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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. 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.
Job Responsibility
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
Requirements
High School diploma or GED required
Associate’s degree preferred
Certified Professional Coder (CPC) certification required
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
Excellent communication, organizational, and problem-solving skills required
Nice to have
Experience working with computerized billing systems and payer editing tools preferred
Advanced Excel and computer skills preferred
What we offer
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