Medical Physician Coder
85666BR
Shared Service Center
Status
Full-Time
Standard Hours per Week
40
Job Category
Finance,
Regular, Temporary, Per Diem
Regular
Pay Range
$26.62-$42.59 Hourly
Office/Site Location
Westwood
Remote Eligibility
Part Remote/Hybrid
Job Posting Description
At Boston Children’s Hospital, the quality of our care – and our inclusive hospital working environment – lies in the diversity of our people. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.
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
1. Knowledge of computerized billing system required.
2. 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.
3. Advanced knowledge of CCI, LCD and CMS PRVU, payer editing systems such as McKesson required. Preference for knowledge related to system integration.
4. Computer literacy and health care statistics computation required.
5. Excellent written and verbal communication skills to effectively deal with conflicting views and issues and mediate fair solutions.
6. Ability to work with diverse internal and external constituencies.
7. 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
The posted pay range is Boston Children’s reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes 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.
Boston Children’s Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.
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