Physician Specialty Coder- remote

Boston Children’s Hospital; Westwood, Northern (MA, KY); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Full-time

Remote work

Job summary

Boston Children’s Hospital is seeking a Physician Specialty Coder to independently manage complex coding reviews and submissions for surgical coding. You will partner with physicians and billing teams to resolve documentation issues and ensure compliant ICD-10, CPT, and ASA coding for timely reimbursement.

Ideal candidates will hold CPC certification, have 4+ years physician coding experience (2+ in specialty coding), and possess strong knowledge of ICD-10-CM, CPT-4, anatomy, and payer

Qualifications

• High School diploma or GED required.
• Associate's degree preferred.
• Certified Professional Coder (CPC) certification required.
• Minimum of 4 years of physician coding experience required.
• At least 2 years of specialty or multi-specialty coding experience required.
• Strong knowledge of ICD-10-CM, CPT-4, medical terminology, anatomy, physiology, and payer regulations.
• Experience with computerized billing systems and payer editing tools preferred.
• Advanced Excel and computer skills preferred.
• Excellent communication, organizational, and problem-solving skills required.

Responsibilities

• Perform complex ICD-10, CPT, and/or ASA coding review and validation for assigned specialty departments.
• Partner with physicians and clinical staff to resolve coding questions and documentation issues.
• Review and edit physician queries in compliance with hospital policies and coding standards.
• Collaborate with Billing teams to ensure timely and accurate charge submission and workflow completion.
• Provide education and training to staff on coding accuracy, documentation requirements, and reimbursement guidelines.
• Maintain current knowledge of coding regulations, compliance standards, and reimbursement updates.
• Serve as a resource for complex billing, coding, and payment-related issues.
• Participate in quality improvement initiatives, operational projects, and process documentation efforts.
• Maintain CPC certification and continuing education requirements annually.
• Experience with Surgical coding highly preferred

Skills

ICD-10-CM

CPT-4

Medical terminology

Payer regulations

Education

CPC certification

High School diploma or GED

Associate's degree preferred

Job description

Position Summary

The Physician Specialty Coder works independently to manage complex coding review, validation, and charge submission processes for assigned specialty departments. Specifically Surgical Coding. This role ensures accurate and compliant ICD-10, CPT, and/or ASA coding while partnering closely with physicians, billing teams, and operational staff to resolve coding and reimbursement issues. The position also serves as a resource for coding guidance, documentation improvement, and workflow optimization to support timely and accurate reimbursement.

Key Responsibilities

• Perform complex ICD-10, CPT, and/or ASA coding review and validation for assigned specialty departments.
• Partner with physicians and clinical staff to resolve coding questions and documentation issues.
• Review and edit physician queries in compliance with hospital policies and coding standards.
• Collaborate with Billing teams to ensure timely and accurate charge submission and workflow completion.
• Provide education and training to staff on coding accuracy, documentation requirements, and reimbursement guidelines.
• Maintain current knowledge of coding regulations, compliance standards, and reimbursement updates.
• Serve as a resource for complex billing, coding, and payment-related issues.
• Participate in quality improvement initiatives, operational projects, and process documentation efforts.
• Maintain CPC certification and continuing education requirements annually.
• Experience with Surgical coding highly preferred

Minimum Qualifications

Education:

• High School diploma or GED required.
• Associate's degree preferred.
• Certified Professional Coder (CPC) certification required.

Experience:

• Minimum of 4 years of physician coding experience required.
• At least 2 years of specialty or multi-specialty coding experience required.
• Strong knowledge of ICD-10-CM, CPT-4, medical terminology, anatomy, physiology, and payer regulations.
• Experience working with computerized billing systems and payer editing tools preferred.
• Advanced Excel and computer skills preferred.
• Excellent communication, organizational, and problem-solving skills required.

Schedule:

• Full-time
• remote