Coder II; Radiation Oncology Dept​/On-Site

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.

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, modifiers and/or other codes according to coding guidelines. Communicates effectively with providers and 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

• 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.

• Associate’s degree.
• Two (2) years of coding experience within clinical specialty.
• ROCC certification HIGHLY PREFERRED.

• Verifies and abstracts specific clinical and demographic data from the patient record.
• Performs pre‑visit chart audits and post‑encounter reviews to ensure coding accuracy and that the medical records support the codes reported.
• Assigns accurate Evaluation and Management (E&M) codes, ICD‑10 diagnoses, CPT and HCPCS, modifiers and quantities derived from medical record documentation.
• Correlates 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 and denial reports.
• Identifies and evaluates coding issues, summarizes findings for leadership, and makes recommendations for course of action.
• Mentors coders and assists in training new coders within the department. Identifies coding opportunities and issues, researches for compliance, and educates providers and staff. Participates in creating 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 provides recommendations for revenue‑managing opportunities related 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, educates providers on how to properly document to support identified procedures, and cross‑trains staff to ensure consistency.
• Maintains good relationship with physicians, social workers, and office personnel to facilitate communication in coding queries and to educate providers in relation to documentation requirements for services. Promotes excellent customer service. Identifies and communicates problems and/or opportunities to improve processes with appropriate departmental staff.
• Maintains collaborative, team relationships with peers and colleagues to effectively contribute to the working group’s achievement of goals and to foster a positive work environment.

• Competitive salaries & benefits
• 403(b) retirement plan with hospital match
• Opportunities for growth
• Tuition reimbursement
• Free on‑campus parking

For more than 125 years, Lowell General has…