Boston Medical Center (BMC)
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Physician Practice Coder
role at
Boston Medical Center (BMC)
Boston Medical Center (BMC) is more than a hospital. It’s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England and the largest safety‑net hospital in the region. BMC is the primary teaching affiliate of Boston University School of Medicine and a founding partner of Boston HealthNet, an integrated health‑care delivery system that includes many community health centers. Join BMC today and help us achieve our Vision 2030, a long‑term goal to make Boston the healthiest urban population in the world.
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.
Essential Responsibilities / Duties
Coding support
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); 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 clarification of 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.
Reviews and responds to coding questions.
Ensures billed service is being accurately coded.
Performs random chart audits.
Provides continual coding updates.
Researches coding issues that arise.
Code 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
Associates Degree (or direct work experience equivalent to at least 2 years)
Certificates, Licenses, Registrations Required
CPC – 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. Work also requires 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 and adapt to changes in workload and work schedule, and respond quickly to urgent requests.
Must maintain strict confidentiality of all personal/health‑sensitive information and ensure compliance with HIPAA rules and regulations.
Compensation Range $22.36 – $31.25
Compensation is determined by education, experience, skills and certifications, internal equity and market competitiveness. BMC offers generous total compensation that includes benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, 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 Employer / Disabled / Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Health Care Provider
Industries Hospitals and Health Care
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Physician Practice Coder
role at
Boston Medical Center (BMC)
Boston Medical Center (BMC) is more than a hospital. It’s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England and the largest safety‑net hospital in the region. BMC is the primary teaching affiliate of Boston University School of Medicine and a founding partner of Boston HealthNet, an integrated health‑care delivery system that includes many community health centers. Join BMC today and help us achieve our Vision 2030, a long‑term goal to make Boston the healthiest urban population in the world.
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.
Essential Responsibilities / Duties
Coding support
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); 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 clarification of 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.
Reviews and responds to coding questions.
Ensures billed service is being accurately coded.
Performs random chart audits.
Provides continual coding updates.
Researches coding issues that arise.
Code 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
Associates Degree (or direct work experience equivalent to at least 2 years)
Certificates, Licenses, Registrations Required
CPC – 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. Work also requires 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 and adapt to changes in workload and work schedule, and respond quickly to urgent requests.
Must maintain strict confidentiality of all personal/health‑sensitive information and ensure compliance with HIPAA rules and regulations.
Compensation Range $22.36 – $31.25
Compensation is determined by education, experience, skills and certifications, internal equity and market competitiveness. BMC offers generous total compensation that includes benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, 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 Employer / Disabled / Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Health Care Provider
Industries Hospitals and Health Care
#J-18808-Ljbffr