The Northeast Delta Human Services Authority mission is to serve as a catalyst for individuals with mental health, developmental disabilities, and addictive disorders to help them realize their full human potential by offering quality, excellent care with greater accessibility.
Position Overview: Northeast Delta Human Services Authority seeks an experienced Health Information Coder to provide billing and coding support with minimum instructions and directions. This position is directly supervised by the Administrative Program Manager 2.
Qualifications
One year of experience in patient coding.
Registration with the American Health Information Management Association as a Registered Health Information Technician (RHIT), a Certified Coding Specialist (CCS), or a Registered Health Information Administrator (RHIA).
Responsibilities
Ensures correct codes are used to bill behavioral health and primary care services per government and insurance regulations. Analyzes medical billing records and identifies billing and coding deficiencies. Serves as resource and subject matter expert to upper management, billing department and clinical staff.
Maintains billing and coding fee schedule, updates as necessary and keeps the billing department and clinical staff informed of updates with codes and rates per discipline. Randomly audits/reviews a percentage of progress notes for coding accuracy and notifies clinical staff of coding/billing discrepancies prior to claim submission.
Works claims for the Monroe Clinic: compiles billing and distributes to the clinic, tracks billing errors on a spreadsheet, checks clearing house for rejections and denials, corrects claims as necessary, and resubmits or appeals denied claims.
Reviews and keeps Accounts Receivables current and up‑to‑date, calls on claims that are going into the over 60‑day category to determine reasons for non‑payment, especially on Healthy Plans, presents findings at team meetings, analyzes claims denial data to identify technical assistance needs, researches denials to determine reasons, notifies fee setters and/or managers of ways to improve and prevent denials, and follows up to ensure denied claims are fixed and flagged for resubmission in the EHR system.
Runs statements monthly, reviews statements to ensure QMB clients or others who should not receive statements do not receive a billing statement, tracks accounts to ensure clients receive three billing statements prior to sending collection letters, identifies delinquent accounts for non‑payment and prepares 60‑ and 30‑day collection letters, and writes off accounts to the Office of Debt Recovery (ODR) that have received collection letters and been approved.
Serves as the backup to the Credentialing Specialist position. May be required to work additional hours outside of the normal work day due to peak workloads and time‑sensitive assignments.
Position Details
Appointment Type: This position will be filled as a job appointment. A job appointment is a temporary, non‑permanent appointment used to fill a position for a limited period. Job appointments shall not exceed a period of four (4) years.
Location: Monroe Regional Office (Administrative Office).
Compensation: NEDHSA is a designated approved National Health Corps (NHSC) site. Clinicians who work at NHSC-approved sites are eligible to apply to the NHSC Loan Repayment Program to pay off student loans.
2‑year Full‑Time Clinical Practice: NHSC will pay up to $50,000* for an initial 2 years of full‑time clinical practice to clinicians.
Full‑time clinical practice is defined as no less than 40 hours per week, for a minimum of 45 weeks per year.
*Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education).
Louisiana is a State As a Model Employer (SAME) that supports the recruitment, hiring, and retention of individuals with disabilities.
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