Ochsner Health

Introduction:

Ochsner Health is a system that delivers health to the people of Louisiana, Mississippi and the Gulf South with a mission to Serve, Heal, Lead, Educate and Innovate. Ochsner Health is a not-for-profit committed to giving back to the communities it serves through preventative screenings, health and wellness resources and partnerships with innovative organizations that share our vision. Ochsner Health healed more than 876,000 people from across the globe in 2019, providing the latest medical breakthroughs and therapies, including digital medicine for chronic conditions and telehealth specialty services. Ochsner Health is a national leader, named the top hospital in Louisiana and a top children’s hospital by U.S. News & World Report. As Louisiana’s leading healthcare educator, Ochsner Health and its partners educate thousands of healthcare professionals annually. Ochsner Health is innovating healthcare by investing in new technologies and research to make world-class care more accessible, affordable, convenient and effective. Ochsner’s team of more than 26,000 employees and 4,500 providers are working to reinvent the future of health and wellness in the region. To learn more about Ochsner Health, please visit www.ochsner.org. To transform your health, please visit www.ochsner.org/healthyyou.

Job Description:

The HIM Internal Consultant leads, manages and/or participates in all related management aspects of assigned project(s) and ensures that project-related training and quality assurance requirements are assessed and implemented. Assumes responsibility for the oversight of internal consulting projects to ensure that results provide timely, accurate and compliant recommendations to management. Assumes responsibility for audits; training and implementation; develops and maintains processes with strict adherence to timeframes; and develops, implements and maintains educational and training programs for employees to ensure competency in all aspects of job duties, including compliance with all applicable regulatory agencies.

Required Qualifications:

Education
Required – High School diploma or equivalent
Preferred – Bachelor’s degree in a related field or an advanced degree in Finance, Accounting, Business/Health Administration
Advanced degree in Finance, Accounting, Business, Healthcare Administration or related field

Work Experience
Required – 10 years related professional experience OR 5 years related professional experience with a Bachelor’s degree

Certifications
Preferred – Related professional certification (e.g. CIA, CPA, CISA, CPC; CCS, etc.)

Apply Online: https://ochsner.wd1.myworkdayjobs.com/Ochsner/job/Jefferson—New-Orleans-Region—Louisiana/HIM-Internal-consultant—Days—Full-Time_REQ_00092354

Our Lady of The Lake Regional Medical Center

Job Description:

The Coder 2- Hospital abstracts all Emergency procedures utilizing the International Classification of Disease, Clinical Modifications (ICD-9-CM) system and the Current Procedure Terminology (CPT-4)/HCPCS guidelines for code assignments. Determines and enters charges for ER facility procedures and ER visit levels.

Job Duties

• Reviews medical record documentation to validate procedure charge indicated by nursing staff and accurately enters charges for procedure selected on chart ticket.
• Accurately assigns appropriate procedure codes to emergency room patient records using ICD-9-CM system and CPT-4/HCPCS coding guidelines
• Using 3M system, abstracts data elements related to procedures performed in the emergency department. Determines the appropriate sequencing of procedures.
• Accurately and completely appends modifiers to CPT/HCPCS codes as required.
• Accurately and completely posts charges for Drug Administration services (injections and infusions) in compliance with regulatory drug administration guidelines. Units of service are correctly selected.
• Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion.
• Utilizes nurses (Lynx) charge ticket to accurately and efficiently enter charges for evaluation and management (E&M) facility visits.
• Consistently places records on pending diagnosis code status to prevent premature bill drop.
• Maintains an accuracy rate of not less than 93% based on internal and/or external review and productivity standards, engages in problem identification and resolution, and assists in data gathering and chart auditing as necessary.
• Participates in educational programs (including those provided and required by the Health Information Management Department), in-services and training sessions as required
• When appropriate, the Coding/Billing Specialist shares his/her own expertise with others in an effort to further the quality of education and personal growth provided to new personnel, volunteers and interning students.

Minimum Requirements & Education

RHIT/RHIA plus 2 years of acute care coding experience, or 4 years acute care coding experience; RHIT/RHIA with ICD-10 curriculum substitutes for all experience; CCS substitutes for 1 year of acute care coding experience

High School Diploma

Apply Online: https://pm.healthcaresource.com/cs/fmolhs/#/job/60249

St. Tammany Health System

Introduction:

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.

We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.

Job Description:

The Coding Auditor is responsible for performing pre-bill and retrospective medical record audits to ensure accurate Medicare MS-DRG/APC assignment and ICD-10-CM/PCS and CPT coding on inpatient and/or outpatient cases in accordance with facility and Official Coding Guidelines. Provides guidance on documentation requirements, queries and documentation improvement processes.

In addition, the Auditor is responsible for maintaining concise documentation of audit findings for each coder throughout the year to ensure accurate reporting to Department Head and Compliance Committee as appropriate.  Responsible for communicating and developing educational information based on audit findings clearly outlining areas of opportunity for coders, physician documentation, documentation specialist and other areas as deemed appropriate.

Required Qualifications:

Certified Coding Specialist (CCS) required. Minimum of 7-10 years inpatient coding or auditing experience. Knowledge of Medicare, Medicaid and other third party payer documentation, coding and billing regulations. Knowledge of clinical pertinence and the impact it has on the documentation process as a whole. Ability to set priorities and meet deadlines. Requires critical thinking skills, decisive judgment and the ability to work with minimum supervision. Strong analytical skills to clinically review and evaluate medical record documentation. Experience with working in an Electronic Medical Record (EMR). Proficient in utilizing Microsoft Products to develop education material for coders and physicians (Excel, Word, PowerPoint, Outlook). Strong written and verbal communication skills to effectively present audit findings in clear and concise terms to Senior Leadership, physicians, coders and other hospital personnel.

Preferred Qualifications:

Registered Health Information Administration (RHIA) or Registered Health Information Technician (RHIT), preferred

Education Qualifications:

A Bachelor’s degree in Health Information Management required or Bachelor’s degree in a related field may be substituted in lieu of a degree in Health Information Administration with extensive experience in performing medical record coding audits for acute care hospitals.

Apply Online: https://stph.wd5.myworkdayjobs.com/STPH/job/Remote/HIM-Coding-Auditor_R2246