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Physician Specialty Coder

Boston Children's Hospital

Boston, MA

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JOB DETAILS
SKILLS
Anatomy, Billing, Certified Professional Coder (CPC), Cisco ASA (Adaptive Security Appliance), Code Reviews, Coding Standards, Communication Skills, Computer Skills, Current Procedural Terminology (CPT), Documentation, Editing, Healthcare Reimbursement, High School Diploma, Hospital, ICD-10, Medical Coding, Medical Terminology, Operational Improvement, Operations Processes, Organizational Skills, Physiology, Problem Solving Skills, Quality Assurance, Quality Management, Regulations, Regulatory Compliance, Reimbursement, Time Management
LOCATION
Boston, MA
POSTED
7 days ago
At Boston Children’s Hospital, the quality of our care and our inclusive hospital working environment lies in the diversity of our people. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us and discover how your unique contribution can change lives. Yours included.

Position Summary
The Physician Specialty Coder  works independently to manage complex coding review, validation, and charge submission processes for assigned specialty departments. This role ensures accurate and compliant ICD-10, CPT, and/or ASA coding while partnering closely with physicians, billing teams, and operational staff to resolve coding and reimbursement issues. The position also serves as a resource for coding guidance, documentation improvement, and workflow optimization to support timely and accurate reimbursement.
Key Responsibilities
  • Perform complex ICD-10, CPT, and/or ASA coding review and validation for assigned specialty departments.
  • Partner with physicians and clinical staff to resolve coding questions and documentation issues.
  • Review and edit physician queries in compliance with hospital policies and coding standards.
  • Collaborate with Billing teams to ensure timely and accurate charge submission and workflow completion.
  • Provide education and training to staff on coding accuracy, documentation requirements, and reimbursement guidelines.
  • Maintain current knowledge of coding regulations, compliance standards, and reimbursement updates.
  • Serve as a resource for complex billing, coding, and payment-related issues.
  • Participate in quality improvement initiatives, operational projects, and process documentation efforts.
  • Maintain CPC certification and continuing education requirements annually.
Minimum Qualifications
Education:
  • High School diploma or GED required.
  • Associate’s degree preferred.
  • Certified Professional Coder (CPC) certification required.
Experience:
  • Minimum of 4 years of physician coding experience required.
  • At least 2 years of specialty or multi-specialty coding experience required.
  • Strong knowledge of ICD-10-CM, CPT-4, medical terminology, anatomy, physiology, and payer regulations.
  • Experience working with computerized billing systems and payer editing tools preferred.
  • Advanced Excel and computer skills preferred.
  • Excellent communication, organizational, and problem-solving skills required.
Schedule:
  • Full-time
  • remote 
Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

About the Company

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Boston Children's Hospital