Physician Practice Coder

🕒 September 15

🇺🇸 United States – Remote

💵 $24 - $33 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 30%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 57 days.
• Jobs at this company usually fill in 21 days.
• Reposted once.

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Boston Medical Center (BMC)

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1996

Boston Medical Center (BMC) is a 511-bed, equity-led academic medical center and a proud member of the Boston Medical Center Health System. BMC delivers a model of healthcare where innovative and equitable care empowers all patients to thrive. As a premier academic medical center in Boston, a national leader in clinical care, and the largest essential hospital in New England, BMC’s world-class clinicians provide comprehensive care in more than 70 specialties and subspecialties.

📋 Description

• Code moderate- and high-complexity surgical cases and Evaluation and Management services accurately and timely • Review medical documentation and system-generated charges or paper encounter forms • Assign CPT, ICD-10, HCPCS II, and modifiers according to documentation and payer requirements • Research billing rules and regulations for new and existing procedures • Identify, correct, and report potential coding problems • Resolve coding edits and denials and identify opportunities to reduce denials and enhance revenue • Provide cross-coverage for multiple specialties • Serve as a coding resource for physicians, healthcare providers, and external customers • Research and resolve coding inquiries and recommend coding policy changes • Function as subject matter expert for assigned specialties • Develop and maintain specialty-specific coding procedures and billing-area instructions • Participate in provider and coworker coding education • Sequence diagnoses, procedures, and modifiers according to ICD-10-CM, Medicare, Medicaid, and other fiscal intermediary guidelines • Maintain productivity standards, coding certification, and coding compliance • Complete special projects and other duties assigned by the manager

🎯 Requirements

• Associate degree or direct work experience equivalent to at least 3 years • Coding certification from AAPC or AHIMA required; certifications may include CPC, COC, COC-A, CANPC, CGSC, CIC, CCA, CPC-A, CCS, CCS-P, RHIT, or RHIA • Minimum of 3 years’ experience conducting surgical coding/auditing in a surgical environment, including compliance and billing processes • Advanced proficiency in ICD-10, CPT, HCPCS, and modifiers for professional fee services • Advanced knowledge of anatomy and physiology, medical terminology, and insurance reimbursement policies and regulations • Ability to code moderate/high complexity work • Deep knowledge of NCCI edits and bundling rules • Proficiency with computer applications, including Microsoft Office • Excellent data entry skills • Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques • Ability to maintain strict confidentiality of personal/health-sensitive information and comply with HIPAA rules and regulations

🏖️ Benefits

• Medical, dental, vision, and pharmacy benefits • 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

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