Remote Surgical Coding Specialist (CPC, ICD-10/CPT)

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

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