Outpatient Coder

Dana-Farber Cancer Institute; Brookline (MA); On-site; USD 56,000 - 64,000; Full time

Job summary

Dana-Farber Cancer Institute in Boston is seeking an Outpatient Coder I to review and abstract ICD-10 codes per the outpatient coding guidelines. The coder also reviews CCI and LCD/NCD edits for all lab accounts.

The role focuses on timely, accurate coding, collaboration with physicians and Patient Accounting, meeting productivity standards, and ongoing education to maintain coding excellence.

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.
• CCS/CPC certification required.

Responsibilities

• Communicates with physicians to ensure timely, accurate coding per CMS guidelines and national initiatives.
• Reviews patient encounters for correct diagnosis, procedures, and modifiers.
• Resolves coding edits by re-reviewing documentation and code assignments.
• Assigns modifiers and applies LCD/CCI guidelines as indicated.
• Collaborates with Patient Accounting to resolve denials and billing issues.
• Participates in educational sessions and team meetings as requested.
• Maintains coding knowledge through CE activities and institutional meetings.
• Meets or exceeds department production and accuracy standards.
• Performs other duties as assigned.

Skills

Coding knowledge

Billing software

CMS regulations

Leadership

Self-starter

Teamwork

Adaptability

Education

High school diploma or GED

CCS/CPC certification

Tools

Microsoft Office

Billing software

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

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we.

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.

EEO Poster

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