Outpatient Coder: ICD-10 & Coding Specialist

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

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.