Senior Coder

Beth Israel Deaconess Medical Center, Inc.; United States; Remote; USD 39,000 - 63,000; Full time

Job summary

Beth Israel Deaconess Medical Center in Boston, MA is seeking a Senior Coder to join the growing BILH team. The role involves professional coding, documentation analysis, and collaboration with surgeons to ensure compliant code use.

Remote work may be available. Requires CP Coder or CCC, 3–5 years of coding experience, strong proficiency with ICD-10/CPT/HCPCS, and solid MS Office skills.

Qualifications

• High School diploma or GED.
• 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.

Responsibilities

• Coordinates coding across various divisions.
• Analyzes surgical operative and other notes to determine the scope and complexity of the services provided.
• Applies ICD-10/CPT/HCPCS codes to services with appropriate modifiers for compliance.
• Reviews documentation and codes to ensure proper capture of billable services.
• Provides ongoing feedback and education to clinical staff regarding 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 staff on documentation issues related to coding data.
• Keeps up to date with changes in ICD-10 and CPT-4 coding and billing compliance regulations.
• Works with Director and coders to ensure division charge tickets are compliant and updated.
• Identifies accurate codes and categories for e-ticket implementation per division.
• Maintains current codes in the system with IS department collaboration.
• Maintains department Practice and Procedure manual with quarterly updates.

Skills

Problem solving

Written communications

Oral communications

Customer service

Teamwork

Education

Certificate 1 Certified Professional Coder

Certificate 2 Certified Coding Specialist

Tools

Microsoft Office

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. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you're busy caring for and supporting our patients, we take care of you.