High School diploma or equivalent required, Certified Professional Coder (CPC) certification required, 4 years of Physician Coding experience, Knowledge of medical terminology and coding systems.
Key responsabilities:
Perform ICD-10 review and CPT Coding Validation
Establish working relationships with Physicians for case issues
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Boston Children's Hospital is a 404-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Boston Children's offers a complete range of health care services for children from birth through 21 years of age. (Our services can begin interventions at 15 weeks gestation and in some situations we also treat adults.)
We have approximately 25,000 inpatient admissions each year and our 200+ specialized clinical programs schedule 557,000 visits annually. Last year, the hospital performed more than 26,500 surgical procedures and 214,000 radiological examinations.
Our team of physicians and nurses has been recognized by a number of independent organizations for overall excellence, and we're proud to share some notable examples with you here.
To be considered a qualified candidate, you must be a seasoned and strong surgical coder with understanding of CCI edits and guidelines along with all the surgical modifiers, teaching attestations, and global periods and with experience writing appeals and NOC letters. Surgical coder candidates should have the skillset to work independently on their assigned surgical specialties. Additionally as requested to work collaboratively with team members to cross train and assist in other surgical-specialties.
The Physician Specialty Coder Will Be Responsible For
Performing ICD-10 review and complex CPT Coding Validation or ASA coding for assigned surgical specialty departments.
Establishing and maintaining working relationships with Physicians to communicate and resolve specific case issues, as well as general questions and or coding principles.
Developing and maintaining professional skills. Participating in professional organizations and staying abreast of the latest relevant literature and resources.
Remaining current on coding and reimbursement rules, with an up to date knowledge of regulatory and compliance issues related to coding, documentation and billing trends and developments.
Acting as a resource for the Shared Service Center, providing assistance with complex billing/coding systems and payment issues.
Providing instruction and education to coworkers on accurate charge entry and medical record documentation.
Maintaining credentials and certifications for CPC on an annual basis.
To qualify, you must have:
High School diploma or equivalent required. Associate's degree preferred.
Certified Professional Coder (CPC) certification required
4 years of Physician Coding, 2 of those years with a specialty, surgical, or multi-specialty focus.
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 surgical specialties
Advanced knowledge of CCI, LCD and CMS PRVU, payer-editing systems such as McKesson required
Computer literacy with knowledge of computerized billing system and healthcare statistics computation
Excellent written and verbal communication skills
Full remote position - with the exception of CA.
Ability to work Monday - Friday, within the hours of 6:00a - 5:00p Eastern.
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.
Required profile
Experience
Level of experience:Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.