Coding Specialist II, Pain Management

massgeneralbrigham; Somerville (MA); Remote; USD 31,000 - 44,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a dedicated Medical Coding Specialist responsible for applying ICD-10 diagnosis codes and CPT/HCPCS procedures, ensuring accuracy and compliance with AMA, CMS, and evolving coding rules.

You will review medical records, collaborate with clinicians and billing teams, and participate in coding audits to support accurate reimbursements while maintaining high-quality documentation.

Qualifications

• Proficient in ICD-10, CPT, and HCPCS coding for hospital encounters.
• Familiar with AMA, CMS guidelines and regulatory coding standards.
• Strong attention to detail and analytical interpretation of medical records.

Responsibilities

• Assign accurate ICD-10 diagnosis and CPT/HCPCS procedure codes.
• Ensure coding compliance with AMA, CMS and other regulations.
• Analyze medical records to extract coding-relevant information.
• Maintain coding accuracy to support proper reimbursement.
• Utilize coding software, encoders, and EHR systems.
• Participate in coding audits and documentation-improvement initiatives.
• Record productivity and coding accuracy metrics.

Skills

ICD-10

CPT/HCPCS

AMA CMS guidelines

Analytical skills

Attention to detail

Medical terminology

Communication

Independence

Education

High School Diploma or Equivalent

Associate's Degree in Medical Billing and Coding (preferred)

Job description

Site: Mass General Brigham Incorporated

Mass 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

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
• Certified Professional Coder Required
• American Academy of Professional Coders (AAPC) preferred
• Experience Medical Coding Experience 3-5 years required
• Can this role accept experience in lieu of a degree? No
• 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

• 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

In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

EEO Statement

0100 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 (857)-282-7642.