Medical Coder

LA Health Solutions is an integrated medical facility focused on providing the community with multispecialty care with clinics across the Greater New Orleans and Baton Rouge area. Our goal is to continue our mission in providing our patients with the highest level of care and compassion they deserve in a personalized setting.

 Job Summary: We are seeking a detail-oriented and experienced Medical Coder with a specialization in Orthopedics, Neurology, and Pain Management to join our healthcare team. The ideal candidate will possess comprehensive knowledge of medical coding standards, healthcare billing processes, and the specific coding requirements for these specialties. The Medical Coder will be responsible for accurately coding patient diagnoses, procedures, and medical services to ensure proper billing and compliance with healthcare regulations.

Key Responsibilities:

1. Medical Coding:

·         Accurately assign and sequence ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and medical services related to orthopedics, neurology, and pain management.

·         Review and analyze patient medical records and documents to ensure proper coding and billing.

2. Compliance and Accuracy:

·         Ensure all coding is compliant with federal regulations, payer-specific guidelines, and industry standards.

·         Conduct regular audits and reviews to ensure coding accuracy and completeness.

·         Stay up-to-date with changes in coding standards, healthcare regulations, and payer requirements.

3. Billing and Documentation:

·         Collaborate with billing staff to ensure accurate and timely submission of claims.

·         Resolve coding discrepancies and issues with insurance companies and healthcare providers.

·         Provide documentation and coding guidance to healthcare providers to optimize reimbursement and minimize claim denials.

4. Data Analysis and Reporting:

·         Analyze coding data to identify trends, discrepancies, and opportunities for improvement.

·         Generate reports on coding accuracy, compliance, and financial performance.

5. Training and Education:

·         Provide training and support to healthcare providers and staff on coding practices and documentation requirements.

·         Stay informed about continuing education opportunities and attend relevant workshops, seminars, and conferences.

Qualifications:

·          Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required.

·          Minimum of 3-5 years of medical coding experience, with a focus on orthopedics, neurology, and pain management.

·          Proficiency in ICD-10-CM, CPT, and HCPCS coding systems.

·          Strong understanding of medical terminology, anatomy, and physiology related to orthopedics, neurology, and pain management.

·          Familiarity with electronic health record (EHR) systems and medical billing software.

·          Excellent attention to detail and accuracy.

·          Strong analytical and problem-solving skills.

·          Effective communication and interpersonal skills.

·          Ability to work independently and as part of a team.

Preferred Skills:

·          Experience with private insurance billing and commercial insurance billing.

·          Knowledge of payer-specific coding guidelines and reimbursement policies.

·          Understanding of healthcare revenue cycle management.

·          Experience in conducting coding audits and training sessions.

Job Type: Full-time Monday - Friday 8am - 5pm

Benefits:

·               Health, Vision and Dental Insurance after 60 DAYS

·               Continued Education Programs

·               Paid Time Off

·               Retirement Plans

LA Health Solutions is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.