LCMC Health

Auditor

• Coordinate coding audits and education functions of LCMC system coding services.
• Manage and work the edit and denial coding work queues for inpatient, outpatient and ambulatory.
• Provide coding feedback for education opportunities identified to the coding team.
• Prepare and present educational programs related to coding.
• Review documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes.
• Sequence diagnoses and procedures accurately according to coding principles.
• Review non-CC/MCC records to determine if record was miscoded or additional documentation is needed.
• Works coding edits work queues and provide feedback and coding education to coding staff regarding completeness and accuracy of code assignment.
• Perform reviews in a timely manner to maintain DNFB within the assigned targeted goals.
• Assist in the development and provides ICD-10-CM/PCS, CPT/HCPCS, DRG (MS & APR) and APC auditing, coding and reimbursement training.
• Monitor and report the coders progress through the orientation and training processes.
• Keeps abreast of new regulatory requirements, annual revisions to the codes, etc.

Cardiac Coding Educator/Auditor

Architect

• Your job is more than a job.
• WORK SHIFT: Days (United States of America)
• LCMC Health is a community. Our people make health happen.
• Our mission of bringing the best possible care to every person and parish in Louisiana and beyond.

IT Epic Functional Architect – Epic Certification Required

Analyst

• Collaborate with Charge review Coordinators and Charge Review Specialist to monitor charge capture functions across all LCMC entities.
• Conducts thorough reviews of patient charges to ensure services provided are accurately captured and billed.
• Verify the correct usage of procedure codes (CPT/HCPCS) and diagnosis codes (ICD-10) to ensure charges align with clinical documentation.
• Identify and investigate charge discrepancies, missing charges, or incorrect coding, and work with relevant departments to resolve issues.
• Serve as a resource for charge integrity specialists and departments on charge-related inquiries, providing support and guidance on proper charge capture practices.
• Provide feedback and training to clinical departments on charge capture issues and regulatory changes that impact billing and coding with oversight by the charge review coordinator.
• Educate on best practices for documentation and charge entry to enhance revenue capture and compliance.
• Prepare and present reports on charge review findings, highlighting areas of improvement and compliance risks.
• Monitor key performance indicators (KPIs) related to charge capture accuracy and timeliness.
• Create action plans when KPI’s are above target.
• Evaluates current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of revenue and compliance with government and third-party payer requirements.
• Completes focused charge review assessments for assigned clinical departments and/or service lines to ensure that charges are generated in accordance with established policies and timeframes.
• Monitors EPIC Revenue Integrity Dashboard(s) and Ri assigned work queues to assist in completion and timeliness of completion meeting Revenue Integrity Department standards.
• Provide support for assigned cost centers within service lines and in collaboration with your team, performs reviews related to Charge Description Master (CDM) integrity.
• Assesses the accuracy of all charging vehicles, including clinical systems and dictionaries, charge capture navigators, and other charge components.
• Analyzes changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications.
• Train and assist in daily resolution of revenue integrity edits that are holding patient claims from billing, by reviewing the medical records and other applicable documentation.
• Performs miscellaneous duties as assigned.
• Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes.
• Comfortable in presenting to and interacting with levels of hospital management and with clinical leaders.
• Excellent organizational and project management skills.
• Strong time management, attention to detail, and follow through.
• Well-developed research skills.
• Interacts professionally with coworkers and customers to represent the Revenue Integrity Department positively.
• Work effectively as a team contributor on all assignments.
• Works independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.
• Delivers positive patient experience, where applicable.

Charge Integrity Analyst – Revenue Integrity

• Review and analyze CDM data to ensure that all charge codes are accurate, current, and compliant with industry standards and payer regulations.
• Conduct regular audits of charge codes, procedure codes, and pricing to identify discrepancies or areas for improvement.
• Assist in updating the CDM by adding, modifying, or deleting charge codes as needed, in line with regulatory changes or departmental requests.
• Ensure that all changes to the CDM are appropriately documented and communicated to relevant departments.
• Analyze charge capture processes to ensure that services provided are accurately billed and correctly reflected in the CDM.
• Identify any missing or incorrect charges, working with clinical and billing teams to resolve issues.
• Ensure that all updates and modifications to the CDM adhere to regulatory guidelines, such as those from CMS, Medicare, Medicaid, and other payers.
• Monitor industry changes and payer updates to stay informed of new coding and billing requirements.
• Work with clinical, billing, and coding departments to address charge capture issues and ensure proper usage of CDM codes.
• Act as a resource for staff on CDM-related inquiries and charge coding concerns.
• Participate in audits of the CDM, assisting with the identification of any discrepancies in charge capture and compliance.
• Provide documentation and analysis during external audits, ensuring timely and accurate responses.
• Generate reports on CDM activity, including charge capture trends, audit results, and compliance metrics.
• Ensure the integrity and accuracy of CDM-related data by performing regular data quality checks.
• Identify opportunities to improve charge capture processes and optimize revenue by analyzing CDM usage and patterns.
• Provide recommendations for enhancing the efficiency and accuracy of CDM-related operations.

