Senior Coder

Beth Israel Lahey Health, Inc.; Boston, Northern (MA, KY); Hybrid; USD 39,000 - 63,000; Full time

Job summary

Beth Israel Lahey Health, Inc. in Boston, MA is seeking a Senior Coder to perform professional certified coding and support the department with documentation analysis and compliance for reimbursement.

The role may allow full remote work and requires CPC/CCS certifications, 3–5 years of experience, and strong Microsoft Office skills; you will collaborate with clinical staff and physicians to apply ICD-10, CPT, and HCPCS codes accurately.

Qualifications

• High School diploma or GED
• CPC or CCS certification required
• 3–5 years related coding experience
• Advanced skills with Microsoft applications (Outlook, Word, Excel) and related web-based tools
• Ability to produce complex documentation and maintain databases

Responsibilities

• Coordinate coding across divisions.
• Analyze operative notes to determine service scope and complexity.
• Apply ICD-10/CPT/HCPCS codes with appropriate modifiers for reimbursement.
• Review documentation to ensure accurate capture of billable services.
• Provide feedback and education to clinical staff on documentation and coding.

Skills

Certified Professional Coder

Certified Coding Specialist

Microsoft Office Pro

Education

High School diploma or GED

CPC Certification

CCS Certification

Job description

Job Description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Senior Coder opportunity will be working with Beth Israel Deaconess Medical Center in Boston, MA. This role may have the opportunity to work fully remote. Job Description: Performs professional certified coding and provides administrative and project support to the department. Analyzes surgical-medical documentation, provides the individual surgeon/physician with the application of appropriate ICD-10/CPT/HCPCS descriptor codes including the appropriate use of modifiers to ensure compliance for reimbursement.

Essential Responsibilities

• Coordinates coding across various divisions.
• Analyzes surgical operative and other notes and documents to determine the scope and complexity of the services provided.
• Utilizes professional coding knowledge, applies ICD10/CPT/HCPCs codes to the services delineated in the operative note.
• Reviews documentation and codes to ensure appropriate capture of all billable services.
• Provides ongoing feedback and education to the applicable clinical staff regarding appropriate documentation and coding of services.
• Acts as the key liaison for the clinical staff as it relates to coding and compliance.
• Interacts with physicians and other professional staff on documentation issues related to coding data.
• Remains current with any changes in ICD-10 and CPT-4 coding and remains current with Medicare, federal insurance and third party billing compliance regulations.
• Works collaboratively with the Director and coders to ensure all the division charge tickets are compliant, accurate and updated annually or as new procedures are added to the division.
• Identifies accurate codes and categories for e-ticket implementation for each division.
• Maintains accurate and current codes in the system by working collaboratively with IS department.
• Maintains the department Practice and Procedure manual and updates quarterly with new or modified practices or procedures.

Required Qualifications

• High School diploma or GED required.
• Certificate 1 Certified Professional Coder required., or Certificate 2 Certified Coding Specialist required.
• 3-5 years related work experience required.
• Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications.
• May produce complex documents, perform analysis and maintain databases.

Competencies

• Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
• Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
• Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
• Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
• Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
• Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
• Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
• Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Physical Nature of the Job

Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally.

Pay Range

$28.38 - $45.41 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities.

Vaccination Requirement

Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

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Equal Opportunity Employer

Equal Opportunity Employer/Veterans/Disabled At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs.

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