[Hiring] Senior OP IVR and Cardiology Coder @Beth Israel Lahey Health

Role Description

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 supervision of the Outpatient Coding Manager and OP Coding Supervisor, the Senior Coding Specialist is responsible for the accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPCS Level II, modifiers, revenue codes, and APC classifications for complex hospital outpatient encounters. The Senior Coding Specialist reviews outpatient records and clinical documentation to ensure appropriate code assignment, regulatory compliance, and reimbursement integrity across a variety of outpatient services, including clinic, interventional radiology, cardiology, infusion, observation, procedural, and ancillary departments.

Serving as a subject matter expert, the Senior Coding Specialist works closely with Coding Leadership, OP Coding Validators, Revenue Integrity, Compliance, and Clinical Operations teams to promote coding uniformity, consistency, and accuracy in accordance with ICD-10-CM and CPT coding conventions, Official Coding Guidelines, CMS regulations, Federal and State requirements, American Hospital Association (AHA) guidance, Coding Clinic publications, National Correct Coding Initiative (NCCI) edits, and payer-specific policies.

In addition to performing advanced coding functions, the Senior Coding Specialist provides mentoring, education, quality review support, and guidance for complex coding scenarios. The Senior Coding Specialist is responsible for meeting or exceeding established productivity and quality standards while supporting timely coding, billing, denial prevention, compliance initiatives, and organizational revenue cycle objectives.

Qualifications

• Associate degree in Health Information Management or Completion of an AHIMA or AAPC Coding Certification program, preferred
• High School Diploma or equivalent, required
• RHIA, RHIT, or CCS from AHIMA or a CPC or COC from AAPC, required
• CIRCC from AAPC, required
• Minimum 5 years of ICD-10-CM, CPT/HCPC Outpatient Facility coding assignment, required
• Minimum of 2-4 years of Interventional and Cardiovascular Facility coding, preferred
• Prior experience performing coding audits, quality reviews, or mentoring preferred
• Experience in large health systems or academic medical centers preferred

Requirements

• Working knowledge of the complexities of interventional radiology and cardiovascular procedures including cardiac catheterizations, vascular surgeries, injections and infusions
• 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
• Ability to educate, mentor, and support coding staff
• Knowledge of laws and regulations about health information and patient confidentiality
• Adheres to Department, Hospital, and Human Resource Policies

Benefits

• Pay Range: $31.29 - $49.35
• Actual compensation is determined based on several factors, including seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law
• Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law

Company Description

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) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled