Physician Practice Coder - Remote

Boston Medical Center; United States; Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player in healthcare seeks a detail-oriented coding professional to join their remote team. In this role, you will conduct thorough reviews of medical records, ensuring accurate coding using ICD-10-CM and CPT-4 systems. Your expertise will directly impact revenue cycle efficiency, as you collaborate with key stakeholders to address coding challenges and enhance charge capture processes. This position not only offers the opportunity to apply your coding skills but also to grow within a supportive environment that values continuous education and professional development. If you are passionate about healthcare and coding accuracy, this is the perfect opportunity for you.

Qualifications

• Associates Degree or equivalent work experience required.
• CPC and CPC-A certifications are mandatory.
• 2-5 years experience in multi-specialty coding environment.

Responsibilities

• Conducts coding reviews and performs chart audits for accuracy.
• Maintains productivity standards and coding credentials.
• Researches coding issues and responds to coding questions.

Skills

ICD-10-CM

CPT-4

Medical Terminology

Data Integrity

Problem Solving

Organizational Skills

Attention to Detail

Education

Associates Degree

CPC Certification

CPC-A Certification

Tools

Computerized Billing Systems

Microsoft Applications

Job description

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.

Department: BUMG Corporate

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.
• 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.

JOB REQUIREMENTS

EDUCATION:

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

About the company

Boston Medical Center is a non-profit 514-bed academic medical center in Boston, Massachusetts.