Inpatient Lead Coder

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🔥 14 minutes ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $62.5k - $91k / year

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

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Boston Medical Center (BMC)

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1996

Boston Medical Center (BMC) is a 511-bed, equity-led academic medical center and a proud member of the Boston Medical Center Health System. BMC delivers a model of healthcare where innovative and equitable care empowers all patients to thrive. As a premier academic medical center in Boston, a national leader in clinical care, and the largest essential hospital in New England, BMC’s world-class clinicians provide comprehensive care in more than 70 specialties and subspecialties.

📋 Description

• 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, 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) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. • Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. • Maintains coding accuracy rate of 95% or better. • Maintains productivity standards set forth in Departmental Policies and procedures. • Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. • Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM/PCS classification systems. • Enters coded/abstracted information in grouper, analyzes groupings, and assigns the appropriate grouper for appropriate and accurate reimbursement. • Utilizes hospital’s behavioral standards as the basis for decision making and to facilitate the hospital’s goals and mission.

🎯 Requirements

• Level of knowledge equivalent to that ordinarily acquired through completion of an Associate's Degree in Health Information, Medical Records or similar program. • Requires inpatient CCS, RHIT or RHIA credentials from AHIMA. • CCS coding credential requires inpatient coding experience before taking exam. • RHIT and RHIA must have associate’s and bachelor’s degree respectively before taking exam. • Minimum of five years inpatient coding experience in a Level 1 Trauma, Teaching Facility. • 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. • Experience with ICD-10-CM/PCS for diagnoses and procedures. • Strong knowledge of health records, computer 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. • Solid communication skills, both oral and written.

🏖️ Benefits

• medical • dental • vision • pharmacy • discretionary annual bonuses • merit increases • Flexible Spending Accounts • 403(b) savings matches • paid time off • career advancement opportunities • resources to support employee and family well-being