LCMC Health

We are a New Orleans-based, non-profit health system on a mission: to provide the best possible care for every person and parish in Louisiana and beyond, and to put a little more heart and soul into healthcare along the way. And that means we do things a little differently around here.

Treating people like family is the LCMC Health way, and it always has been. Founded by Louisiana's first freestanding children's hospital, we have grown into a healthcare system that is built to serve the unique needs of our communities and families.

Today, we offer six hospital locations: Children's Hospital New Orleans, East Jefferson General Hospital, New Orleans East Hospital, Touro, University Medical Center New Orleans, and West Jefferson Medical Center. We also offer a network of urgent care centers across the greater New Orleans area. With over 2,800 physicians specializing in everything from head to toe, our community can count on us to provide the right care, right where they need it.

JOB DESCRIPTION:

Why a Great Place to Work:

You’re more than your job. Everyone is. And that’s what makes you great at your job—all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we’ve built a culture that supports and celebrates the extraordinary. You’ll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary.

The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT.

This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

GENERAL DUTIES

• Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs.
• Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers.
• Validates charges by comparing charges with health record documentation as necessary.
• Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtain from the health record.
• Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding.
• Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems.
• Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion.
• Consistently meets or exceeds coding quality and productivity standards established by coding department.
• Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information.
• Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
• Performs other duties as assigned by leadership.
• Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

EXPERIENCE QUALIFICATIONS

• Minimum three (3) years Of current complex outpatient and inpatient coding (required)

EDUCATION QUALIFICATIONS

• Required: Completion of an American Health Information Management Association (AHIMA) approved coding program or an American Academy of Professional Coders (AAPC) approved coding program
• Required: Associate degree In health information management or related field or an equivalent combination of years of education and experience

LICENSES AND CERTIFICATIONS

• Certification Name: Certified Coding Specialist (CCS)
  • Required
  • Issuer: American Health Information Management Associations (AHIMA) or American Academy of Professional Coders (AAPC)
  • Licensure Specialty:
  • Entity:
• Certification Name: Certified Inpatient Coder (CIC)
  • Required
  • Issuer: American Health Information Management Associations (AHIMA) or American Academy of Professional Coders (AAPC)
  • Licensure Specialty:
  • Entity:

• Certification Name: Certified Professional Coder (CPC)
  • Required
  • Issuer: American Health Information Management Associations (AHIMA) or American Academy of Professional Coders (AAPC)
  • Licensure Specialty:
  • Entity:

• Certification Name: RHIA/ RHIT certification
  • Issuer:
  • Licensure Specialty:
  • Entity:

• Certification Name: Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.
  • Required
  • Issuer:
  • Licensure Specialty:
  • Entity:

SKILLS AND ABILITIES

• Extensive comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping.
• Experience utilizing encoding/grouping software.
• Ability to use standard desktop and windows based computer system, including basic understanding of email, internet, and computer navigation.
• High ethical standards.
• Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.
• Experience in ICD-10-CM/PCS coding and reimbursement training.
• Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.
• Extensive knowledge of hospital and professional coding including provider based billing.
• Knowledge of documentation regulations of Joint Commission and CMS.
• Experience with concurrent coding reviews.
• Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices.
• Experience in assisting and identifying learning needs as well as providing training to coding staff.
• Strong analytical abilities and problem-solving skills.
• Excellent oral, written and interpersonal communication skills.
• Ability to organize and set priorities to ensure objectives are met in a timely manner.
• Ability to adapt to change and handle challenges proactively and with pose.
• Ability to effectively collaborate with physicians and managerial staff at all levels.

