Beth Israel Deaconess Medical Center CPC Coder/Biller -Primary Care in Needham, Massachusetts

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CPC Coder/Biller -Primary Care

Department Description:Beth Israel Deaconess HealthCare is a network of more than 100 highly-skilled primary care physicians and specialists who are affiliated with the renowned Beth Israel Deaconess Medical Center in Boston, Beth Israel Deaconess Hospital-Needham, Beth Israel Deaconess Hospital-Milton and Beth Israel Deaconess Hospital-Plymouth. Our Central Office is located in Needham, MA.

Job Location:Needham, MA

Req ID:28561BR

Job Summary:Responsible for coordination of ambulatory/professional coding of a large physician practice. Acts as liaison between the Practice Manager(s), Physicians, and all areas of the Billing Department to ensure accurate and timely coding and reimbursement.

Essential Responsibilities:

  • Perform coding and related duties using established coding and billing policies in an accurate and timely manner.

  • Interpret medical record data in order to process physician and/or facility charges.

  • Assigns appropriate ICD-10CM, CPT-4 codes and modifiers based on documentation and payer requirements.

  • Train staff and physicians when necessary to ensure all revenue/charges are captured at the time of service.

  • Conduct periodic and focused chart audits and provide results/feedback to various parties.

Required Qualifications:

  • High School diploma or GED required. Associate's degree preferred.

  • Certificate 1 Certified Professional Coder required.

  • 5-8 years related work experience required.

  • Extensive knowledge of ICD-10-CM and CPT-4 HCPCS coding systems, 3rd party payer requirements and federal and state guidelines and regulations pertaining to coding and billing practices.

  • Three years of medical chart abstraction and coding experience or relevant work experience required.

  • Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.

Competencies:

  • Decision Making:Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.

  • Problem Solving:Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.

  • Independence of Action:Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.

  • Written Communications:Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.

  • Oral Communications:Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.

  • Knowledge:Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.

  • Team Work:Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.

  • Customer Service:Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Physical Nature of the Job:

Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally