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.

Under the general supervision of the OP Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment.

The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic.

The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing

Job Description:

Essential Duties & Responsibilities including but not limited to: 

• Review the complete electronic and scanned medical records of discharged patients.

• Assigns ICD-10-CM, CPT/HCPC, and Modifiers from documentation in the medical record.

• Abstracts coded data and patient information into the coding abstracting system in use by BILH (examples of information include attending physician, surgeon, dates of surgery, disposition, discharge date, and infant birth weight).

• Applies ICD-10-CM and CPT Official Guidelines for Coding and Reporting, AHA Coding Clinic Advice, and facility-specific guidelines when coding outpatient records.

• Sequences the assigned codes using 3M software, and exercises all principles of assigning and sequencing ICD-10-CM and CPT/HCPC codes for comprehensive coding and appropriate APC assignment.

• Participates in training programs, including educational sessions for ICD-10-CM and CPT/HCPC coding guidelines and updates.

• Follows hospital-specific guidelines to identify and facilitate prompt resolution of documentation, abstracting, and/or other account problems.
  
  

Minimum Qualifications:

Education:

Minimum of an Associate degree in Health Information Management or Completion of an AHIMA or AAPC Coding Certification program, required

Licensure, Certification & Registration:

RHIA, RHIT, or CCS from AHIMA or a COC from AAPC, required

Experience:

Computer skills
Minimum 2 years of ICD-10-CM, CPT/HCPC Outpatient coding assignment, required
Microsoft Office applications · Interventional Radiology, Cardiac Cath, Injection and Infusion, Observation, and Ambulatory Surgery coding experience, preferred

Required Skills, Knowledge & Abilities:

Medical terminology:
**Proficient in Microsoft Office Excel, Word and PowerPoint applications **Knowledge and understanding of current ICD-10-CM and CPT Official Guidelines for Coding and Reporting

**Knowledge of medical records content and management

**Working knowledge of the EMR either through experience or education, including experience working with structured data and database management
**Strong written communication skills

**Knowledge of laws and regulations about health information and patient confidentiality

**Adheres to Department, Hospital, and Human Resource Policies

Preferred Qualifications & Skills:

Epic experience · 3M-360 Computer Assisted Coding

Dept./Unit-Specific Skills:

OP Coder II level ICD-10-CM, CPT Outpatient code assignment skills based on BILH OP Coder Exam

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