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LCMC Health · 3 months ago

Senior HB Coder - Remote

United States

Full-time

Remote

Mid, Senior Level

3+ years exp

LCMC Health is a community-focused healthcare provider dedicated to bringing the best care to individuals in Louisiana and beyond. The Coding Senior will apply appropriate ICD-10-CM/PCS and CPT codes for inpatient and ambulatory records, ensuring accuracy and compliance with coding standards while communicating effectively with clinical staff.

Health CareHealth DiagnosticsHospitalMedical

H1B Sponsor Likely

Responsibilities

Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers

Validates charges by comparing charges with health record documentation as necessary

Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding

Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems

Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion

Consistently meets or exceeds coding quality and productivity standards established by coding department

Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information

Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations

Performs other duties as assigned by leadership

Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior

Qualification

ICD-10-CM codingCPT codingMS-DRG assignmentRegistered Health Information TechnicianCertified Coding SpecialistMedical terminologyThird party reimbursementCoding regulationsAnalytical abilitiesProblem-solving skillsInterpersonal communicationOrganizational skillsAdaptability

Required

High School Diploma/GED or equivalent and 3 years of work experience, or Associate's and 1 year of experience, or Diploma/Certification in Coding and 1 year of experience

Comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge description master for charging functions

Must possess knowledge of third party reimbursement regulations and billing practices

Experience utilizing encoding/grouping software

Ability to use standard desktop and windows based computer system, including basic understanding of email, internet, and computer navigation

High ethical standards

Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines

Experience in ICD-10-CM/PCS coding and reimbursement training

Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters

Knowledge of hospital and professional coding including provider-based billing

Knowledge of documentation regulations of Joint Commission and CMS

Experience with concurrent coding reviews

Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices

Experience in assisting and identifying learning needs as well as providing training to coding staff

Strong analytical abilities and problem-solving skills

Excellent oral, written and interpersonal communication skills

Ability to organize and set priorities to ensure objectives are met in a timely manner

Ability to adapt to change and handle challenges proactively and with pose

Ability to effectively collaborate with physicians and managerial staff at all levels

Preferred

Associate's Degree in HIM or similar or Completion of AHIMA Approved coding program or AAPC coding program

Registered Health Information Technician from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA

Registered Health Information Administrator from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA

Certified Coding Specialist from the Commission on Certification for Health Informatics and Information Management (CCHIIM)

Company

LCMC Health

LCMC Health is a provider of hospitals, medical centers & health centers for healthcare, medical diagnostics and treatment.

Founded in 2009

New Orleans, Louisiana, USA

10001+ employees

https://www.lcmchealth.org/

H1B Sponsorship

LCMC Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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2025 (31)