Medical Coder/Biller

Job Position: Medical Coder/Biller

Location: Baton Rouge, LA 70806

Pay Rate: $17-$22/hr

Shift: Monday-Friday 8:30a-5:00p

AMMON Healthcare is hiring a Medical Biller/Coder responsible for accurately coding patient encounters, submitting clean claims, managing accounts receivable, and ensuring timely reimbursement. This role requires strong knowledge of CPT, ICD-10, HCPCS, and payer guidelines, with proven experience working in Athenahealth (Athena One) for billing, coding, and claim management.

Key Responsibilities
• Review and code all provider documentation using ICD-10, CPT, and HCPCS with high accuracy.
• Enter and validate charges in Athena; ensure proper linking of diagnoses and procedures.
• Submit clean claims through Athena Collector and resolve claim edits or rejections.
• Manage accounts receivable, including denials, appeals, and follow-up with payers.
• Verify insurance coverage, benefits, and authorization requirements when needed.
• Monitor claim status and correct coding or documentation issues to prevent delays.
• Work closely with providers to clarify documentation and ensure compliant coding.
• Maintain compliance with federal, state, and payer-specific billing regulations.
• Generate reports in Athena for productivity, AR aging, and claim performance.
• Protect patient confidentiality and adhere to HIPAA standards at all times.

Required Qualifications
• Minimum 2 years of medical billing/coding experience in an outpatient or clinic setting.
• Hands-on experience with Athenahealth (AthenaOne) required.
• Strong knowledge of ICD-10, CPT, HCPCS, and payer reimbursement rules.
• Experience with denial management, appeals, and AR follow-up.
• Ability to interpret provider documentation and apply correct codes.
• High attention to detail, accuracy, and time management.
• Strong communication skills and ability to work independently.

Preferred Qualifications
• Certification: CPC, CCA, CCS, or equivalent (preferred but not required).
• Experience with Medicare, Medicaid, and commercial payer billing.
• Knowledge of clinical workflows and documentation improvement.

Work Environment
• Fast-paced outpatient or multi-specialty clinic setting.
• Requires consistent use of Athena EMR, billing dashboards, and claim management tools.
• Collaboration with providers, front desk, and administrative staff.

Performance Expectations
• Maintain 95-98% coding accuracy.
• Keep AR days within organizational benchmarks.
• Resolve claim denials within 7-14 days.
• Submit charges within 24-48 hours of encounter completion.

Louisiana-Specific Billing Requirements
• Must understand Medicaid Bayou Health plans (Healthy Blue, Aetna Better Health, AmeriHealth, LA Healthcare Connections, United).
• Must follow LDI payer rules for clean claims and appeals.