Educator Job at LCMC Health
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.
Essential Function:
The Coding Educator Auditor will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.).
Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers.
Validates charges by comparing charges with health record documentation as necessary.
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.
Job Qualifications:
Education:
Minimum Required:
Completion of an American Health Information Management Association (AHIMA) approved coding program or an American Academy of Professional Coders (AAPC) approved coding program or
Associate degree in health information management or related field or an equivalent combination of years of education and experience required
Experience:
Minimum Required:
Minimum two (2) years of current complex outpatient and inpatient coding required
License/Certification:
Minimum Required:
Certified Coding Associate (CCA) from American Health Information Management Associations (AHIMA) or
Certified Inpatient Coder (CIC) and Certified Outpatient Coder (COC) combination from the American Academy of Professional Coders (AAPC)
Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program
Preferred:
RHIA/ RHIT, Certified Coding Specialist (CCS) certification
Special Skills/Training:
Minimum Required:
Comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding, and MS-DRG or APC grouping and components of charge description master for charging functions
Must possess knowledge of third-party reimbursement regulations and billing practices
Experience utilizing encoding/grouping software
Ability to use standard desktop and windows-based computer systems, 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
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
Ability to effectively collaborate with physicians and managerial staff at all levels
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:
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.
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