Coder 1, Outpatient

Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Non-Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

With oversight from the department Supervisor and exercising independent judgment within the scope of their professional practice, the Certified Professional Coder performs a variety of tasks associated with coding physician and other provider charges, and providing coding education to providers in that area. Duties include hands-on documentation review and assigning the appropriate CPT, ICD-10-CM, and HCPCs codes for physician or other health care provider services.

Job Description:

Essential Duties & Responsibilities including but not limited to:

Coding Responsibilities:

• Provides review and/or coding of any professional services including but not limited to Evaluation and management, office procedures, and diagnostic services for appropriate use of CPT, ICD-10-CM, HCPCS, and Modifier usage/linkage. Productivity and accuracy must be met according to guidelines set by the manager.
• Prospective audit of charges entered by providers as well as provide feedback to providers
• Answers and responds accurately and timely to questions from providers
• Reviews and analyzes patient inquiries of professional services, and recommends appropriate coding corrections when necessary.
• Reports regularly on daily activity, productivity, and findings as required by the supervisor

Physician/Provider Education:

• Confers regularly on one-on-one meetings, and/or daily interactive communication to supervisor
• Participates in new physician/care provider orientation as well as provides follow-up reviews and education for the new physician/care provider if applicable for the area of responsibility.
• Provides feedback, recommendations, and participates as the coding representative for the Professional Coding Department
• Develops and conducts a schedule of physician/care provider documentation reviews in areas where applicable and/or as defined by the supervisor. 
• Provides feedback to the physician/care provider, Department Chair, and/or Administration as required.
• Documentation review is ongoing and feedback will be provided to the physician/care provider, Department Chair, and/or Administration as required.

Minimum Qualifications:

Education: High School Diploma or equivalent, plus additional specialized training associated with the attainment of a recognized Coding Certificate.

Licensure, Certification & Registration: CPC-A / CPC (Certified Professional Coder through the American Academy of Professional Coders) or CCA/CCS-P (Certified Coding Specialist Physician based through the American Health Information Management Association)

Experience: Entry-level coder minimum 0-2 years Professional Coding experience in conjunction with requirements indicated above

Skills, Knowledge & Abilities:

• Demonstrates a thorough understanding of the body of knowledge required for attainment of a college-level coding certificate as indicated above.
• Computer skills, including word processing, spreadsheets, data entry, research, reporting, and accessing hospital EMR systems (EPIC)
• Excellent oral and written communication skills. 
• Demonstrates proficiency as a teacher and/or educational resource to others in sharing knowledge and providing direction within the scope of the job.
• In the absence of certain of these skills, demonstrates the ability to be thoroughly trained to meet organizational requirements.

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) and COVID-19 as a condition of employment. Learn more about this requirement.

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