Physician Practice Coder

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $24 - $33 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

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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

• Conduct CPT and ICD-10 coding reviews by examining each line item in physician medical records and charge sessions • Perform chart audits to ensure correct coding and charge capture • Review patient medical records and abstract medical data identifying diagnoses and procedures • Code diagnoses, procedures, and modifiers using ICD-10-CM and CPT-4/HCPCS classification systems • Sequence diagnoses, procedures, and complications according to applicable coding and regulatory guidelines • Consult with the CDCI team and appropriate physicians or medical staff to clarify medical record information • Review and respond to coding questions • Ensure billed services are accurately coded • Provide continual coding updates and research coding issues • Review charts for documentation and signatures • Analyze coding-related claim denials and determine underlying causes • Perform detailed reviews of denied claims, medical records, charge sessions, payer information, and coding guidelines • Identify denial trends and recurring patterns; perform root cause analysis • Determine coding corrections and recommend resolutions for coding-related denials • Work closely with revenue cycle stakeholders and provide feedback to providers • Perform other duties as needed

🎯 Requirements

• Associate Degree or direct work experience equivalent to at least 2 years • CPC/CCS – Certified Professional Coder certification • 2–5 years of experience required in a multi-specialty physician coding environment, including coding, compliance, and billing processes • In-depth knowledge of medical terminology, ICD-10-CM, and CPT-4 • Basic knowledge of human anatomy, physiology, and pathology • Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques • Ability to maintain yearly coding credentials • Knowledge of UHDDS, Official Guidelines for Coding and Reporting, Coding Clinic guidelines, Medicare, Medicaid, payer, and other regulatory guidelines • Ability to maintain strict confidentiality of personal/health-sensitive information and comply with HIPAA rules and regulations • Excellent organizational, multitasking, prioritization, follow-through, and timeline-management skills • Accuracy and attention to detail • Problem-solving ability using job knowledge and current policies/procedures • Ability to work cooperatively with healthcare delivery teams and staff, handle frequent interruptions, adapt to workload and schedule changes, and respond quickly to urgent requests

🏖️ 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