Surgical Coding Specialist, Remote

Mass General Brigham•Somerville, MA

1d•$22 - $32•Remote

About The Position

The Surgical Coding Specialist ensures proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. The role assigns diagnosis and procedure codes based on patient documentation, analyzes medical records, and uses coding software and electronic health record systems to support accurate coding and reimbursement. The specialist also participates in coding audits and documentation improvement efforts and maintains records of coding activity and quality.

Requirements

High school diploma or equivalent required; experience cannot substitute for a degree.
Three to five years of medical coding experience required.
In-depth knowledge of ICD-10, CPT, and HCPCS coding systems and their application in hospital billing.
Familiarity with coding guidelines and regulations, including those established by the AMA, CMS, and other relevant organizations.
Strong analytical skills and attention to detail to interpret medical documentation and assign codes accurately.
Understanding of anatomy, physiology, medical terminology, and disease processes.
Excellent written and verbal communication skills to interact with healthcare providers and billing staff.
Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

Nice To Haves

Associate's degree in Medical Billing and Coding preferred.
Certified Professional Coder credential from the American Academy of Professional Coders (AAPC) preferred.

Responsibilities

Assign appropriate ICD-10 diagnosis codes and CPT/HCPCS procedure codes to patient encounters using medical documentation, physician notes, and other relevant information.
Ensure coding complies with guidelines and regulations from the AMA, CMS, and other regulatory bodies.
Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, for information relevant to coding.
Maintain coding accuracy and quality to support proper reimbursement and minimize claim denials.
Use coding software, encoders, and electronic health record systems in the coding process.
Participate in coding audits, internal or external coding reviews, and documentation improvement initiatives.
Maintain records of coding activity, including productivity, accuracy rates, and coding-related issues or challenges.