Coder II

Location: Winchester, MA
Job ID: 172300-1A
Date Posted: Nov 24, 2021
Category: Support

Save Job Job Saved

Job Description

Welcome To

Welcome to Winchester Hospital, part of Beth Israel Lahey Health. Winchester Hospital was the first hospital in Massachusetts to earn Magnet recognition, the American Nurses Association’s highest honor for nursing excellence, three times. It has since received the recognition a fourth time. As the northwest suburban Boston area’s leading provider of comprehensive health care services, the 229-bed facility provides care in general, bariatric and vascular surgery, orthopedics, pediatrics, cardiology, pulmonary medicine, oncology, gastroenterology, rehabilitation, radiation oncology, pain management, obstetrics/gynecology and a Level IIB Special Care Nursery.

 

About the Job

 

JOB SUMMARY:

Contributes to the Hospital’s mission by reviewing physician orders procedures to interpret the medical notes and assign the appropriate multilevel ICD codes and CPT codes.  This specialized administrative support position impacts the hospital’s financial success by streamlining reimbursement and physician satisfaction by minimizing the need to involve physicians in the reimbursement process.

 

QUALIFICATIONS:

 

Education/Experience

Required: 

  • High School Diploma or equivalent
  • Medical Coding Certificate and two years of ICD 9 or 10 diagnosis and procedure coding experience.  An additional year of multi-level coding experience may be considered in lieu of the certification. 
  • Computer experience required. 

Preferred: 

  • Associates degree in Medical Records
  • Experience in Health Information Management
  • Meditech or experience with other electronic medical records

 

Other Skills/Knowledge

  • Strong knowledge of CPT coding
  • Knowledge of medical terminology including anatomy and physiology, clinical medical surgery, diagnostic tests, radiology, pathology, pharmacology, and various medical specialties.
  • For safety and quality reasons, must be able to read, write and communicate effectively in English with patients, visitors and fellow members of the hospital team.

Preferred:

  • Trained in ICD10 coding.

 

 

LICENSES, REGISTRATIONS, CERTIFICATIONS

Preferred:

 Certified Coding Specialist (CCS), Registered Health Information Administrator or Registered Health Information Technician

 

OTHER JOB REQUIREMENTS:

Professional Commitment Requirements:  Keep abreast of developments in the field and/or licensure through continuing education, participation in professional organizations or a combination of both.

Schedule requirements:  Generally business hours, based on business needs.

 

REPORTING RELATIONSHIPS:

  • Reports to the Coding Manager
  • Directs the work of others; does not supervise others.

 

JOB FUNCTIONS:

Consistent with the PROMISE principles and inherent in a hospital environment, employees must be flexible in meeting patients’ and the Hospital’s needs. While the list below describes the primary functions of this job, all employees at Winchester Hospital need to recognize that an essential element of their job is the ability to respond to unanticipated and/or changing situations.  This may result in assuming responsibilities or tasks, which are not on this list.

 

As part of the HIM team, this position performs the following functions in accordance with Hospital procedures and industry standards and regulation:

 

  • Reviews medical records on non-admittance procedures and tests utilizing advanced knowledge of ICD coding, assigns and inputs the appropriate multi-level diagnosis and procedure codes.
  • Reviews medical records on outpatient procedures and tests utilizing basic knowledge of CPT coding, assigns or verifies and inputs the appropriate CPT code to the procedures.
  • Data inputs other pertinent clinical information as necessary and appropriate.
  • Keeps abreast of various insurance plan submission requirements and inputs coding to meet those requirements.
  • Keeps abreast of the industry/field ethical coding guidelines and consistently adheres to those standards.
  • Verifies batch carries over properly to billing system.  Reviews and addresses rejects. 
  • When necessary follows up with the physician/provider for clarification
  • Investigates claim denials, collaborating with patient financial services and as necessary involving the physician/provider.
  • Provides coverage for Coder I work.
  • Participates in quality and other audits as requested.

 

Shift

Full Time/40 HR

About Us

Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve.  Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health.  Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.