Offer summary

Qualifications:

High School degree and coding certification program or an Associate’s Degree in Health Information Management., Minimum of 1 year of progressively complex day surgery and observation coding experience., Strong working knowledge of ICD-10 and CPT-4 coding conventions., Current AHIMA or AAPC Coding Certification (CCS, CCS-P, or CPC) preferred..

Key responsibilities:

Abstract, sequence, and assign diagnosis and procedure codes for inpatients according to guidelines.

Code complex cases such as trauma and long-term monitoring for reimbursement.

Follow up on outstanding uncoded and incomplete charts as per department standards.

Assist in training new personnel in coding procedures.

Job description

This HIM Inpatient Clinical Coder II will be responsible to:

Abstract, sequence and assign diagnosis and procedure codes for inpatients according to the department’s policies/guidelines, CMS Coding guidelines, CMS Correct Coding initiatives, ICD-10-CM coding conventions and Uniform Hospital Discharge Data Set (UHDDS) definitions
Code cases such as trauma, post-procedure complications, more complex fractures and long-term monitoring and length of stay up to twenty days such as spinal fusions and V-P shunts; day surgery and observation outpatients, as required for reimbursement and maintenance of patient database
Assign CPT-4 procedure codes, adds modifiers as needed, analyze and assign grouper utilizing specialized computer software
Follow-up on outstanding uncoded and incomplete charts in accordance with department protocols and standards
Respond to outpatient clinics’ requests for ICD-10-CM diagnosis codes via email hotline
Assist in training new personnel in coding procedures

To qualify, you must have:

High School degree and coding certification program or an Associate’s Degree in Health Information Management and a min of 1 year of progressively complex day surgery and observation coding.
The ability to code cases such as ablations, valve repairs and malignancies is expected within six months of starting work in the job.
A strong working knowledge of coding using ICD-10 and CPT-4 coding conventions.
Prior computer experience; knowledge of 3M Coding System and/or Computer Assisted Coding (CAC) system preferred.
The ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations.
Current AHIMA or AAPC Coding Certification (s): CCS, CCS-P, or CPC is preferred.
Fully Remote

Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare 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