Coding Specialist II, Pain Management

Mass General Brigham; Oregon; Hybrid; USD 31,000 - 44,000; Full time

Job summary

Mass General Brigham is seeking a professional Medical Coder to ensure accurate coding and documentation compliance. You will assign ICD-10 and CPT/HCPCS codes based on physician notes and records, and support coding audits to improve documentation quality.

Mandatory CPC certification with 3–5 years of medical coding experience. This remote-position opportunity may require adherence to hospital billing guidelines and ongoing quality metrics set by Mass General Brigham.

Qualifications

• High School Diploma or equivalent required; Associate's Degree in Medical Billing and Coding preferred.
• Certified Professional Coder (CPC) required.
• 3–5 years medical coding experience required.

Responsibilities

• Assign ICD-10 diagnosis codes to patient encounters based on medical documentation.
• Assign CPT/HCPCS procedure codes to encounters.
• Ensure coding compliance with AMA, CMS and other regulatory guidelines.
• Analyze medical records to extract information for coding.
• Maintain accuracy to support proper reimbursement and reduce denials.
• Participate in coding audits and documentation improvement initiatives.

Skills

ICD-10 CPT HCPCS knowledge

Analytical skills

Attention to detail

Communication skills

Education

High School Diploma or Equivalent

Associate's Degree in Medical Billing and Coding

Certified Professional Coder (CPC)

Tools

Coding software

Encoders

Electronic Health Records (EHR)

Job description

Site: Mass General Brigham IncorporatedMass 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.

Job Summary

Summary:-Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. Does this position require Patient Care? No

Essential Functions

• 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.

Qualifications

High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferred. Can this role accept experience in lieu of a degree? No. Certified Professional Coder Required. American Academy of Professional Coders (AAPC) preferred. Experience Medical Coding Experience 3-5 years required.

Knowledge, Skills and Abilities

• 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.

Additional Job Details (if applicable)

• Remote Type Remote
• Work Location 399 Revolution Drive
• Scheduled Weekly Hours 40
• Employee Type Regular
• Work Shift Day (United States of America)
• Pay Range $22.22 - $31.71/Hourly
• Grade 4

EEO Statement

Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.