Coding Specialist II, Pathology

Mass General BrighamSomerville, MA
17h$22 - $31Remote

About The Position

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Summary: Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.

Requirements

  • High School Diploma or Equivalent required
  • Medical Coding Experience 3-5 years required
  • In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
  • Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
  • Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
  • Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
  • Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
  • Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

Nice To Haves

  • Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred

Responsibilities

  • Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
  • Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
  • Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
  • Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
  • Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
  • Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
  • Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
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