Massachusetts Healthcare Jobs

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Type:

Regular

Scheduled Hours:

40

Work Shift:

Day (United States of America)

Job Description:

Education/Experience

Required:

• High School Diploma or equivalent

• Medical Coding Certificate and two years of ICD 9 or 10 diagnosis and procedure coding experience. An additional year of multi-level coding experience may be considered in lieu of the certification.

• Computer experience required.

Preferred:

• Associates degree in Medical Records

• Experience in Health Information Management

• Meditech or experience with other electronic medical records

Other Skills/Knowledge

• Strong knowledge of CPT coding

• Knowledge of medical terminology including anatomy and physiology, clinical medical surgery, diagnostic tests, radiology, pathology, pharmacology, and various medical specialties.

• For safety and quality reasons, must be able to read, write and communicate effectively in English with patients, visitors and fellow members of the hospital team.

Preferred:

• Trained in ICD10 coding.

LICENSES, REGISTRATIONS, CERTIFICATIONS:

Preferred: Certified Coding Specialist (CCS), Registered Health Information Administrator or Registered Health Information Technician

JOB REQUIREMENTS:

Professional Commitment Requirements: Keep abreast of developments in the field and/or licensure through continuing education, participation in professional organizations or a combination of both.

As part of the HIM team, this position performs the following functions in accordance with Hospital procedures and industry standards and regulation:

• Reviews medical records on non-admittance procedures and tests utilizing advanced knowledge of ICD codings, assigns and inputs the appropriate multi-level diagnosis and procedure codes.

• Reviews medical records on outpatient procedures and tests utilizing basic knowledge of CPT coding, assigns or verifies and inputs the appropriate CPT code to the procedures.

• Data inputs other pertinent clinical information as necessary and appropriate.

• Keeps abreast of various insurance plan submission requirements and inputs coding to meet those requirements.

• Keeps abreast of the industry/field ethical coding guidelines and consistently adheres to those standards.

• Verifies batch carries over properly to billing system. Reviews and addresses rejects.

• When necessary follows up with the physician/provider for clarification

• Investigates claim denials, collaborating with patient financial services and as necessary involving the physician/provider.

• Provides coverage for Coder I work.

• Participates in quality and other audits as requested.

FLSA Status:

Non-Exempt

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 (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) 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