Physician Specialty Coder (Shared Service Center)

Boston Children's Hospital; Los Angeles, Morrisville (CA, MA, NC); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Physician Specialty Coder to join their remote team. This role involves performing complex coding validations and collaborating with physicians to resolve coding issues. The ideal candidate will possess a strong background in ICD-10 and CPT coding, along with excellent communication skills. The organization offers a supportive environment with numerous benefits, including flexible schedules and generous time off. If you're passionate about making a difference in healthcare coding, this opportunity is perfect for you.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Child Care Subsidies

Student Loan Subsidies

Generous Time Off

403(b) Plan

Pension

Tuition Reimbursement

Cell Phone Discounts

Qualifications

• 4+ years of physician coding experience, with 2 years in surgical specialties.
• Knowledge of ICD-10-CM, CPT-4, and regulatory requirements.

Responsibilities

• Perform ICD-10 review and complex CPT coding validation.
• Establish working relationships with physicians for coding issues.

Skills

ICD-10 Coding

CPT Coding

Medical Terminology

Communication Skills

Healthcare Data Analysis

Education

High School Diploma

Associate's Degree

Certified Professional Coder (CPC)

Tools

Billing Systems

Healthcare Data Analysis Software

Job description

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.

Position: Physician Specialty Coder

The Physician Specialty Coder will be responsible for:

1. Performing ICD-10 review and complex CPT Coding Validation or ASA coding for assigned surgical specialty departments.
2. Establishing and maintaining working relationships with physicians to communicate and resolve specific case issues, as well as general questions and coding principles.
3. Developing and maintaining professional skills by participating in professional organizations and staying updated on relevant literature and resources.
4. Remaining current on coding and reimbursement rules, including regulatory and compliance issues related to coding, documentation, and billing trends.
5. Serving as a resource for the Shared Service Center, providing assistance with complex billing/coding systems and payment issues.
6. Providing instruction and education to coworkers on accurate charge entry and medical record documentation.
7. Maintaining credentials and certifications, such as CPC, on an annual basis.

Qualifications:

• High School diploma or equivalent required; Associate's degree preferred.
• Certified Professional Coder (CPC) certification required.
• At least 4 years of physician coding experience, with 2 years in a surgical or multi-specialty focus.
• Knowledge of medical terminology, anatomy and physiology, pathophysiology, ICD-10-CM, CPT-4, ASA classification systems, and regulatory requirements related to surgical specialties.
• Advanced knowledge of CCI, LCD, CMS PRVU, and payer-editing systems such as McKesson.
• Computer literacy with experience in billing systems and healthcare data analysis.
• Excellent written and verbal communication skills.
• This is a full remote position, except for candidates in California.
• Availability to work Monday through Friday, between 6:00 a.m. and 5:00 p.m. Eastern Time.

Benefits include competitive compensation, flexible schedules, health, vision, and dental insurance, child care and student loan subsidies, generous time off, 403(b) plan, pension, tuition reimbursement, license and certification reimbursement, cell phone discounts, and discounted T-pass rates. Join us to experience the benefits of passion and teamwork.

Note: Boston Children's Hospital requires all employees to be vaccinated against COVID-19 and Flu, unless eligible for a medical or religious exemption.

Boston Children's Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, veteran status, or disability.