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**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.

With oversight from the department Manager and exercising independent judgment within the scope of their professional practice, the Certified Professional Coder performs a variety of tasks associated with coding physician and other provider charges, and providing coding education to providers in that area.

Duties include hands-on documentation review, surgical coding of physician or other qualified health care provider services.

Coding of inpatient and outpatient Evaluation and Management by assigning the appropriate CPT, ICD-10-CM and HCPCs codes.

Job Description:

Essential Duties & Responsibilities:

Coding Responsibilities:

Provides review and/or coding of any professional services including but not limited to surgeries and diagnostic services for appropriate use of CPT, ICD-10 - CM, HCPCS, and Modifier usage/linkage as well as provide ICD-10- CM coding where needed for missing diagnoses.

Productivity and accuracy standards must be met according to guidelines set by manager.

Prospective audit of charges entered by providers as well as provide feedback to providers

Periodic review of codes, at least annually or as introduced or required for new, revised, or deleted code updates.

Answers and responds accurately and timely to questions from providers and other departments

Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding when necessary

Reports regularly on findings of reviews/rejections as required by manager.

Physician/Provider Education:

Confers regularly with physicians/other qualified health care providers, clinical or ancillary managers, coders, or

other staff through departmental staff meetings, one-on-one meetings, and/or daily interactive communication

to respond to and educate providers on specific departmental and clinic wide coding issues and updates.

Participates in new physician/care provider orientation as well as provide follow-up reviews and education for

the new physician/care provider if applicable for the area of responsibility.

Provides feedback, recommendations, and participates as the coding representative for the Professional Coding

Department on the Revenue Cycle Teams as requested by manager.

Develops and conducts a schedule of physician/care provider documentation reviews in areas where applicable

and/or as defined by the manager.

Provides feedback to the physician/other qualified health care provider, Department Chair, and/or

Administration as required.

Documentation review is ongoing and feedback will be provided to the physician/ other qualified health care

provider, Department Chair, and/or Administration as required.

Education & Professional Development:

Education: High School Diploma or equivalent, plus additional specialized training associated with attainment of a recognized Coding Certificate.

Licensure, Certification, Registration:** **CPC (Certified Professional Coder through American Academy of

Professional Coders) or CCS-P (Certified Coding Specialist Physician based through American Health Information

Management Association)

Skills, Knowledge & Abilities** **:

Demonstrates a thorough understanding of the body of knowledge required for attainment of a college-level coding certificate as indicated above.

Computer skills, including word processing, spreadsheets, data entry, research, reporting, and accessing multiple hospital-wide systems.

Excellent oral and written communication skills.

Demonstrates proficiency as a teacher and/or educational resource to others in sharing knowledge and providing direction within the scope of the job.

In the absence of certain of these skills, demonstrates the ability to be thoroughly trained to meet organizational requirements. Experience: Minimum 5 years Professional Coding experience in conjunction with requirements indicated above

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