Coder

POSITION SUMMARY:

Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, HIM-designated CPT-4/HCPCS and CPT-HCPCS modifiers resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis-related group), ASC (Ambulatory Surgical Classification), APG (Ambulatory Patient Groups), APC (Medicare's Ambulatory Patient Classification) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded.

Position: Coder

Department: BUMG Corporate PBO General

Schedule: Full Time

JOB REQUIREMENTS

EDUCATION:

Level of knowledge equivalent to that ordinarily acquired through completion of an Associate's Degree in Health Information, Medical Records, Medical Coding or similar program. An equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

Must have obtained and maintain current at least one of the following:

• Certified Coding Specialist (CCS)
• Certified Coding Specialist-Professional (CCS-P)
• Certified Professional Coder (CPC)
• Certified Professional Coder-Hospital Outpatient (CPC-H)

EXPERIENCE:

At least 12 months of full-time coding experience in an acute care facility.

KNOWLEDGE AND SKILLS:

• Work requires in-depth knowledge of medical terminology, ICD-10-CM/PCS and CPT-4 Coding conventions and knowledge of the various DRG systems (CMS DRGs, AP-DRG, and APR-DRGs). Work also requires basic concepts of human anatomy, physiology and pathology.
• Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required.
• Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
• Ability to work with accuracy and attention to detail
• Ability to solve problems appropriately using job knowledge and current policies/procedures.
• Ability to work cooperatively with members of the healthcare delivery team and staff, ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests.
• Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations.

Compensation Range:

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

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