Boston Medical Center (BMC)
Overview
Physician Practice Coder at Boston Medical Center (BMC). Position Summary: Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Position Details
Position:
Physician Practice Coder Department:
BUMG Corporate Schedule:
Full Time Essential Responsibilities / Duties
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 UHDDS; adheres to the Official Guidelines for Coding and Reporting, Coding Clinic guidelines and other regulatory guidelines as appropriate. 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, including maintaining yearly coding credentials through attendance at in-service programs, conferences, workshops, review of current literature and other educational programs. 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. 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. Education & Requirements
Education
– Associates Degree (or direct work experience equivalent to at least 2 years) Certificates, Licenses, Registrations Required
– CPC/CCS – Certified Professional Coder; CPC-A – Certified Professional Coder Apprentice Experience
– 2-5 years experience required in a multi-specialty physician coding environment to include coding, compliance, and billing processes. Knowledge And Skills Work requires in-depth knowledge of medical terminology, ICD-10-CM and CPT-4. Basic concepts of human anatomy, physiology and pathology. Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques. Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines. Ability to work with accuracy and attention to detail. Ability to solve problems appropriately using job knowledge and current policies/procedures. Ability to work cooperatively with members of the healthcare delivery team and staff, handle frequent interruptions, adapt to changes in workload, and respond quickly to urgent requests. Must maintain strict confidentiality of all personal/health sensitive information and ensure HIPAA compliance. Compensation & Benefits
Compensation Range
– $22.36 - $31.25 This range is based on minimum qualifications; compensation considers education, experience, skills, and certifications/licensures as they relate to position requirements, as well as business/organizational needs, internal equity, and market competitiveness. Boston Medical Center offers generous total compensation including benefits, bonuses, flexible spending accounts, retirement matching, paid time off, career advancement opportunities, and resources to support employee and family well-being. Note : This range is based on Boston-area data and is subject to modification based on geographic location. Equal Opportunity
Equal Opportunity Employer/Disabled/Veterans. Instructions regarding job offers and scams are provided to protect applicants. Referrals increase your chances of interviewing at Boston Medical Center (BMC). Get notified about new Medical Doctor jobs in Boston, MA. Seniority level
Mid-Senior level Employment type
Full-time Job function
Health Care Provider Industries
Hospitals and Health Care
#J-18808-Ljbffr
Physician Practice Coder at Boston Medical Center (BMC). Position Summary: Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Position Details
Position:
Physician Practice Coder Department:
BUMG Corporate Schedule:
Full Time Essential Responsibilities / Duties
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 UHDDS; adheres to the Official Guidelines for Coding and Reporting, Coding Clinic guidelines and other regulatory guidelines as appropriate. 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, including maintaining yearly coding credentials through attendance at in-service programs, conferences, workshops, review of current literature and other educational programs. 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. 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. Education & Requirements
Education
– Associates Degree (or direct work experience equivalent to at least 2 years) Certificates, Licenses, Registrations Required
– CPC/CCS – Certified Professional Coder; CPC-A – Certified Professional Coder Apprentice Experience
– 2-5 years experience required in a multi-specialty physician coding environment to include coding, compliance, and billing processes. Knowledge And Skills Work requires in-depth knowledge of medical terminology, ICD-10-CM and CPT-4. Basic concepts of human anatomy, physiology and pathology. Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques. Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines. Ability to work with accuracy and attention to detail. Ability to solve problems appropriately using job knowledge and current policies/procedures. Ability to work cooperatively with members of the healthcare delivery team and staff, handle frequent interruptions, adapt to changes in workload, and respond quickly to urgent requests. Must maintain strict confidentiality of all personal/health sensitive information and ensure HIPAA compliance. Compensation & Benefits
Compensation Range
– $22.36 - $31.25 This range is based on minimum qualifications; compensation considers education, experience, skills, and certifications/licensures as they relate to position requirements, as well as business/organizational needs, internal equity, and market competitiveness. Boston Medical Center offers generous total compensation including benefits, bonuses, flexible spending accounts, retirement matching, paid time off, career advancement opportunities, and resources to support employee and family well-being. Note : This range is based on Boston-area data and is subject to modification based on geographic location. Equal Opportunity
Equal Opportunity Employer/Disabled/Veterans. Instructions regarding job offers and scams are provided to protect applicants. Referrals increase your chances of interviewing at Boston Medical Center (BMC). Get notified about new Medical Doctor jobs in Boston, MA. Seniority level
Mid-Senior level Employment type
Full-time Job function
Health Care Provider Industries
Hospitals and Health Care
#J-18808-Ljbffr