Oct 25, 2024

Coder, Outpatient Hospital

Full time Healthcare

Job Description

Reporting to the Manager of Outpatient Hospital Coding, the Outpatient Hospital Coder will be responsible for translating documentation, reports, and procedural notes into ICD-10-CM/HCPCS/CPT while adhering to coding guidelines, Institute specifications and all government/carrier requirements. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute brings together world renowned clinicians, innovative researchers and dedicated professionals, allies in the common mission of conquering cancer, HIV/AIDS and related diseases. Combining extremely talented people with the best technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances treatment; we educate tomorrow's physician/researchers; we reach out to underserved members of our community; and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. PRIMARY DUTIES AND RESPONSIBILITIES: Communicate directly with physicians to ensure that clinical documentation is coded timely, accurately and in compliance with CMS guidelines and national correct coding initiatives. Assist in staff training, educational sessions, and participates in team meetings as requested by management. Review patients encounters for accurate code assignment of all relevant diagnosis, procedures, and modifiers. Maintain coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, AAPC/AHIMA seminars, and other educational forums. Resolve coding edits/denials 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. Meet or exceed department production and accuracy standards. Perform other duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: Strong skillset in coding of ICD-9-CM, ICD-10-CM, CPT, and HCPCS. Thorough knowledge of CMS (Medicare and Medicaid) and commercial payers’ billing, Coding, and documentation guidelines. Possess strong knowledge of anatomy/physiology, pharmacology, and medical terminology Knowledge of CMS (Medicare and Medicaid) and commercial payers’ billing and documentation guidelines required Ability to remain current on coding and billing regulations as well as any CPT, ICD10 or HCPCS updates. Ability to be a dependable self-starter, able set priorities, manage multiple data needs, and meet appropriate deadlines. Strong interpersonal, oral, and written communication and organizational skills. Strong attention to detail and highly organized Strong team player with ability to work well independently and as a group Ability to work under pressure, multi-task and meet deadlines Ability to be flexible and adapt to changing work assignments. Strong computer skills, including word processing, spreadsheets, data entry, research, reporting, and accessing multiple hospital-wide systems. MINIMUM JOB QUALIFICATIONS: Minimum Education: High School Diploma or GED. Minimum Experience: 2 years coding experience required. ICD-10, HCPCS and CPT coding, anatomy, physiology, and medical terminology experience. Must be proficient in more complex medical coding preferably including (but not limited to) Hematology/Oncology, Infusion, and hematology/oncology-based transplant coding. License/Certification/Registration: CCS/CPC certified required. 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 groups as protected by law.

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