Apply on Employer Site

FMOL Health · 1 month ago

Coder 2 - Clinic, Patient Financial Services

970 Lakeland Dr, Jackson, MS, 39216, US

Full-time

Onsite

Mid Level

3+ years exp

FMOL Health is a leading health care innovator in Louisiana and Mississippi. They are seeking a Coder 2 to review and audit Network Provider medical records for documentation and coding compliance and quality with federal and state laws and regulations.

Health Care

Responsibilities

Research, develops and implements standardized process for quality monitoring of inpatient and outpatient coding and abstracting. Conducts quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist. Assists Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implements innovative ideas and process changes

Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students

Establishes and maintains interdepartmental relationships with Network providers to facilitate cooperation and compliance. Assists the Physician Network, Revenue Management Department and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities of education and process improvement

Collaborates with Management to identify and coordinate educational needs based audit results and new technologies. Provide support to the Coding and Reimbursement Specialist of monthly statistics and educational programs to staff on a regular basis. Provides technical assistance to the Systems Specialist for authorized coding database retrieval and identification and resolution of software and system functionality

Performs other duties as assigned or requested

Qualification

Coding certification CCSCoding certification CPCMedical coding experienceMedical terminology knowledgeCPT-4 knowledgeICD-9 knowledgeQuality improvement skillsCollaboration skills

Required

Associates degree, Bachelor's degree, or coding certification (CCS or CPC) with 3 years' experience OR 5 years' experience in medical coding without degree or certification

Thorough knowledge of medical terminology, managed care financial agreements

Thorough knowledge of CPT-4, HCPC, and ICD-9 codes

Company

FMOL Health

FMOL Health is a bold, connected health system that delivers care that prioritizes people – every patient, every community, every time – while honoring the unique character of each market we serve.

Founded in 1984

Baton Rouge, Louisiana, USA

10001+ employees