Coding Specialist II, Pain Management

Mass General Brigham; Somerville (MA); In loco; USD 31.000 - 44.000; Tempo pieno

Descrizione del lavoro

Mass General Brigham is seeking a Medical Billing and Coding professional to assign ICD-10 diagnosis codes and CPT/HCPCS procedure codes based on comprehensive documentation. The role requires adherence to AMA, CMS, and related guidelines to ensure accurate reimbursement.

Ideal candidates have 3–5 years of medical coding experience, a strong understanding of anatomy and disease processes, and proficiency with coding software and EHR systems. Equal opportunity employer with comprehensive benefits.

Competenze

• Knowledge of ICD-10, CPT, and HCPCS and their hospital billing applications.
• Follows AMA, CMS, and other guidelines for coding compliance.
• Ability to interpret medical documentation and assign accurate codes.
• Strong attention to detail to minimize denials and maximize accurate reimbursement.

Mansioni

• Assign ICD-10 diagnosis codes to patient encounters based on documentation.
• Assign CPT/HCPCS procedure codes from medical records and notes.
• Ensure coding complies with AMA, CMS, and regulatory guidelines.
• Analyze records (physician notes, labs, radiology) to extract coding-relevant info.
• Maintain accurate coding records, including productivity and accuracy metrics.
• Support coding audits and documentation improvement initiatives.

Conoscenze

ICD-10 CPT HCPCS

Analytical skills

Medical documentation interpretation

Attention to detail

Formazione

High School Diploma or Equivalent

Associate’s Degree in Medical Billing & Coding (preferred)

Certified Professional Coder (AAPC) preferred

Strumenti

Coding software

Encoders

Electronic Health Record (EHR) systems

Descrizione del lavoro

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 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

• 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

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. 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.

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.

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. Combat disease. Hold a hand. Help people. Impact the world. Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Are you ready? Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.