Outpatient Coder

MFS Investments; Brookline (MA); Remote; USD 56,000 - 64,000; Full time

Benefits offered by this job

Health and wellness benefits

Paid time off

Job summary

Dana-Farber Cancer Institute seeks an Outpatient Coder I to review and abstract ICD-10 codes per outpatient guidelines, including CCI and LCD/NCD edits. You will communicate with physicians to ensure timely, accurate coding and collaborate with Patient Accounting to resolve denials.

The role requires 2 years outpatient coding experience, CCS/CPC certification, and knowledge of ICD-10, HCPCS, CPT. Fully remote work is supported; base salary ranges from $55,600 to $63,500 per year, with

Qualifications

• 2 years outpatient coding/billing experience.
• ICD-10, HCPCS and CPT coding knowledge.
• CCS/CPC certification required.
• High school diploma or GED.

Responsibilities

• Communicate with physicians to ensure timely, accurate coding.
• Review encounters for accurate code assignment of all relevant diagnosis, procedures, and modifiers.
• Resolve edits by performing second review of medical record documentation and code assignments.
• Assign appropriate modifiers and apply LCD/CCI guidelines.
• Collaborate with Patient Accounting to resolve denials, billing, and coding issues.
• Assist in educational sessions and participate in team meetings.
• Maintain coding knowledge through continuing education activities and literature reviews.
• Meets or exceeds department production and accuracy standards.
• Performs other duties as assigned.

Skills

Coding rules

Billing software

CMS guidelines

Lead by example

Education

High school diploma

Tools

Microsoft Office

Coding software

Job description

The Outpatient Coder I reviews and abstracts icd-10 codes per the outpatient coding guidelines. Reviews CCI and LCD/NCD edits for all lab accounts.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

PRIMARY DUTIES AND RESPONSIBILITIES

• Communicates directly with physicians to ensure that clinical documentation is coded timely, accurately and in compliance with CMS guidelines and national correct coding initiatives.

• Reviews patients encounters for accurate code assignment of all relevant diagnosis, procedures, and modifiers.

• Resolves coding edits by performing second review of medical record documentation and code assignments.

• Assign appropriate modifiers and apply guidelines as indicated through the limited coverage diagnosis (LCD), as well as the national correct coding initiative (CCI)

• Collaborates with Patient Accounting to solve denials, billing, and coding issues.

• Assists in educational sessions and participates in team meetings as requested by management.

• Maintains coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, AAPC/AHIMA seminars, and other educational forums.

• Meets or exceeds department production and accuracy standards.

• Performs other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED

• Knowledge of coding and billing rules and regulations.

• Knowledge of software applications, including Microsoft Office and billing and coding software.

• Some knowledge of hospital / physician coding software.

• Some knowledge of CMS coding regulations.

• Ability to lead by example.

• Ability to be a dependable self-starter, able set priorities, manage multiple data needs, and meet appropriate deadlines.

• Dependable self-starter, able set priorities, manage multiple data needs, and meet appropriate deadlines.

• Able to work well independently on a team and as a trainer/facilitator.

• Flexible with ability to adapt to changing work assignments.

MINIMUM JOB QUALIFICATIONS

• High school diploma or GED required.
• 2 years of outpatient coding/billing experience required.
• Must pass pre-employment coding test.
• Experienced in ICD-10, HCPCS and CPT coding, anatomy, physiology, and medical terminology.

License/Certification/Registration

• CCS/CPC certification required.

SUPERVISORY RESPONSIBILITIES

• None

PATIENT CONTACT

• None

Work Location

Fully remote. The selected candidate may work remotely from Washington D.C. or any state in the U.S. (except Hawaii).

Salary Range and Benefits for Positions Approved for National Recruitment

• Base salary range: $55,600-$63,500 per year. The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications.
• For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA)

Dana-Farber offers eligible full and part-time staff members benefits, including health and wellness benefits, retirement, and paid time off. A summary of benefits offered can be found at https://careers.dana-farber.org/well-being.html.

EEO Poster

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.

Pay Transparency Statement

The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications.

For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).

$55,600.00 - $63,500.00