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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 .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in CPT and ICD-10 coding, ensuring accurate coding and compliance within a multi-specialty physician environment. Proficient in conducting chart audits, collaborating with healthcare teams, and maintaining coding knowledge while adhering to regulatory guidelines.
Highest-signal resume keywords
CPT CodingICD-10 CodingCPC CertificationChart AuditsMedical Terminology
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CPT-4 CodingICD-10-CM CodingHCPCS CodingMedical Record ReviewDiagnosis and Procedure CodingRoot Cause AnalysisData IntegrityBilling ProcessesCompliance KnowledgeHuman Anatomy Knowledge
Soft Skills
Attention to DetailProblem-SolvingMulti-TaskingAdaptabilityCooperation
Tools & Technologies
Computerized Billing SystemsMicrosoft Applications
Certifications & Qualifications
CPC – Certified Professional CoderCPC-A – Certified Professional Coder Apprentice
Industry Keywords
Healthcare DeliveryHIPAA ComplianceCharge CaptureMedical CodingRegulatory 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 accurate coding and charge capture
- Work with revenue cycle stakeholders to understand denials, perform root cause analysis, and provide provider feedback
- Review patient medical records and abstract diagnoses and procedures
- Code diagnoses, procedures, and modifiers using ICD-10-CM, CPT-4, and HCPCS systems
- Sequence diagnoses, procedures, and complications according to applicable coding and regulatory guidelines
- Consult with the CDCI team and medical staff to clarify medical record information
- Maintain departmental productivity standards and current coding knowledge
- Review and respond to coding questions
- Ensure billed services are accurately coded
- Provide coding updates and research coding issues
- Review charts for documentation and signatures
- Perform other duties as needed
Requirements
What you’ll need- Associate Degree (or direct work experience equivalent to at least 2 years)
- CPC – Certified Professional Coder
- CPC-A – Certified Professional Coder Apprentice
- 2-5 years 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 multi-task, prioritize essential tasks, follow through, and meet timelines
- Accuracy and attention to detail
- Problem-solving using job knowledge and current policies/procedures
- Ability to work cooperatively with healthcare delivery team members and staff
- Ability to handle frequent interruptions, adapt to changes in workload and schedule, and respond quickly to urgent requests
- Ability to maintain strict confidentiality of personal/health-sensitive information and comply with HIPAA rules and regulations
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