Job Information
Children's Hospital Boston Physician Specialty Coder in Boston, Massachusetts
75226BRJob Posting Title:Physician Specialty CoderDepartment:Physician's OrganizationAutoReqId:75226BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:To be considered a qualified candidate, you must be a seasoned and strong surgical coder with understanding of CCI edits and guidelines along with all the surgical modifiers, teaching attestations, and global periods and with experience writing appeals and NOC letters. Surgical coder candidates should have the skillset to work independently on their assigned surgical specialties. Additionally as requested to work collaboratively with team members to cross train and assist in other surgical-specialties.
The Physician Specialty Coder will be responsible to:
Perform ICD-10 review and complex CPT Coding Validation or ASA coding for assigned surgical specialty departments.
Establish and maintain working relationships with Physicians to communicate and resolve specific case issues, as well as general questions and or coding principles.
Develop and maintain professional skills. Participate in professional organizations and stay abreast of the latest relevant literature and resources.
Remain current on coding and reimbursement rules, with an up to date knowledge of regulatory and compliance issues related to coding, documentation and billing trends and developments.
Act as a resource for the Shared Service Center, providing assistance with complex billing/coding systems and payment issues.
Provide instruction and education to coworkers on accurate charge entry and medical record documentation.
Maintain credentials and certifications for CPC on an annual basis
To qualify, you must have:
High School diploma or equivalent required. Associate Degree preferred.
Certified Professional Coder (CPC) certification required
Minimum of 2 years of experience in Physician coding with specific experience in Surgical CPT Coding Validation in a specialty or multi-specialty setting. And knowledge of coding requirements for services furnished in a teaching setting.
Knowledge of medical terminology, anatomy and physiology, pathophysiology, ICD10-CM and CPT-4 or ASA classification systems, and regulatory agency requirements related to surgical specialties
Advanced knowledge of CCI, LCD and CMS PRVU, payer-editing systems such as McKesson required
Computer literacy with knowledge of computerized billing system and healthcare statistics computation
Excellent written and verbal communication skills
Full remote position - with the exception of CA
Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.Office/Site Location:WestwoodRegular, Temporary, Per Diem:Regular Remote Eligibility :Full-Time Remote