoderNewPhysician 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.
MedKoderNewPhysician 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.
State Of LouisianaHealth Information Coder State Of LouisianaHealth Information CoderMonroe, LA$3,720–$6,703Revies and keeps Accounts Receivables current and up to date, calls on claims that are going into the over 60 day category to see why not paid, especially on Healthy Plans, presents finding at team meetings, analyzes claims denial data to track for technical assistance needs, researches denials to determine reason, then notifies fee setters and/or managers of ways to improve and prevent denials in the future, and follows up to makes sure claims that were denied for varied reasons are fixed and flagged for resubmission in the EHR system. Runs statements monthly, review statements to make sure QMB clients or others that arent supposed to get statements do not receive a billing statement, tracks accounts to ensure clients receive 3 billing statements prior to sending collection letters.
Northern Louisiana Medical CenterCoder (Fulltime) Northern Louisiana Medical CenterCoder (Fulltime)Ruston, LAClassification systems include ICD-10-CM and CPT 2005 edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the Health Information Management Association. The Coder/Abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record.
Central Louisiana Surgical HospitalCoder, 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.
InclusiveCareMedical Assistant III InclusiveCareMedical Assistant IIIAvondale, LAESSENTIAL FUNCTIONS: Clinical Support: Assist in the preparation and examination of patients, including taking vital signs (blood pressure, pulse, temperature, weight). GENERAL SUMMARY OF DUTIES: The Medical Assistant II provides advanced clinical and administrative support to healthcare providers and patients.
CLHG-Acadian LLCMedical Assistant CLHG-Acadian LLCMedical AssistantEunice, LAPart timeSome administrative duties as trained and assigned i.e. Computer applications, Answering Telephones, Greeting patients, Scheduling appointments, Updating and filing patient medical records, Coding and filing out insurance forms, scheduling appointments, arranging for hospital admission and laboratory services, and handling correspondence, billing, and bookkeeping. Welcomes patients and visitors in person or on the telephone, and answering or referring inquiries, in a professional and courteous manner.
LSU Health ShreveportNewCoordinator of Medical Service LSU Health ShreveportCoordinator of Medical ServiceShreveport, LAIncluding but not limited to AHA, AMA, AHIMA, CMS, NCHS, and MLHS specific guidelines) Research billing audits to verify internal policies and procedures including the documentation of follow-up work performed to ensure federal, state, and commercial payer guidelines are followed. Complying with coding guidelines and policies Receiving and reviewing patients'' charts and documents for verification and accuracy Coordinates all aspects of clinical scheduling, payment collections, insurance verification, cancellation and no-show management, appointment confirmation, as well as credentialing and denial management.
TIS International (USA) IncCoding Specialist TIS International (USA) IncCoding SpecialistNew Orleans, LAThis 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.
InfinxCoding Specialist InfinxCoding SpecialistNew Orleans, LAFull timeAbout Our Company:At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physic...
MedKoderPhysician Coding Auditor MedKoderPhysician Coding AuditorMandeville, 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 Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty 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.
MedKoderSales Representative MedKoderSales RepresentativeMandeville, LAFull 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. Sales Presentations: Conduct engaging, high-impact presentations and product demonstrations (virtual and in-person) that clearly articulate the value of our services, using compelling storytelling and data-driven insights to captivate physicians, administrators, coders, and revenue cycle leaders.
Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNew Orleans, LA$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.
Mary Bird Perkins Cancer CenterClaims Analyst Mary Bird Perkins Cancer CenterClaims AnalystBaton Rouge, LAThis culture of innovation helps attract the best cancer minds in the country, from expert physicians and highly specialized scientists to forward-thinking leaders in supportive care and other disciplines. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Lake Charles Memorial Health SystemHIM 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.
Lake Charles Memorial HospitalHIM 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.
FMOL HealthPatient Access Representative 1 - ED (Napoleonville) FMOL HealthPatient Access Representative 1 - ED (Napoleonville)Napoleonville, 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.
Lake Charles Memorial Health SystemNewCharge Analyst (Full Time) Lake Charles Memorial Health SystemCharge Analyst (Full Time)Lake Charles, LAThe ideal candidate should have a solid understanding of CPT, ICD-10 and HCPCS coding, as well as solid communication skills, knowledge in medical terminology, problem solving skills and the ability to function in a fast-paced environment. As 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.
