Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.
Summary of Position
Under general supervision, assigns diagnosis and procedural codes to medical procedures, operative notes and visit notes to ensure compliant coding/billing of facility and office based services (e.g. endoscopy, oncology, chemotherapy infusions). Monitors and reviews all medical records in order to assure the accuracy of medical coding, including appropriate completion and documentation of physician signatures, and proper coding of all diagnoses and procedures. Thorough understanding of CMS/Medicare regulations, as well as technical knowledge of the International Classification of Disease (ICD-10) and Current Procedural Terminology (CPT-4) classification systems required. Provides billing department with accurate completed coded reports for processing, notifying sites of missing information and following up accordingly. May provide administrative and data entry support as required. Reports to Coding Supervisor/Manager.
EXPERIENCE
· Ensures that professional services are captured and coded accurately by reviewing operative notes, procedure notes or visit notes and applying all applicable ICD-10, CPT, HCPCS and Modifiers are captured.
· Ensures coding is in alignment with federal regulations and insurance requirements.
· Ensures that CPT and ICD-10 codes are assigned and linked accurately
· Evaluates and interprets medical records/reports in order to accurately code diagnosis and procedures.
· Correctly enters coding information into an EpicCare electronic medical record system.
· Serves as a resource for facility coding issues.
· Assists with the development of processes and procedures structured to optimize reimbursement, limit liability and enhance data integrity.
· Keeps up to date on billing/coding rules, including the annual update of CPT-4 and ICD-10 codes.
· Maintains CEUS needed for certification.
· Performs all job functions in compliance with applicable federal, state, local and company policies and procedures.
EDUCATION/LICENSES/CERTIFICATIONS
- · High school graduate or equivalent. 2-4 year degree in healthcare or related field preferred.
- Certification in medical coding through AAPC or AHIMA a must (CCS, CPC, RHIT, RHIA, etc)
SKILLS
· At least 3 years recent coding experience including coding surgical cases preferred.
· Experienced in coding hospital inpatient and outpatient E/M services.
· Thorough knowledge of medical terminology, ICD-10-CM and CPT4 coding necessary.
· Understanding of both the medical and business side of healthcare operations.
· Highly organized, self-motivated, detail-oriented and energetic team player.
· Ability to multi-task in a fast-paced environment.
· Excellent verbal and written communication skills.
· Must be detail oriented.
· Strong computer skills including MSOffice, Internet, and E-mail.
· Excellent problem solving ability and good interpersonal skills.
· Epic experience helpful
Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.
Benefits Include:
- Up to 8% company retirement contribution,
- Generous Paid Time Off
- 10 paid holidays,
- Paid professional development,
- Generous health and welfare benefit package.
Atrius Health is an equal opportunity/affirmative action employer and does not discriminate in recruiting, hiring, training, promoting or any other employment practices on the basis of race, color, religion, sex, marital status, age, sexual orientation, gender identity, national origin, military service or application for military service, veteran or disability status.
Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA);Equal Employment Opportunity (EEO); and Employee Polygraph Protection Act (EPPA).
VEVRAA Federal Contractor
Request Priority Protected Veteran & Disabled Referrals for all of our locations within the state