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East Boston Neighborhood Health Center Coding Team Lead in East Boston, Massachusetts

Thank you for your interest in careers at EBNHC!

Everywhere you turn, you can feel it. There's an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community health centers in the country. From the nurses and physicians on the front line of patient care, to the managers who shape our policies, to the customer service representatives who keep our facilities running smoothly - everyone here has a role in making medicine better.

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To learn more about working at EBNHC and our benefits, check out our Careers Page at careers.ebnhc.org (http://http//careers.ebnhc.org/) .

Time Type:

Full time

Department:

Patient Accounts

All Locations:

East Boston

Description:

The Coding Lead is responsible for coordinating the coding function within all practice locations in accordance with the coding guidelines established by East Boston Neighborhood Health Center (EBNHC). This includes both Facility and Professional components. In addition, the Coding Lead will serve as a key resource for team members and provide guidance and education on Compliance issues. Will perform in-house audits to ensure diagnostic and procedural codes accurately reflect patient health status in accordance with standard CPT coding and compliance regulations. Responsible for coordination of EPIC charge review work queues as well as assisting with implementing policies and procedures.

Essential Duties & Responsibilities

  • Ensuring standards established by EBNHC related to coding staff productivity and accuracy targets are consistently met

  • Promoting and facilitating efficiency and effectiveness of coding related systems, including proper documentation

  • Ensuring timely charge capture for all services rendered

  • Maintain compliance with all CMS PACE Program Regulations and Standards

  • Assisting in the development and implementation of policies and procedures

  • Coordinating Coder/Provider Education and Communications

Qualifications and Requirements

  • AAPC Certification

  • RAF/HCC Coding Experience

  • 2 years supervisory/leadership experience preferred

  • Experience interacting with physicians and other leadership regarding coding guidelines

  • Extensive knowledge of CPT and ICD-10 Coding across multiple medical specialties

  • Extensive knowledge of Revenue Codes, DRG Reimbursement methodologies, including familiarity with Medicare‚Äôs Outpatient Prospective Payment System (OPPS)

  • Competency in navigating patient billing software and electronic medical records, preferably on the Epic platform

  • Extensive knowledge of Anatomy and Physiology

  • Knowledge of medical documentation requirements and compliance guidelines.

  • Strong communication, both written and verbal, as well as ability to formally present to both large and small groups

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