- Ensuring standards established by EBNHC related to coding staff productivity and accuracy targets are consistently met
- Promoting and facilitating efficiency and effectiveness of coding related systems, including proper documentation
- Ensuring timely charge capture for all services rendered
- Maintain compliance with all CMS PACE Program Regulations and Standards
- Assisting in the development and implementation of policies and procedures
- Coordinating Coder/Provider Education and Communications
- AAPC Certification
- RAF/HCC Coding Experience
- 2 years supervisory/leadership experience preferred
- Experience interacting with physicians and other leadership regarding coding guidelines
- Extensive knowledge of CPT and ICD-10 Coding across multiple medical specialties
- Extensive knowledge of Revenue Codes, DRG Reimbursement methodologies, including familiarity with Medicare's Outpatient Prospective Payment System (OPPS)
- Competency in navigating patient billing software and electronic medical records, preferably on the Epic platform
- Extensive knowledge of Anatomy and Physiology
- Knowledge of medical documentation requirements and compliance guidelines.
- Strong communication, both written and verbal, as well as ability to formally present to both large and small groups
- Medical, Dental, and Vision Coverage
- Life and Disability Insurance
- 401(K) Retirement Plan
- Tuition Reimbursement
- Flexible Spending and Transportation Accounts
- Paid Holidays, Vacations, Sick, and Personal Time
- Generous Staff Development Benefit
- Excellent Malpractice Coverage
- Pet Insurance
- Free Parking and much more
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Coding Team Lead - Boston, United States - East Boston Neighborhood Health Center
Description
Coding Team LeadEast Boston, MA
Full-time, benefit eligible
The Coding Lead is responsible for coordinating the coding function within all practice locations in accordance with the coding guidelines established by East Boston Neighborhood Health Center (EBNHC). This includes both Facility and Professional components. In addition, the Coding Lead will serve as a key resource for team members and provide guidance and education on Compliance issues. Will perform in-house audits to ensure diagnostic and procedural codes accurately reflect patient health status in accordance with standard CPT coding and compliance regulations. Responsible for coordination of EPIC charge review work queues as well as assisting with implementing policies and procedures.
Essential Duties & Responsibilities:
Qualifications and Requirements:
Benefits:
EBNHC opens our doors to people from all demographics and cultures. Our workforce is as diverse as the city we call home — in gender, race, ethnicity, sexual orientation, disability, religion, and age, as well as in cultural backgrounds, life experiences, thoughts, and ideas.