Medical Records Coding Specialist

• Abstract, sequence, and assign diagnosis and procedure codes according to ICD-10-CM coding conventions and Uniform Hospital Discharge Data Set (UHDDS) definitions. Assign CPT-4 procedure codes following the appropriate guidelines. Assign diagnosis-related groups (DRGs) using specialized computer software. Generate a coding worksheet and files in the medical record as required by hospital department policy.
• Perform specialized and technical coding and assists with review of billing rejection audits and case-mix/billing department questions
• Maintain up-to-date knowledge of regulatory and compliance issues related to coding, documentation, and billing
• Follow up on outstanding, uncoded, and incomplete charts. Perform periodic quality control audits of work
• Assist with coder education and training, and conduct reviews of work done by new coders to assess quality and accuracy of coding
• Provide leadership to staff in decision-making and prioritization in the absence of area supervisor. Maintain awareness of the day-to-day activities and goals of the Coding Unit in meeting billing deadlines. Assist in training new personnel in coding procedures
• Respond to outpatient clinics' requests for ICD-10-CM diagnosis and CPT-4 codes via telephone hotline. Work the coding hotline, STAT coding, and interim billing
• Assist researchers in identifying cases by diagnosis and/or procedure codes

To qualify, you must have:

• 2 years of occupationally specific education or an associate degree in medical records or a closely related field and 4 years hospital based coding experience is required
• Current certification by the American Health Information Management Association (AHIMA) as either a (1) Certified Coding Specialist (CCS), (2) Registered Health Information Technician (RHIT), or (3) Certified Coding Specialist - Physician-based (CCS-P) is required
• Ability to organize and abstract health data for entry into databases and understand data/information used in the healthcare setting
• Knowledge of health records, computer systems, Microsoft applications, data integrity, and processing techniques required. This includes but is not limited to: medical terminology, anatomy, physiology, pathophysiology, data entry, data display, and various grouping programs DRGs, AP DRG, and APR DRGs.
• Achieves a min of 80 accuracy rate on the pre-employment coding assessment
• Knowledge of the HIPPA rules and regulations pertaining to patient's information and confidentiality
• Fulltime remote position with the exception of CA

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.