Medical Physician Coder | Boston Childrens Hospital
Position Summary Performs coding validation and review of charges for assigned medical departments to ensure timely and compliant submission of charges. Assigns, sequences, validates, and/or edits codes for assigned medical departments. Initiates, reviews, and/or edits physician queries in compliance with company policy, when appropriate. Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to ensure coding knowledge and skills remain current.
Key Responsibilities
- Performs complex ICD-10 and CPT review and validation or ASA coding for assigned primary or medical departments.
- Establishes and maintains working relationships with Physicians to resolve specific case issues, as well as general questions and or principles.
- Participates in coding and reimbursement training programs. Provides instruction and education to staff on accurate charge entry and medical record documentation.
- Develops and maintains professional skills and up to date knowledge of regulatory and compliance issues related to coding, documentation and billing.
- Participate in professional organizations and review current literature. Stays current on all coding and reimbursement rules, regulations, trends and new developments.
- Maintains credentials and certifications for CPC on an annual basis.
Knowledge and Skills
- Knowledge of computerized billing system required.
- Knowledge of medical terminology, anatomy and physiology, pathophysiology, ICD-9/10-CM and CPT-4 or ASA classification systems, and regulatory agency requirements related to primary or non-surgical services.
- Advanced knowledge of CCI, LCD and CMS PRVU, payer editing systems such as McKesson required. Preference for knowledge related to system integration.
- Computer literacy and health care statistics computation required.
- Excellent written and verbal communication skills to effectively deal with conflicting views and issues and mediate fair solutions.
- Ability to work with diverse internal and external constituencies.
- Ability to take responsibility and perform required tasks independently, as well as in a team environment.
Education
- High School / GED
- Associate's degree
Experience
- Two years of Medical Physician coding
Status
Full-Time
Regular, Temporary, Per Diem
Regular
Standard Hours per Week
40
Pay Range
$28.21-$45.145 Hourly
Office/Site Location
Westwood
Job Posting Category
Finance
Remote Eligibility
Part Remote/Hybrid