Coding Specialist II

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)

40 hpw; Monday - Friday 8:00 - 4:30 pm

Job Description:

Duties/Responsibilities:

• Perform coding and related duties using established JPA billing and coding policies in an accurate and timely manner.

• Review medical documentation and encounter forms and assign CPT, ICD-10, HCPCS II and modifiers based on documentation and payor requirements.

• Demonstrate a commitment to integrating coding compliance standards into daily coding practices. Identify, correct and report coding problems.

• Maintain adequate knowledge of coding, compliance and reimbursement procedures. Review current literature, newsletters, payor policy updates and coding manuals.

• Resolve coding edits and denials in a timely manner. Identify opportunities to reduce denials and enhance revenue.

• Function as a resource to Coding Manager, JPA employees and external customers. Research and resolve coding inquiries.

• Make recommendations for coding policy changes based on payor and/or National changes.

• Participate in coding education for providers and co-workers.

• Maintain coding certification.

• Other duties as assigned.

It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

Education/Experience Required:

• Working knowledge of ICD-10 and CPT-4 coding for professional fee services.

• Course work in anatomy and physiology, medical terminology and insurance reimbursement policies and regulations is preferred.

• Good written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines is required

• Five consecutive years progressively responsible experience as described above required.

Registration/Certification:

• Must hold a coding certification required CPC or CCS-P for five consecutive years.

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.