Coder II (Radiation Oncology Dept / On-Site)

Tufts Medicine•Lowell, MA

19d•$23 - $29•Onsite

About The Position

We are seeking a qualified Medical Coder to join our team at Lowell General Hospital's Oncology Department! This role is 100% onsite based out of Lowell General Hospital- Main Campus. Job Overview This position reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD-10, CPT, and HCPCS, modifier and/or other codes according to coding guidelines. Communicates effectively with providers and/or all appropriate staff regarding missing information such as CPT, ICD-10, and documentation issues, to ensure proper coding and reimbursement. Works with leadership to review denial and reimbursement reports for accuracy, as well as conducting audits to ensure documentation, code capture, and billing are accurate and precise. Performs pre and post visit chart audits to ensure proper code assignment. Hours: Full time / 40 hours / Day shifts, Monday through Friday No major holidays / position will work on-site at Lowell General Hospital Location: Lowell General Hospital - Main Campus

Requirements

High school diploma or equivalent.
Completion of medical coding certificate program.
Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).
One (1) year of healthcare coding experience
ROCC certification HIGHLY PREFERRED

Nice To Haves

Associates degree.
Two (2) years of coding experience within clinical specialty.
ROCC certification HIGHLY PREFERRED

Responsibilities

Verifies and abstracts specific clinical and demographic data from the patient record.
Performs pre-visit chart audits, and post encounter review to ensure coding accuracy and can determine medical records ensure codes reported are support by the documentation.
Assigns accurately Evaluation and Management (E&M) codes, ICD-10 diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for patient encounters.
Correlate information from various EMR systems supporting clinical documentation not limited to Pathology, Radiology and/or other Physician Consultations after review by the Attending Physician, wherever appropriate.
Reviews reports with leadership to identify reimbursement changes/discrepancies.
Reviews audit lists regarding coding/billing changes, as well as denial reports.
Identifies and evaluates coding issues, summarizes findings for leadership, makes recommendations for course of action.
Mentor coders and assist in training of new coders within the department. Identifies coding opportunities and issues, research for compliance, and educate providers and staff; Participates in creating of departmental policies and procedures related to the outpatient and ambulatory coding function. May be asked to provide input to coder performance appraisals.
Documents results of all special project work, and providing recommendations for revenue managing opportunities relating to special projects.
Performs related duties such as answering and routing telephone calls and receiving people requesting action or follow up to the designated patient account representative.
Attends meetings as necessary and participates on projects to ensure that all services are captured through codes, educate providers on how to properly document to support identified procedures, and cross train staff to ensure consistency.
Maintains good relationship with physicians, social workers, and office personnel to facilitate good communication in coding queries and to educate providers in relation to documentation requirements for services. Promote excellent customer service. Identify and communicate problems and/or opportunities to improve processes with appropriate department staff.
Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment