Coder, Physician Medical

• Performing complex ICD-10 and CPT review and validation or ASA coding for assigned primary or medical departments.
• Establishing and maintaining working relationships with Physicians to resolve specific case issues, as well as general questions and principles.
• Participating in coding and reimbursement training programs and providing instruction and education to staff on accurate charge entry and medical record documentation.
• Developing and maintaining professional skills and up-to-date knowledge of regulatory and compliance issues related to coding, documentation, and billing.
• Participating in professional organizations and reviewing current literature while staying current on all coding and reimbursement rules, regulations, trends, and new developments.
• Maintaining credentials and certifications for CPC on an annual basis.

Schedule: M-F, Full-time, Remote *Must be able to come in person for training

To qualify, you must have:

• Certified Professional Coder
• High School Diploma/ GED and two years of Medical Physician coding
• 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 in order 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.

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.