Revenue Cycle Coding Coordinator- Ochsner Health- Remote

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate.  We believe 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 company's 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)

• Must have computer skills and dexterity required for data entry and retrieval of required job information.
• Must be proficient with Windows-style applications and keyboard.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout required job processes.
• Analytical, interpretive, communication, decision-making, judgment and technical writing skills.
• Leadership, interpersonal and time management skills including the ability to prioritize, organize and coordinate multiple areas and assignments under fast-paced, changing conditions and constant interruptions to meet deadlines.
• Self-directed including the ability to work with minimal or no supervision and maintain confidentiality.
• Deductive reasoning skills to anticipate issues that adversely impact the function of the department and to solve problems.
• Detail oriented with the ability to develop and facilitate presentations, seminars, and workshops.
• Ability to work evenings, weekends, holidays, and extended shifts as needed.
• Ability to travel throughout and between facilities as needed.

Job Duties

• Resolves or coordinates the resolution of pre-bill edits, post-bill denials and patient inquiries on a timely basis related to limited outpatient accounts such as provider-based billing and outpatient diagnostic testing in Epic and X-claim.
• Resolves and provides education and feedback to Billing and Follow-up team to continuously reduce the number of edits.
• Plans, organizes, and prioritizes work, maintains department QA and productivity standard, and exhibits continuous improvement of knowledge related to coding edits.
• Reviews policies, procedures, and practices for compliance with established legal standards and state guidelines and ensures that all work complies with standard departmental procedures and guidelines.
• Assumes responsibility for professional development and completes special projects as assigned.
• Other related duties as required.

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 pr