Physician Practice Coder - Remote

Boston Medical Center (BMC); Boston (MA); Remote; USD 60,000 - 80,000; Full time

Job summary

Boston Medical Center is looking for a Physician Practice Coder to remotely conduct coding reviews and audits. The role involves detailed assessment of medical records to ensure accurate coding for billing. Candidates must have robust coding skills, related experience, and relevant certifications.

Qualifications

• CPC or CPC-A certification is required.
• 2-5 years of experience in multi-specialty physician coding environment.
• In-depth knowledge of ICD-10-CM and CPT-4 coding systems.

Responsibilities

• Conducts medical coding reviews and audits for accuracy.
• Utilizes coding classification systems to ensure billing accuracy.
• Collaborates with medical staff to clarify documentation.

Skills

Medical Terminology

ICD-10-CM

CPT-4

Data Integrity

Attention to Detail

Education

Associates Degree or equivalent work experience

Job description

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Position Summary

Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers.

BUMG Corporate PBO General

Essential Responsibilities / Duties

• Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems. Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing.
• Sequences diagnoses, procedures and complications by following ICD-10-CM, CPT-4, and the Uniform Hospital Discharge Data Set (UHDDS); adheres to the Official Guidelines for Coding and Reporting, Coding Clinic guidelines and other regulatory guidelines as appropriate. Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information.
• Maintains productivity standards set forth in Departmental Policies and procedures.
• Maintains knowledge of coding and professional skills, including maintaining yearly coding credentials through attendance at in-service programs, conferences, workshops, review of current literature and other educational programs.
• Utilizes hospital’s cultural values as the basis for decision making and to facilitate the hospital’s goals and mission.
• Follows established Hospital infection control and safety procedures.
• Review and respond to coding questions.
• Ensure billed service is being accurately coded.
• Research coding issues that arise.
• Codes diagnoses and procedures from the medical record using ICD-10-CM and CPT-4/HCPCS classification systems.
• Sequences diagnoses, procedures and complications by following ICD-10-CM, Medicare, Medicaid, and other fiscal intermediary guidelines.
• Reviews charts for documentation and signature.
• Performs other duties as needed.
• Must adhere to all of BMC’s RESPECT behavioral standards.
  
  

Position Summary

Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers.

Position: Physician Practice Coder

Department: BUMG Corporate PBO General

Schedule: Full Time - Remote

Essential Responsibilities / Duties

Coding support

• Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems. Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing.
• Sequences diagnoses, procedures and complications by following ICD-10-CM, CPT-4, and the Uniform Hospital Discharge Data Set (UHDDS); adheres to the Official Guidelines for Coding and Reporting, Coding Clinic guidelines and other regulatory guidelines as appropriate. Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information.
• Maintains productivity standards set forth in Departmental Policies and procedures.
• Maintains knowledge of coding and professional skills, including maintaining yearly coding credentials through attendance at in-service programs, conferences, workshops, review of current literature and other educational programs.
• Utilizes hospital’s cultural values as the basis for decision making and to facilitate the hospital’s goals and mission.
• Follows established Hospital infection control and safety procedures.
• Review and respond to coding questions.
• Ensure billed service is being accurately coded.
• Perform random chart audits.
• Provide continual coding updates.
• Research coding issues that arise.
• Codes diagnoses and procedures from the medical record using ICD-10-CM and CPT-4/HCPCS classification systems.
• Sequences diagnoses, procedures and complications by following ICD-10-CM, Medicare, Medicaid, and other fiscal intermediary guidelines.
• Reviews charts for documentation and signature.
• Performs other duties as needed.
• Must adhere to all of BMC’s RESPECT behavioral standards.
  
  

Education

JOB REQUIREMENTS

• Associates Degree (or direct work experience equivalent to at least 2 years)
  
  

Certificates, Licenses, Registrations Required

• CPC – Certified Professional Coder
• CPC-A – Certified Professional Coder Apprentice
  
  

Experience

• 2-5 years experience required in a multi-specialty physician coding environment to include coding, compliance, and billing processes.
  
  

Knowledge And Skills

• Work requires in-depth knowledge of medical terminology, ICD-10-CM and CPT-4 Work also requires basic concepts of human anatomy, physiology and pathology.
• Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required.
• Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
• Ability to work with accuracy and attention to detail
• Ability to solve problems appropriately using job knowledge and current policies/procedures.
• Ability to work cooperatively with members of the healthcare delivery team and staff, ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests.
• Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations.
  
  

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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