CDM Analyst – Revenue Integrity

Customer Support

• Acts as a liaison between LCMC Health and patients, providers, and payers for all post-care matters related to account resolution.
• Provides information regarding hospital billing practices, policies, and patient billing statements.
• Assists patients in understanding billing statements to ensure swift resolution of outstanding balances.
• Fulfills the organization's mission of care and service by providing superior customer service to the patient community.
• Analyze posted transactions to determine why there is a credit balance and is responsible for accurate completion and resolution of potential credit balances for health plan payers and patients/guarantors.
• Accepts inbound phone calls from patients, early out and bad debt vendors, physician offices, insurance carriers, etc. within a specific response-to-call timeframe and with the intent to resolve the caller’s concern immediately.
• Follows scripts as provided by the call center manager to facilitate consistent and expedient account resolution.
• Clearly explains charges to customers, reports any charge/payment errors to managerial staff, and resolves any errors within LCMC’s computer system.
• Handles all communication (telephone, email, fax, interpersonal) with patients and other departments within the CBO.
• Collects patient payments and follows levels of authority for posting adjustments.
• Responsible for correcting errors in the calculation and posting of insurance contractual adjustments.

Customer Experience Representative

Learning and Development

• Analyze user requirements and develop training plans for EPIC and other applications.
• Complete environment build/prep, support go live processes, and provide help desk support as needed.
• Prepare and present training plans, materials, and conduct classes on patient-care systems.
• Collaborate with internal IT teams on troubleshooting, integration, reporting, and training.
• Create and maintain training documentation as required.

Instructional Design Analyst

Data Engineer

• Completes assigned tasks per defined project scope, timelines, and budgets
• Works with internal IT teams on technical troubleshooting, integration, reporting, and training
• Follows department standards and procedures
• Maintains knowledge of health care, technology, and industry trends
• Collects data regarding current IT environment and documents workflows and system access
• Develops data products (tables, DataMart's, stored procedures, imports/extracts, etc.) to support the development of reports, dashboards, and other outputs according to required specifications and objectives
• Designs and implements ETL procedures for intake of data from both internal and outside sources as well as ensures data is verified and quality is checked
• Collaborates with business and technology stakeholders in ensuring data warehouse architecture development and utilization.

Enterprise Data Warehouse Developer

Medical Billing and Coding

• The Coding Senior 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
• The Coding Senior may be assigned any of the coding functions of a Coding Specialist I
• 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.

Lead Coder

Manager

• Manages all reporting functions related to gross revenue, revenue deductions, bad debt, patient accounts receivable and settlement receivables for consolidated financials and subsidiaries.
• Preparation of all the schedules related to the above-mentioned transactions.
• Supervises staff and ensures the filing of all the cost reports per timelines.
• Verifies monthly financial statements and schedules related to revenue for accuracy and reasonableness before submission to the leaders.
• Consults, advises and answers questions raised by the leadership.
• Maintains a clear understanding of general ledger and patient accounting systems.
• Leverages analytical and interpretative skills in analyzing financial statements and reports.
• Produces revenue budgets and financial projections.
• Assists with annual 990 filings.
• Coordinates the completion of audit schedules for revenue, revenue deductions, patient accounts receivable and settlement receivables requested by the audit firm.

Manager Reimbursement

• Reconciliation of EPIC Cash Posting Clearing Accounts, and lockboxes
• EPIC/Finthrive/JPMC mapping of files, and logic within those software applications
• Maintenance of all payor W9 and payor webportal access/administrative updates
• Researching and resolving unapplied cash in EPIC, the Cash Control Sheets, and in JPMC
• Reconciles Epic posting for multiple clinics to bank statements. Works closely with the leadership team on unreconciled and/or unbalanced items.
• Reconciles insurance payments, self-pay payments, credit cards, vendor payments and other transactions posted in the patient accounting systems to Epic.
• Prepares supporting documentation necessary (reconciliation, spreadsheets, journal entries and reporting) for accounting, revenue cycle, and payors assuring accuracy of financial statements.
• Participate in internal and/or external audit reviews.
• Identifies and works with leadership team, and other parties to resolve payments unclaimed/not associated with patient care or clinic activity.
• Works with leadership team to develop and document cash posting workflows and educational tools used to facilitate cross training and internal controls.

Revenue Cycle Cash Posting Analyst

• The Systems Analyst, under direct supervision, supports legacy technology systems and maintains the technical infrastructure.
• Provides technical analysis and ensures overall operations and automation.
• Consults with users to identify current operating procedures and to clarify program objectives.
• Performs analysis of identified legacy applications and business processes/functions.
• Maintains the databases to ensure continued operation of the legacy applications.
• Monitors supported systems ensuring appropriate service levels are being provided.
• Performs system administration to ensure proper configuration and system integrity.
• Supports the maintenance and data extracts of legacy data as requested.
• Provides documentation as required.