Physician Practice Coder

Boston Medical Center (BMC)

. Conduct CPT and ICD-10 coding reviews by examining each line item in physician medical records and charge sessions .

Posted 10/19/2026full-timeRemote • United StatesJuniorMid-Level💰 $24 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in CPT and ICD-10 coding, including conducting coding reviews, performing chart audits, and ensuring compliance with regulatory guidelines. Proficient in analyzing coding-related claim denials and collaborating with healthcare teams to resolve issues effectively.

Highest-signal resume keywords

CPT CodingICD-10 CodingCertified Professional Coder (CPC)Medical TerminologyChart Audits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10 CodingChart AuditsCoding ComplianceMedical Record ReviewData AbstractionCoding GuidelinesRoot Cause AnalysisDenial ManagementHealth Records Management

Soft Skills

Attention to DetailOrganizational SkillsProblem-SolvingMultitaskingCommunication

Tools & Technologies

Computerized Billing SystemsMicrosoft ApplicationsData Processing Techniques

Certifications & Qualifications

Certified Professional Coder (CPC)Certified Coding Specialist (CCS)

Industry Keywords

ICD-10-CMCPT-4UHDDSHIPAA ComplianceMedicare GuidelinesMedicaid GuidelinesCoding Clinic Guidelines

About the role

Key responsibilities & impact

Conduct CPT and ICD-10 coding reviews by examining each line item in physician medical records and charge sessions
Perform chart audits to ensure correct coding and charge capture
Review patient medical records and abstract medical data identifying diagnoses and procedures
Code diagnoses, procedures, and modifiers using ICD-10-CM and CPT-4/HCPCS classification systems
Sequence diagnoses, procedures, and complications according to applicable coding and regulatory guidelines
Consult with the CDCI team and appropriate physicians or medical staff to clarify medical record information
Review and respond to coding questions
Ensure billed services are accurately coded
Provide continual coding updates and research coding issues
Review charts for documentation and signatures
Analyze coding-related claim denials and determine underlying causes
Perform detailed reviews of denied claims, medical records, charge sessions, payer information, and coding guidelines
Identify denial trends and recurring patterns; perform root cause analysis
Determine coding corrections and recommend resolutions for coding-related denials
Work closely with revenue cycle stakeholders and provide feedback to providers
Perform other duties as needed

Requirements

What you’ll need

Associate Degree or direct work experience equivalent to at least 2 years
CPC/CCS – Certified Professional Coder certification
2–5 years of experience required in a multi-specialty physician coding environment, including coding, compliance, and billing processes
In-depth knowledge of medical terminology, ICD-10-CM, and CPT-4
Basic knowledge of human anatomy, physiology, and pathology
Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques
Ability to maintain yearly coding credentials
Knowledge of UHDDS, Official Guidelines for Coding and Reporting, Coding Clinic guidelines, Medicare, Medicaid, payer, and other regulatory guidelines
Ability to maintain strict confidentiality of personal/health-sensitive information and comply with HIPAA rules and regulations
Excellent organizational, multitasking, prioritization, follow-through, and timeline-management skills
Accuracy and attention to detail
Problem-solving ability using job knowledge and current policies/procedures
Ability to work cooperatively with healthcare delivery teams and staff, handle frequent interruptions, adapt to workload and schedule changes, and respond quickly to urgent requests

Benefits

Comp & perks

Medical, dental, vision, and pharmacy benefits
Discretionary annual bonuses
Merit increases
Flexible Spending Accounts
403(b) savings matches
Paid time off
Career advancement opportunities
Resources to support employee and family well-being