Health Information Coder

About This Job

NORTHEAST DELTA HUMAN SERVICES AUTHORITY
Mission: 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.

Job Specification

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Job Duties

• 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.
• Maintain billing and coding fee schedule updating as necessary and keeping the billing department and clinical staff informed of updates with codes and rate per disciplines.
• This role randomly audits/reviews a percentage of progress notes for coding accuracy and notify clinical staff of coding/billing discrepancies prior to claim submission.
• Works claims for the Monroe Clinic: duties include compiling billing and distributing to the clinic, tracking billing errors to complete on a spreadsheet, checking clearing house for rejections and denials and corrections clams as necessary.
• Also, 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 see why not paid, especially on Healthy Plans, presents finding at team meetings, analyzes claims denial data to track for technical assistance needs, researches denials to determine reason, then notifies fee setters and/or managers of ways to improve and prevent denials in the future, and follows up to makes sure claims that were denied for varied reasons are fixed and flagged for resubmission in the EHR system.
• Runs statements monthly, review statements to make sure QMB clients or others that aren't supposed to get statements do not receive a billing statement, tracks accounts to ensure clients receive 3 billing statements prior to sending collection letters.
• Must identify delinquent accounts for non-payment and prepare 60 and 30 day collection letters for delinquent accounts.
• Serves as the backup to the Credentialing Specialist position.
• Due to peak workloads and time sensitive assignments, may be required to work additional hours outside of the normal work day.

  Position-Specific Details

  • Appointment Type: This position will be filled as a job appointment.
  • Location: Monroe Regional Office (Administrative Office).
  • Compensation: NEDHSA is a designated approved National Health Service 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.)

  Contact Information

  For further information about this vacancy, contact:
  Ms. Janesia Raybon, MPA
  Human Resources Director
  A Northeast Delta Human Services Authority
  2513 Ferrand Street
  Monroe, LA 71201
  318-362-4237 (office)

  How To Apply

  To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.

  Information to Support Your Eligibility

  Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.