26 jobs found in Baton Rouge

Coder 2 - Clinic To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Responsibilities Quality and Performance Improvement Research, develop and implement standardized process for quality monitoring of inpatient and outpatient coding and abstracting. Conduct quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist. Assist Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implement innovative ideas and process changes. Attend meetings as required and strive to improve the quality of meetings by taking an active role in meeting topics. Participate in educational programs, in-services, and training sessions in an effort to share expertise with others and further the quality of education and personal growth...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little...

Baton Rouge General Medical Center is searching for a Supervisor for Accounts Receivable to oversee the daily operations of medical billing and ensure alignment with financial performance goals. The ideal candidate will have a proven leadership background in healthcare finance, with at least two years of related experience. This role offers an opportunity to improve operational workflows while fostering a culture of teamwork and continuous improvement. Generous benefits and a commitment to employee growth are included. #J-18808-Ljbffr

Baton Rouge General is looking for a detail-oriented individual to support healthcare teams through accurate medical coding. Candidates should possess a certification in Medical Coding and relevant coding experience. In this role, you will assign diagnostic codes, maintain high accuracy in coding, and ensure compliance with Medicare and Medicaid regulations. This position offers comprehensive benefits and is remote once training is complete. #J-18808-Ljbffr

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Sr Med Bill Examiner - CJ10DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers compensation statues and/or regulations including: -Analyzing of bill for proper assignment of detailed medical coding information -Interpreting workers compensation rules for repricing -Entering/correcting data of medical...

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Medical Coder 3 The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Responsibilities Coding/Abstracting Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion. Quality/Performance Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of...

American Commercial in Baton Rouge is seeking an Internal Surveyor of Regulatory Compliance to conduct surveys and compliance assessments. This role is essential for ensuring that ACBL meets regulatory standards and operates smoothly. The ideal candidate will have a strong background in marine inspection, a bachelor's degree in a relevant field, and experience in regulatory compliance. A comprehensive benefits package and career advancement opportunities are offered. #J-18808-Ljbffr

A leading health services provider is seeking an experienced Inpatient Medical Coding Auditor to work remotely. This position involves reviewing hospital claims for accuracy and ensuring correct coding practices are followed. Candidates must have RHIA, RHIT, or CCS certification and experience in auditing inpatient records. The role emphasizes a flexible schedule within typical business hours and the opportunity to contribute to a company dedicated to health and well-being for its employees and customers. #J-18808-Ljbffr

Franciscan Missionaries of Our Lady Health System is seeking a Medical Coder 3 in Baton Rouge, Louisiana. The role involves abstracting clinical information and assigning ICD-10-CM/PCS and CPT codes accurately within established procedures. The ideal candidate should have at least 5 years of acute care coding experience, proficiency in coding databases, and strong analytical skills. This position works under general supervision with opportunities for education and training. #J-18808-Ljbffr

The Supervisor of Nursing oversees daily operations within the hospital's nursing department, ensuring high standards of patient care and staff performance. This role involves coordinating schedules, managing workflow, and providing guidance to nursing staff while maintaining compliance with hospital policies. The Supervisor also collaborates with other healthcare professionals to promote efficient and effective care delivery. Benefits Growth opportunities Affordable employee benefits A community culture where you don’t feel lost in a large health system Responsibilities Leadership and Supervision: Assists in the recruitment, interview, selection and unit specific orientation processes for new department team members. Plans and assists with the development of the staff work schedules for unit leaders’ final review. Assists the unit leader with maintenance and monitoring of day to day staffing needs, reviewing upcoming shifts, and making recommendations for adjustments to...

A leading healthcare data platform company is seeking experienced inpatient coders to join their remote team in Baton Rouge, Louisiana. The role requires a minimum of 3 years of inpatient coding facility experience and a passion for details. Responsibilities include assigning diagnostic codes and ensuring accuracy in medical records. The company offers competitive pay ranging from $32 to $42 per hour along with various benefits such as healthcare, paid time off, and professional development support. #J-18808-Ljbffr

Humana Inc is seeking a Medical Coding Coordinator to join their remote team. The role involves extracting clinical information from medical records, assigning codes, and ensuring compliance with Medicare and Medicaid guidelines. The ideal candidate will have a coding certification, strong attention to detail, and at least three years of experience in coding. Humana offers a competitive salary range of $48,300 - $65,900 per year, along with comprehensive benefits to support employee wellness and work-life balance. #J-18808-Ljbffr

A leading pharmaceutical company seeks an Associate Director of Scientific Communications in Baton Rouge, Louisiana. The role involves managing the execution of a comprehensive medical communications strategy and overseeing the development of key scientific content. Ideal candidates will have an advanced scientific degree and significant experience in Medical Affairs, with a proven track record in managing publication strategies and cross-functional collaborations. Competitive salary range from $164,530 to $245,985, plus benefits. #J-18808-Ljbffr

Datavant is seeking an Inpatient Auditing Specialist to conduct facility coding audits and ensure coding quality and compliance. This remote role allows you to positively influence healthcare from the comfort of your home. The ideal candidate will have substantial experience in inpatient auditing and coding, coupled with a passion for improving healthcare outcomes. Join a dedicated and collaborative team that is committed to making health data secure and accessible. #J-18808-Ljbffr