Abstracts, sequences and assigns diagnosis, procedure codes and accurate DRG assignment to medical
records of inpatients, as required for reimbursement and maintenance of patient database.
The Medical Records Coding Specialist Will Be Responsible For
- Abstracting, sequencing, and assigning diagnosis and procedure codes according to ICD-10-CM coding conventions and Uniform Hospital Discharge Data Set (UHDDS) definitions. Assigning CPT4 procedure codes following the appropriate guidelines, and diagnosis-related groups (DRGs) using specialized computer software. Generating coding worksheets and filing them in the medical record as required by hospital department policy.
- Performing specialized and technical coding while assisting with the review of billing rejection audits and addressing case-mix/billing department questions.
- Maintaining up-to-date knowledge of regulatory and compliance issues related to coding, documentation, and billing.
- Communicating with physicians to clarify diagnoses/procedures and sequencing of diagnoses.
- Following up on outstanding, uncoded, and incomplete charts, while performing periodic quality control audits of work.
- Assisting with coder education and training, and conducting reviews of work done by new coders to assess the quality and accuracy of coding.
- Providing leadership to staff in decision-making and prioritization in the absence of the area supervisor. Maintaining awareness of the day-to-day activities and goals of the Coding Unit to meet billing deadlines.
- Assisting in training new personnel in coding procedures.
To Qualify, You Must Have
- Two years of occupationally specific education or an Associate's degree is required.
- Four years of acute care hospital-based inpatient coding experience is required
- Current certification by the American Health None Specified Information Management Association (AHIMA) as either a (1) Certified Coding Specialist (CCS), (2) Registered Health Information Technician (RHIT with CCS is required
- This position is remote, with the exception of CA can apply.
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.