Beth Israel Deaconess Medical Center Coding Validator in Boston, Massachusetts

Coding Validator

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Job LocationBoston, Massachusetts

Req ID 18476BR

Department Description: Currently, we are seeking candidates with hospital experience and we have a business need to concentrate on inpatient or outpatient casemix validation.

Here are just some of the advantages of working for Health Information Management (HIM) department of Beth Israel Deaconess Medical Center. Our department offers flexible hours, the ability to work from home or onsite, and the panache of working for a world class medical institution with an interesting and challenging case mix. The department offers diverse professional opportunities by interacting and supporting clinical area operations, supporting ongoing training and development of our inpatient and outpatient coding staff, and by our commitment to a work/life approach to business.Job Location: Boston, MAReq ID: 18476BRJob Summary: This position is responsible for managing inpatient and outpatient coding education by building training programs for coders. Continually assesses the training needs and create and/or adapt training programs to address the customer's needs. Performs work onsite and at home.

Essential Responsibilities:

  • Reviews inpatient medical records pre-billing to determine if codes need to be added/deleted and to insure that the care of the patient is recorded in language that the payers can interpret.

  • Works closely with the HIM Nurse Clinical Documentation Specialists (NCDS) and clinical staff to evaluate inpatient coding and NCDS assignment; offers recommendations to redesign these processes in order to improve fiscal liability and quality of coded data.

  • Works with programmers to define specifications as well as test systems and applications related to the 3M coding software interface to CCC.

  • Reviews findings of third party NCDS and coding audits. Prepares appeal letters to third part audit when deemed appropriate.

  • Provides appropriate orientation and ongoing in-service training/education for coding staff in coding, documentation, and reimbursement methodologies. Serves as a central resource for inpatient and ambulatory coding questions.

Required Qualifications:

  • High School diploma or GED required .

  • Certification with AHIMA or AAPC

  • 3-5 years related work experience required.

  • Combination of productivity, quality and/or versatility

  • Knowledge of ICD9CM, ICD10CM/PCS and CPT4 coding.

  • Knowledge of Medicare, Medicaid and third party coding requirements.

  • Basic familiarity with computers. Ability to navigate at a basic level within web-based applications.

Preferred Qualifications:

  • Basic internet research skills.


  • Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.

  • Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.

  • Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.

  • Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.

  • Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.

Physical Nature of the Job:

Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally