The Physician Medical Coder will be responsible for :
- Performs complex ICD-10 and CPT review and validation or ASA coding for assigned primary or medical departments.
- Establishes and maintains working relationships with Physicians in order to resolve specific case issues, as well as general questions and or principles.
- Participates in coding and reimbursement training programs. Provides instruction and education to staff on accurate charge entry and medical record documentation.
- Develops and maintains professional skills and up to date knowledge of regulatory and compliance issues related to coding, documentation and billing.
- Participates in professional organizations and reviews current literature. Stays current on all coding and reimbursement rules, regulations, trends and new developments.
- Maintains credentials and certifications for CPC on an annual basis.
To qualify, you must have :
- Certified Professional Coder certificate required.
- High school diploma / GED required. Associate’s degree preferred.
- Minimum of 2 years of related experience in Physician coding with specific experience in Coding Validation and / or compliance review in a medical setting.
- Knowledge of computerized billing system required.
- Knowledge of medical terminology, anatomy and physiology, pathophysiology, ICD-9 / 10-CM and CPT-4 or ASA classification systems, and regulatory agency requirements related to primary or non-surgical services.
- Advanced knowledge of CCI, LCD and CMS PRVU, payer editing systems such as McKesson required. Preference for knowledge related to system integration.
- Computer literacy and health care statistics computation required.
- Excellent written and verbal communication skills in order to effectively deal with conflicting views and issues and mediate fair solutions.
- Ability to work with diverse internal and external constituencies.
- Ability to take responsibility and perform required tasks independently, as well as in a team environment.
Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes.
Experience the benefits of passion and teamwork.
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