Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways.
At Ochsner whether you work with patients every day or support those who do you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!
This job researches analyzes and resolves pre-bill errors/edits related to provider based billing and outpatient diagnostic testing. Works closely with the Business Office in researching post billing denials patient inquiries identifies and documents and recommends solutions to the root cause of the problems to improve the overall internal and operational system efficiencies and optimizes revenues. Advises department leadership on HIM and billing issues including soft coding processes to ensure all charges and medical documentations are appropriate and complete.Education
Required -High School diploma or equivalent
Work Experience
Required -Analytical interpretive communication decision-making judgment and technical writing skills
Preferred - Coding review experience in ICD-9-CM / ICD-10-CM
Certifications
Required -Certification from an accredited Billing and Coding trade school OR successful completion of the companys coding intern program
Certified Professional Coding certification required within 6 months of employment (CPC CPC-H CIC CPC-P CANPC CCC CEDC CEMC CGIC CGSC CIRCC or COSC)
Knowledge Skills and Abilities (KSAs)
Job Duties
The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities duties and skills. Other duties may be added or this description amended at any time.
Remains knowledgeable on current 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.
This employer maintains and complies with its Compliance & 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.
The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin protected veteran status or disability status.
Physical and Environmental Demands
The physical essential functions of this job include (but are not limited to) the following: Frequently exerting 10 to 20 pounds of force to move objects; occasionally exerting up to 100 pounds of force. Physical demand requirements are in excess of those for sedentary work. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Because the incumbent works within a healthcare setting there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt transport storage preparation dispensing administration cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.
Are you ready to make a difference Apply Today!
Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.
Please refer to the job description to determine whether the position you are interested in is remote or on-site. 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.
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Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class including protected veterans and individuals with disabilities.
Required Experience:
IC