Senior Medical Coding Validator & Auditor III

Beth Israel Lahey Health; Boston (MA); In loco; USD 43.000 - 69.000; Tempo pieno

Descrizione del lavoro

Beth Israel Lahey Health in Boston seeks a Coding Validator III to perform quality reviews of medical records and validate ICD-10-CM, CPT, HCPC codes and modifiers with accuracy. Under the Director of Coding, you will audit PB data, ensure coding uniformity, and support adherence to Official Coding Guidelines and payer requirements.

Experience with Epic is preferred. Strong communication and documentation skills, plus at least 5 years coding experience in healthcare, are required to ensure

Competenze

• CPC from AAPC.
• Minimum 5 years ICD-10-CM and CPT/HCPC coding assignment.
• Experience in coding auditing/validation preferred.

Mansioni

• Performs audits on PB coded records to determine if codes need to be added/deleted.
• Provides educational feedback to coding staff on coding and reimbursement changes.
• Performs audit on PB Inpatient coded data.
• Performs claim edit and denial reviews.
• Prepares and presents monthly focused education for the coding department.
• Writes compliant retro coding queries to providers when indicated.

Conoscenze

Epic experience

PB coding auditing

Formazione

Associate degree in Health Information Management

AHIMA/AAPC coding certification program

Strumenti

Microsoft Office

Epic

Descrizione del lavoro

Beth Israel Lahey Health in Boston seeks a Coding Validator III to perform quality reviews of medical records and validate ICD-10-CM, CPT, HCPC codes and modifiers with accuracy. Under the Director of Coding, you will audit PB data, ensure coding uniformity, and support adherence to Official Coding Guidelines and payer requirements.

Experience with Epic is preferred. Strong communication and documentation skills, plus at least 5 years coding experience in healthcare, are required to ensure