Outpatient Coder
US-MA-Brookline
careers
Req #: 46153
Type: full time
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Overview: The Outpatient Coder reviews and abstracts icd-10 codes per the outpatient coding guidelines. Reviews CCI and LCD/NCD edits for all lab, high dollar drugs and radiology services, abstracts infusion accounts to match documentation, and reviews and codes denial accounts. The selected candidate must live and work from one of the New England states (ME, NH, VT, MA, RI, CT) Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Responsibilities: * Communicates directly with physicians to ensure that clinical documentation is coded timely, accurately and in compliance with CMS guidelines and national correct coding initiatives. * Reviews patients encounters for accurate code assignment of all relevant diagnosis, procedures, and modifiers. * Resolves coding edits by performing second review of medical record documentation and code assignments. * Assign appropriate modifiers and apply guidelines as indicated through the limited coverage diagnosis (LCD), as well as the national correct coding initiative (CCI) * Collaborates with Patient Accounting to solve denials, billing, and coding issues. * Abstracts infusion encounters. * Assists in staff training, educational sessions and participates in team meetings as requested by management. * Maintains coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, AAPC/AHIMA seminars, and other educational forums. * Meets or exceeds department production and accuracy standards. * Performs other duties as assigned. SUPERVISORY RESPONSIBILITIES: None, serves as a resource for less experienced team members Qualifications: * Minimum Education: * High school diploma or GED required. * Minimum Experience: * 4 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. * Experience with Epic software preferred. * License/Certification/Registration: * CCS/CPC certification required. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: * Strong knowledge of coding and billing rules and regulations. * Strong knowledge of CMS coding regulations. * Strong knowledge of Revenue Cycle and best-practice workflows. * Ability to see projects through to completion, persevering even when faced with barriers or obstacles. * Ability to solve problems while ensuring rules and directives are followed. * Ability to seek ways to support team efforts while contributing to overall organizational success. * Possesses excellent writing and grammar skills, including the ability to write concisely, clearly, and logically with ability to speak with clarity, precision, and purpose in small and large groups. * Dependable self-starter, able set priorities, manage multiple data needs, and meet appropriate deadlines. * Able to work well independently on a team and as a trainer/facilitator. * Strong interpersonal, oral, and written communication and organizational skills. * Ability to lead by example. * Flexible with ability to adapt to changing work assignments. At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. EEOC Poster
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