Physician Specialty Coder

Physician Specialty Coder

85347BR

Shared Service Center

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Status

Full-Time

Standard Hours per Week

40

Job Category

Administration,

Regular, Temporary, Per Diem

Regular

Pay Range

$69888.00-$111831.20 Annual

Office/Site Location

Westwood

Remote Eligibility

Part Remote/Hybrid

Job Posting Description

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 contributions can change lives. Yours included.

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
• Hybrid schedule may be available based on department needs

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.

The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes 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.

Boston Children's Hospital is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, gender, sexual orientation, pregnancy, national origin, ancestry, ethnicity, age, disability, military or veteran status or any other classification protected by law in hiring, promotion, compensation and other terms and conditions of employment. Boston Children's Hospital collects and maintains information regarding gender, race, and ethnicity for equal opportunity compliance purposes. Boston Children's Hospital also is subject to various government recordkeeping and reporting requirements for the administration of civil rights laws and regulations.

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