Atrius Health is a nonprofit healthcare
leader delivering a system of connected care that enables us to know our
patients better so that we can serve them well. Across 32 clinical locations,
more than 50 specialties and 825 physicians, we provide proactive, customized
care to more than 720,000 adult and pediatric patients across eastern
Massachusetts. The Atrius Health practices including Dedham Medical
Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG
Physician Associates - together with VNA Care - work in collaboration with
hospital partners, community specialists and skilled nursing facilities, to
develop innovative and effective ways of delivering care in the most
appropriate setting, making it easier for patients to be healthy. We
believe that by establishing a solid foundation of knowledge, understanding and
trust with each of our patients, we enrich their health and enhance their
Summary of Position
Under general supervision, assigns
codes to medical procedures and diagnosis to ensure compliant billing coding of
facility and office based services. 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-9) and Current Procedural Terminology (CPT-4)
classification systems. 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 a Billing Manager.
*Ensures that professional services
are captured and coded and ensures coding compliance with federal regulations
and insurance requirements. Ensures that CPT and ICD codes are aligned so that
there will be no question as to relationship between diagnosis and treatment
and the claim will be reimbursed.
*Evaluates and interprets medical
records and reports in order to accurately code diagnosis and procedures.
Assesses encounter documentation using Center for Medicare and Medicaid
Services (CMS) documentation standards. Based on provider's documentation
identifies possible documentation changes which, if implemented, would more
accurately account for services provided. Presents findings to provider
and works to resolve issue.
*Correctly enters coding information
into an EpicCare electronic medical record system.
*Serves as a resource on coding
*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-9 codes. Maintains
CEUS needed for certification.
*Performs all job functions in
compliance with applicable federal, state, local and company policies and
Performs other duties as
needed. Any other duties performed which are not listed as essential
functions are considered non-essential functions.
Education: High school graduate or equivalent. 2-4 year degree in
healthcare or related field preferred. Certification in medical coding a
must (CCS, CPC, RHIT, RHIA, AHIMA, or AAPC)
and Experience: At least 3 years coding experience.
Thorough knowledge of medical terminology and ICD-9-CM and CPT4 coding.
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.
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.
* Up to 8% company retirement
* Generous Paid Time Off
* 10 paid holidays,
* Paid professional development,
* Competitive health and welfare
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