Boston Medical Center (BMC)

Physician Practice Coder

Boston Medical Center (BMC)

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $24 - $34 per hour

About the role

  • Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record
  • Performs chart audits to ensure correct coding and charge capture
  • Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers
  • Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures
  • Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems
  • Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing
  • Sequences diagnoses, procedures and complications by following ICD-10-CM, CPT-4, and the Uniform Hospital Discharge Data Set (UHDDS)
  • Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information.
  • Maintains productivity standards set forth in Departmental Policies and procedures
  • Maintains knowledge of coding and professional skills
  • Utilizes hospital’s cultural values as the basis for decision making and to facilitate the hospital’s goals and mission
  • Follows established Hospital infection control and safety procedures.
  • Review and respond to coding questions
  • Ensure billed service is being accurately coded
  • Perform random chart audits
  • Provide continual coding updates
  • Research coding issues that arise
  • Codes diagnoses and procedures from the medical record using ICD-10-CM and CPT-4/HCPCS classification systems
  • Sequences diagnoses, procedures and complications by following ICD-10-CM, Medicare, Medicaid, and other fiscal intermediary guidelines
  • Reviews charts for documentation and signature
  • Performs other duties as needed
  • Must adhere to all of BMC’s RESPECT behavioral standards

Requirements

  • Associates Degree (or direct work experience equivalent to at least 2 years)
  • CPC – Certified Professional Coder
  • CPC-A – Certified Professional Coder Apprentice
  • 2-5 years experience required in a multi-specialty physician coding environment to include coding, compliance, and billing processes.
  • in-depth knowledge of medical terminology, ICD-10-CM and CPT-4
  • basic concepts of human anatomy, physiology and pathology
  • knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required
Benefits
  • medical, dental, vision, pharmacy
  • discretionary annual bonuses
  • merit increases
  • Flexible Spending Accounts
  • 403(b) savings matches
  • paid time off
  • career advancement opportunities
  • resources to support employee and family well-being
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
ICD-10 codingCPT codingchart auditsmedical record reviewdiagnosis codingprocedure codingmodifier codingroot cause analysiscoding compliancedata abstraction
Soft Skills
communicationcollaborationattention to detailproblem-solvingorganizational skillsproductivity maintenancedecision makingfeedback provisionadaptabilitycustomer service
Certifications
CPCCPC-AAssociates Degree