Surgical Coding Specialist, Remote

Mass General Brigham • Somerville, MA

19h • 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 to patient encounters based on medical documentation and analyzes medical records to identify information relevant to coding. The specialist maintains coding accuracy and quality to support appropriate reimbursement and reduce claim denials, uses coding software and electronic health record systems, and supports coding compliance, audits, and documentation improvement initiatives. The position is remote, scheduled for 40 hours per week, and works a day shift.

Requirements

• High school diploma or equivalent required.
• 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 set by the AMA, CMS, and other relevant organizations.
• Strong analytical skills and attention to detail to interpret medical documentation and assign appropriate codes.
• Excellent 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.
• Certified Professional Coder (AAPC) credential.

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 established by the AMA, CMS, and other regulatory bodies.
• Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract information for coding.
• Maintain accuracy and quality in coding assignments to support proper reimbursement and minimize claim denials.
• Use coding software, encoders, and electronic health record systems to facilitate coding.
• Participate in coding audits, internal or external coding reviews, and documentation improvement initiatives.
• Maintain records of coding activities, including productivity, coding accuracy rates, and coding-related issues or challenges.

Benefits

• Comprehensive benefits.
• Career advancement opportunities.
• Differentials, premiums, and bonuses as applicable.
• Recognition programs designed to celebrate contributions and support professional growth.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED