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.

This Professional Services Coder will be responsible for:

• Retrieving daily billing encounters and patient booking lists for the full range of Cardiology inpatient and outpatient settings, including Evaluation and Management (E/M), procedures (Cath, EP), ancillary testing (Stress, ECHO, Device Monitors, EKG, etc.), Interventional Radiology and ICUs.
• Reviewing each encounter; assigning Fyler classification codes within the cardiology applications and verifying that all procedures are accounted for, as well as reviewing all clinical documentation for completeness.
• Reviewing all providers' coding on a daily basis to ensure accuracy and maximization of revenue. Utilizing information systems to process accurate medical billing, maximize efficiency and obtain accurate demographic information on patients. Following-up with physicians, clinicians, fellows and residents on coding and documentation requirements for evaluation and management services and office procedures as needed. Tracking coding issues by provider and updating the Clinical Coding and Compliance Coordinator.
• Preparing coding for billing for the department, all areas of service including off site locations, in and out patient areas. Codes (CPT-4 and ICD-coding systems) may include: operative procedures, office/minor procedures, diagnostic procedures and all E/M (evaluation and management) services.
• Serving as resource person for the department on coding, billing and claims issues. Assisting providers and staff with identifying codes and resolving billing issues. Preparing estimates including International and self-pay patients and providing other analysis as needed.
• Keeping informed of third party regulations in billing/reimbursement and maintaining files of coding publications. Participating in continuing education programs to ensure that coding knowledge remains current.

• An Associate's degree in Medical Records or 2 years of occupationally-specific education required. Proficient computer and data entry and retrieval skills required.
• Certification through AHIMA (CCS-P) and/or AAPC (CPC); is required.
• Strong E/M working knowledge preferred.