Franciscan Missionaries of Our Lady University · 1 month ago
Coder 2 - Clinic, Patient Financial Services
Jackson, MS, United States
Full-time
Onsite
Mid Level
3+ years expFranciscan Missionaries of Our Lady University is a leading health care innovator in Louisiana and Mississippi. They are seeking a Coder 2 to review and audit medical records for compliance with documentation and coding standards.
EducationHealth CareHigher EducationMedicalUniversities
Responsibilities
To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations
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
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
Franciscan Missionaries of Our Lady University
Franciscan Missionaries of Our Lady University is a non-profit university offering higher educational services in healthcare sciences.
2-10 employees
Funding
Current Stage
Early StageLeadership Team
Esther M. Penns
Chief Student Affairs Officer
Recent News
2025-03-12
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