Jobs · Healthcare · Massachusetts

Coder 2 - Outpatient

Beth Israel Lahey Health · Boston, Massachusetts, United States · 1 mo ago
Healthcare$22.43–$45.41/hrFull-time
We need to output HTML fragment with sections: About the role? The posting includes intro paragraph about joining BILH team, making a difference, etc. That could be "About the role". Then responsibilities: list of duties. Then requirements: qualifications, education, licensure, experience, skills. Benefits? Not present. Pay: we have Pay Range $22.43 - $45.41. So include Pay section. Schedule: not present. Benefits: not present. So we include sections: About the role, Responsibilities, Requirements, Pay. Possibly also "Qualifications" but we can combine with Requirements. The instruction: use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We should include only those with real content. So we will have About the role (intro), Responsibilities (list), Requirements (education, licensure, experience, skills), Pay (range). Possibly also Skills separate? But we can include skills within Requirements. Better to follow instruction: prefer few substantive sections over many thin ones. So combine. We need to use

for each section heading. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We must preserve all substantive information, not invent or summarize away detail. Remove boilerplate: EEO, vaccination statement, etc. Also remove navigation, cookie, legal, duplicated lines. Also remove "Key Business Relationships:" maybe that's substantive? It lists relationships; could be considered part of role but maybe not essential. The instruction: preserve ALL substantive information; do not invent or summarize away detail. So we should keep that info if it's substantive. However it's under "Key Business Relationships: (Title and Purpose)". That seems like part of job description. Could be included under Responsibilities or a separate section? But we don't have a heading for that; we could include as a list under Responsibilities or a separate section like "Key Relationships". But the allowed headings list does not include Key Relationships. We could incorporate into Responsibilities as bullet points. That would preserve info. Also need to include "Professional Coding Coding Responsibilities" etc. That's part of responsibilities. We need to ensure we don't repeat job title as heading. Not include Job ID. We need to output only HTML fragment. Let's extract content. Intro: "When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the general supervision of the Outpatient (OP) Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing." That's About the role. Responsibilities: list from "Job Description Essential Duties & Responsibilities including but not limited to:" then bullet points. We need to capture all duties: - Hospital Coding Review the complete electronic and scanned medical record of discharged patients. - Assigns ICD-10-CM, CPT/HCPC, and Modifiers from documentation in the medical record. - Abstracts coded data and patient information into the coding abstracting system in use by BILH (examples of information includes attending physician, surgeon, dates of surgery, disposition, discharge date, and infant birth weight). - Applies ICD-10-CM and CPT Official Guidelines for Coding and Reporting, AHA Coding Clinic Advice, and facility specific guidelines when coding outpatient records. - Sequences the assigned codes using 3M software, exercises all principles of assigning and sequencing ICD-10-CM and CPT/HCPC codes for comprehensive coding and appropriate APC assignment. - Participates in training programs, including educational sessions for ICD-10-CM and CPT/HCPC coding guidelines and updates. - Follows hospital specific guidelines to identify and facilitate prompt resolution of documentation, abstracting and/or other account problems. - Professional Coding 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 the 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 the 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 provides 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 the 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. Also Key Business Relationships: list 1-4. We could incorporate those as bullet points under Responsibilities as well. Requirements: Education Minimum Qualifications: Hospital Coding Minimum of an Associate degree in Health Information Management or Completion of an AHIMA or AAPC Coding Certification program, required OR Professional Coding High School Diploma or equivalent, plus additional specialized training associated with the attainment of a recognized Coding Certificate. Licensure, Certification & Registration Hospital Coding RHIA, RHIT, or CCS from AHIMA or a COC from AAPC, required OR Professional Coding CPC (Certified Professional Coder through the American Academy of Professional Coders) or CCS-P (Certified Coding Specialist Physician based through the American Health Information Management Association) Experience Minimum 2 years of ICD-10-CM, CPT/HCPC Outpatient coding assignment, required Microsoft Office applications Interventional Radiology, Cardiac Cath, Injection and Infusion, Observation, and Ambulatory Surgery coding experience, preferred Computer skills Required Skills, Knowledge & Abilities Medical terminology Proficient in Microsoft Office Excel, Word, and PowerPoint applications Knowledge and understanding of current ICD-10-CM and CPT Official Guidelines for Coding and Reporting Knowledge of medical records content and management Working knowledge of the EMR either through experience or education, including experience working with structured data and database management Strong written communication skills Knowledge of laws and regulations about health information and patient confidentiality Adheres to Department, Hospital, and Human Resource Policies Preferred Qualifications & Skills Epic experience 3M-360 Computer Assisted Coding Dept./Unit-Specific Skills OP Coder II level ICD-10-CM, CPT Outpatient code assignment skills based on BILH OP Coder Exam Pay Range $22.43 - $45.41 plus description. We need to preserve all substantive info, not summarizing away detail like "commensurate with experience" etc. We have actual range. We should not include boilerplate like vaccination statement, EEO, etc. Now produce HTML. Structure:

    About the role

    When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the general supervision of the Outpatient (OP) Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing.

    Responsibilities

    • Hospital Coding Review the complete electronic and scanned medical record of discharged patients.
    • Assigns ICD-10-CM, CPT/HCPC, and Modifiers from documentation in the medical record.
    • Abstracts coded data and patient information into the coding abstracting system in use by BILH (examples of information includes attending physician, surgeon, dates of surgery, disposition, discharge date, and infant birth weight).
    • Applies ICD-10-CM and CPT Official Guidelines for Coding and Reporting, AHA Coding Clinic Advice, and facility specific guidelines when coding outpatient records.
    • Sequences the assigned codes using 3M software, exercises all principles of assigning and sequencing ICD-10-CM and CPT/HCPC codes for comprehensive coding and appropriate APC assignment.
    • Participates in training programs, including educational sessions for ICD-10-CM and CPT/HCPC coding guidelines and updates.
    • Follows hospital specific guidelines to identify and facilitate prompt resolution of documentation, abstracting and/or other account problems.
    • 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 the 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 the manager.
    • 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 provides 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 the 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.
    • Key Business Relationships: 1 Coding Director – Day to day direction, scheduling and

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