Surgical Coder, Remote

Mass General Brigham•Somerville, MA

2d•Remote

About The Position

Mass General Brigham is seeking a remote Surgical Coder to review outpatient medical records and translate clinical information into accurate diagnostic and procedural codes used for billing, reimbursement, and reporting. The role ensures documentation and coded data reflect the services provided and comply with legal standards, coding guidelines, and regulations. The coder provides technical guidance to physicians and staff, resolves complex coding questions, participates in peer review, audits documentation and coded data, and recommends actions to correct discrepancies and prevent future errors. The position does not require patient care.

Requirements

High school diploma or equivalent required; experience cannot be substituted for a degree.
Two to three years of medical coding experience required.
In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
Strong understanding of coding guidelines, regulations, and industry best practices.
Strong leadership and team management skills, including the ability to motivate and develop coding team members.
Strong communication and interpersonal skills to collaborate with healthcare providers, coders, and other stakeholders.
Strong problem-solving skills to address coding challenges and implement solutions.
Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

Nice To Haves

Associate degree in Medical Billing and Coding preferred.

Responsibilities

Evaluate medical record documentation and coding to support accurate reimbursement and ensure compliance with legal standards and guidelines.
Interpret medical information, diagnoses, symptoms, and procedures to assign and sequence appropriate ICD and CPT codes.
Provide technical guidance to physicians and other staff to resolve incomplete, missing, ambiguous, or nonspecific documentation and coding issues.
Manage complex coding situations and support peers with challenging questions.
Peer review records to help ensure accuracy of information.
Audit clinical documentation and coded data to validate that documentation supports services rendered for reimbursement and reporting.
Research and analyze discrepancies, recommend corrective plans, and facilitate actions to prevent future coding errors.
Identify reportable elements, complications, and other procedures.