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 leads, manages and participates in coding integrity related projects, including but not limited to specialty specific coding education, audits, research, education, and financial analysis; manages all related aspects of the project and provides education to the executive leadership team and physicians; and ensures that project related training and quality assurance requirements are assessed and implemented by either performing or overseeing activities. Additionally, this job assists the physicians, coders, and leadership team with accurate code assignment develops methods to provide oversight and ongoing compliance, educates physicians on policy changes or coding/documentation opportunities, educates billing staff across all regions on policy changes, and assists HIM/Coding Management team in all functions in relation to coding compliance. Also responsible for oversight of all coding consulting projects such that results provide timely and accurate recommendations consistent with the management decisions under consideration. This job serves in conjunction with coding leadership and supervises, coaches, evaluates and counsels employees to ensure competency in all aspects of job duties, including regulatory compliance with CMS or other coding guidelines.To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.
This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
Education
Required - High School diploma or equivalent
Preferred - Bachelor's degree
Preferred - Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications.
Work Experience
Required - 5 years related clinical experience (nursing or allied health) OR coding experience with Medicare and Managed Care Reimbursement, Managed Care contractual arrangements and patient accounting/billing background OR 3 years with a Bachelor's degree
Certifications
Required - Certification in Coding (CCS-P, CCS), Certified Professional Coder (CPC), Certified Professional Coder- Hospital (CPC-H), Certified Coding Specialist- Physician based (CCS-P), or Certified Coding Specialist (CCS)
Knowledge Skills and Abilities (KSAs)
Strong leadership skills.
Ability to and experience preparing and presenting findings and results to diverse audiences including Physicians, Vice Presidents, Compliance Officer, Attorneys, Directors, Managers and staff.
Ability to and experience planning, coordinating and reviewing projects involving complex business and technical matters.
Analytical and operational problem solving skills.
Time management skills, including the ability to prioritize, organize and coordinate multiple work areas and assignments under fast paced and changing conditions to meet deadlines.
Ability to and experience resolving issues at lowest level and understanding when to escalate or change priorities Experience balancing technical and practical needs.
Competency in applying accounting principles and/or federal and state regulations to daily decision- making process.
Positive attitude and the ability to promote a cooperative and pleasant work environment since all responsibilities are team oriented.
Ability to move throughout the department, Clinic and other organizational locations.
Ability to work 8-10 hour days, may require evening, weekend and holiday work during peak periods, depending on department needs.
Long distance travel may be required to complete continuing education and site visits to satellite locations.
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 demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Must be able to travel throughout and between facilities.
Must be able to work a flexible work schedule (e.g. 24/7, weekend, holiday).
Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.
There is no occupational risk for exposure to communicable diseases
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, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washing