1 Coding Auditor Job in Baton Rouge, LA
Cardiovascular Institute of the South is Hiring a Coding Auditor Near Baton Rouge, LA
- Develop and maintain physician audit plan to include a yearly review of:
- Clinic and hospital EM services
- Medical necessity issues with Denials and encounters no-billed
- Perform coding and billing audits and provide written audit reports to administration and the providers.
- Perform data analysis to ensure coding compliance of providers, including level of service analysis against Medicare and other pertinent benchmarks, i.e. MedAxiom and White Plume reports.
- Develop and present educational materials, based on audit findings, to providers, management, coding and billing staff on correct coding guidelines and government policies per state regulations.
- Develop policy guidelines and procedures in accordance with governmental regulations and the medical industry standards/practices. Research, develop and maintain documentation on coding guidelines for physician practices.
- Maintain thorough knowledge of CMS/Medicare/Medicaid & private payer, NCDs, LA MC LCDs, documentation and coding rules for cardiology.
- Prepare communications for practice administrators and others on identified issues and pertinent changes.
- Act as liaison between business services and clinics on coding issues.
- Bachelor of Science Degree or LPN and Certification as a Professional Coder.
- Minimum of five (5) years experience.
- Physician E/M coding and auditing experience preferred
- Strong project management and presentation skills preferred.
- Experience with Optum encoder, EMR and billing software preferred.
- Keeps work area neat and organized. Reports safety issues to team leader immediately.
- Works efficiently and manages time wisely. Assist other employees when all duties are complete.
- Communicates any problems, difficulties or concerns regarding job duties to the team leader.
- Performs all duties without significant error occurring with any regularity.
- Meets all deadlines and timeframes for completion of assignments.
- Represents CIS in a professional manner at all times. Demonstrates acceptable ability to interact with physicians, staff (“internal customers”) and “external customers” (patients, family members, insurance companies, home health etc.) on a professional level at all times. Exhibits good communication skills with physicians, patients, team leaders, and co-workers at all times.
- Exhibits whenever possible a harmonious relationship with other employees in order to accomplish the duties and responsibilities of the position. While perfect harmonious relationships with all employees are sometimes not achievable, not more than an occasional complaint should be received by the team leader about the incumbent of this position.
- The employee shall work and relate cooperatively with all other employees (internal customers) to assure optimum care for the patients and to achieve standards of care set forth by the medical staff.
- Adheres to the Compliance Plan as it pertains to the above specific job duties. Uses best efforts to maintain compliance by following the Corporate Compliance Plan, attending compliance education, following medical documentation guidelines, and communicating concerns regarding compliance issues.
- Performs accurate and complete documentation in the patient’s medical record, when applicable.
- Work with the electronic medical record (EMR) staff to maintain quality and work towards future EMR development.
- Maintains patient confidentiality according to the HIPAA standards of privacy and security.
Job Summary
Full Time
Ambulatory Healthcare Services
$69k-86k (estimate)
06/22/2024
07/17/2024
cardio.com
ZACHARY, LA
200 - 500
1983
CHARLES THOMPSON
$50M - $200M
Ambulatory Healthcare Services
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About Cardiovascular Institute of the South
*2021 and 2020 Best Place to Work in Healthcare* Founded by Dr. Craig Walker in 1983, Cardiovascular Institute of the South (CIS) is a world-leader in preventing, detecting, and treating cardiovascular and peripheral vascular disease. CIS offers a comprehensive heart and vascular program with expert physicians trained in many specialties, including internal medicine, nuclear cardiology, electrophysiology, lipid management, coronary artery disease, peripheral vascular disease, valve disease, and interventional cardiovascular procedures. CIS has earned international acclaim as a pioneer of resea...rch, development and education, as well as an innovator in the treatment of peripheral vascular disease. With a dedicated team of more than 900 team members, CIS provides comprehensive cardiovascular care at 21 locations across Louisiana and Mississippi, eight of which offer telemedicine services. CIS remains at the forefront of technology, providing the highest-quality, compassionate care. This mission has guided the institute for more than 37 years of excellence. For more information about CIS, call 1-800-425-2565 or visit www.cardio.com. Our goal at CIS is to provide our patients with the highest quality cardiovascular care in the most professional and efficient manner possible. To put these ideals and principles into action, CIS fosters an environment that contributes to both productivity and job satisfaction. Whether you're an experienced professional or a new graduate, CIS is dedicated to helping you develop and fulfill your career. CAREER OPPORTUNITIES: http://www.cardio.com/career-opportunities PHYSICIAN RECRUITMENT: http://www.cardio.com/physician-recruitment
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