REPORTING RELATIONSHIPS

• Does this position formally supervise employees? No

FUNCTIONAL DEMANDS

• Light: Light physical requirements- Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

PHYSICAL DEMANDS

• Sitting - Frequent (36-66% of day)
• Standing - Continuous (67-100% of day)
• Walking - Continuous (67-100% of day)
• Climbing (e.g., stairs or ladders) - Continuous (67-100% of day)
• Lifting Floor to waist level: 0-10lbs - Continuous (67-100% of day)
• Lifting Floor to waist level: 10-20lbs - Occasional (0-35% of day)
• Lifting Floor to waist level: 20-50lbs - Occasional (0-35% of day)
• Lifting Floor to waist level: 50-100lbs - Occasional (0-35% of day)
• Lifting Floor to waist level: 100+lbs - Occasional (0-35% of day)
• Lifting Waist level and above: 0-10lbs - Continuous (67-100% of day)
• Lifting Waist level and above: 20-50lbs - Occasional (0-35% of day)
• Lifting Waist level and above: 50-100lbs - Occasional (0-35% of day)
• Lifting Waist level and above: 100+lbs - Occasional (0-35% of day)
• Carrying objects - Occasional (0-35% of day)
• Push/pull - Occasional (0-35% of day)
• Twisting - Occasional (0-35% of day)
• Bending - Continuous (67-100% of day)
• Reaching forward - Continuous (67-100% of day)
• Reaching overhead - Continuous (67-100% of day)
• Squat/kneel/crawl - Occasional (0-35% of day)
• Wrist position deviation - Frequent (36-66% of day)
• Taste or smell - Occasional (0-35% of day)
• Talk or hear - Continuous (67-100% of day)

SENSORY REQUIREMENTS

• Near Vision - Accurate 20/40
• Far Vision - Accurate 20/40
• Color Discrimination - Yes
• Depth Perception - Accurate
• Hearing - Accurate

OCCUPATIONAL EXPOSURE RISK POTENTIAL

• Bloodborne pathogens - Not Anticipated
• Chemical - Not Anticipated
• Airborne communicable diseases - Not Anticipated
• Extreme temperatures - Not Anticipated
• Radiation - Not Anticipated
• Uneven surfaces or elevations - Not Anticipated
• Extreme noise levels - Not Anticipated
• Dust/particular matter - Not Anticipated
• Other (List) - Not Anticipated

POPULATION SERVED

• Neonate/Infant up to 1 year: No
• Youth (1yr to 15 yrs): No
• Adult (16 and up): No

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

WORK SHIFT:

Days (United States of America)

This job description is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

LCMC Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

Application for Employment
It is the policy of all member hospitals and facilities of the LCMC Health System (Louisiana Children’s Medical Center, Children’s Hospital of New Orleans, Touro Infirmary, University Medical Center New Orleans, New Orleans East Hospital, and West Jefferson Medical Center as well as its centers of health care and physician services, East Jefferson General Hospital, Woldenberg Village, Crescent City Physician Inc., and New Orleans Physician Services) to provide equal employment opportunities for all employees and applicants without regard to race, color, religion, sex, age, national origin, citizenship, marital status, gender identity, sexual orientation, veteran status, physical or mental disability, or any other protected status in regard to any position for which the employee or applicant may qualify.

Instructions to Applicant
1. You must fully and accurately complete the Application for employment. Incomplete applications will not be considered. LCMC Health and its members may use the information given in the application to investigate the applicant's previous employment and background.
2. The Application for Employment will be considered inactive after 180 days. If you wish to be considered after that time, you must complete a new Application for Employment.
3. If you are hired, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

WORK SHIFT:

This job description is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

LCMC Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

Application for Employment
It is the policy of all member hospitals and facilities of the LCMC Health System (Louisiana Children’s Medical Center, Children’s Hospital of New Orleans, Touro Infirmary, University Medical Center New Orleans, New Orleans East Hospital, and West Jefferson Medical Center as well as its centers of health care and physician services, East Jefferson General Hospital, Woldenberg Village, Crescent City Physician Inc., and New Orleans Physician Services) to provide equal employment opportunities for all employees and applicants without regard to race, color, religion, sex, age, national origin, citizenship, marital status, gender identity, sexual orientation, veteran status, physical or mental disability, or any other protected status in regard to any position for which the employee or applicant may qualify.

Instructions to Applicant
1. You must fully and accurately complete the Application for employment. Incomplete applications will not be considered. LCMC Health and its members may use the information given in the application to investigate the applicant's previous employment and background.
2. The Application for Employment will be considered inactive after 180 days. If you wish to be considered after that time, you must complete a new Application for Employment.
3. If you are hired, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.