Coding Specialist

Mass General Brigham•Somerville, MA

2d•$22 - $32•Remote

About The Position

Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement.

Requirements

High School Diploma or equivalent required
Proficiency in ICD-10, CPT®, HCPCS, and modifiers for coding of professional fee services.
Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines are required.
Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.
Proficient with computer applications (MS Office etc.)
Excellent data entry skills.

Nice To Haves

Associate's Degree Finance preferred
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
1 year of medical coding experience preferred

Responsibilities

Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines.
Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes.
Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
Identifies reportable elements, complications, and other procedures.