Lake Charles Memorial HospitalNewCharge Analyst (Full Time) Lake Charles Memorial HospitalCharge Analyst (Full Time)Lake Charles, LAThe ideal candidate should have a solid understanding of CPT, ICD-10 and HCPCS coding, as well as solid communication skills, knowledge in medical terminology, problem solving skills and the ability to function in a fast-paced environment. As 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.
DatavantNewInpatient 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.
TriWest Healthcare AllianceProgram 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.
AVALA_18281Billing/Collections Specialist - Full-Time - APN- Physical Therapy - RO22 AVALA_18281Billing/Collections Specialist - Full-Time - APN- Physical Therapy - RO22Covington, LAWorks with Patient Access Reps for all Therapy Offices ensuring that all patients with third party insurance coverage are verified, notified of any insurance limits, required deductibles, co-insurance amounts and their overall patient responsibility and monitors this is being done correctly. Summary Under the direct supervision of the Director of Outpatient Therapy, the Billing/Collections Specialist is responsible for a broad range of billing processes related to managing the unbilled revenue.
FMOL HealthPatient Access Representative 2 - Hospital (Cancer Center) FMOL HealthPatient Access Representative 2 - Hospital (Cancer Center)Baton Rouge, LAThe PAR 2 has numerous procedural requirements, including data elements, insurance verification, and authorization for services; collections for all patient portions including prior balances; and balancing of cash at shift end. The Patient Access Representative 2 (PAR 2) facilitates a welcome and easy access to the facility and is responsible for establishing an encounter for any patient who meets the guidelines for hospital service.
FMOL HealthNewPatient Access Rep - Hospital (P and S Campus) FMOL HealthPatient Access Rep - Hospital (P and S Campus)Monroe, LAUses 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. The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, authorization for services, and balancing of cash.
FMOL HealthPatient Access Representative 1 - Hospital FMOL HealthPatient Access Representative 1 - HospitalBaton Rouge, LAUses 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. The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, authorization for services, and balancing of cash.
CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)LA$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Deloitte Touche Tohmatsu LtdHospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorNew Orleans, LA$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Franciscan Missionaries of Our Lady Health SystemPatient Access Representative 1 - Hospital (Cancer Center) Franciscan Missionaries of Our Lady Health SystemPatient Access Representative 1 - Hospital (Cancer Center)Baton Rouge, LAUses 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. The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, authorization for services, and balancing of cash.
Franciscan Missionaries of Our Lady Health SystemPatient Access Representative 1 - Hospital (9a-5:30p) Franciscan Missionaries of Our Lady Health SystemPatient Access Representative 1 - Hospital (9a-5:30p)Baton Rouge, LAUses 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. The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, authorization for services, and balancing of cash.
Sleep Management, LLCBilling Specialist-Intake Sleep Management, LLCBilling Specialist-IntakeLafayette, LAPart timeEstablishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public. Follow-up with Therapist, Intake Specialist, CSR, and other appropriate parties to collect open billings promptly and to ensure compliance with billing regulations.
CVS Health CorpCare Management Associate, Engagement Hub - Work From Home CVS Health CorpCare Management Associate, Engagement Hub - Work From HomeWork At Home-Louisiana, LA$18.50–$38.82 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
CVS Health CorpCare Management Associate, Engagement Hub CVS Health CorpCare Management Associate, Engagement HubLA$18.50–$31.72 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
Sleep Management, LLCIntake Facility Billing Specialist Sleep Management, LLCIntake Facility Billing SpecialistLafayette, LAPart timeResponsible for reading, signing, and inputting contracts for private facilities/hospice companies, private individuals and/or Government entities for home medical equipment. Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public.
CVS Health CorpNewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, LA$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Willis Knighton Medical CenterBilling & Coding Specialist Willis Knighton Medical CenterBilling & Coding SpecialistShreveport, LAWe have an atmosphere of teamwork that we expect to continue with all new hires as you will work closely with the physicians, managers, nurses, and clerical staff as an integral component, assisting with the daily operations of our clinics. We are seeking an experienced medical and/or dental biller (certified or non-certified).The ideal candidate will have previous experience billing office visits and procedures in an oral maxillofacial clinic.
Deloitte Touche Tohmatsu LtdHospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystNew Orleans, LA$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.