Medical Coder, Per Diem (Hybrid Candidates Considered)

Cape Cod Healthcare; Hyannis (MA); Hybrid; USD 34,440 - 46,838; Part time

Job summary

Cape Cod Healthcare is seeking a Per Diem Coding Specialist in Massachusetts-Hyannis. This role involves assigning and grouping diagnoses and procedure codes based on medical records while ensuring compliance with coding and reimbursement standards.

The ideal candidate should have a High School Diploma or GED and preferably two years of outpatient coding experience. They must obtain CPC certification within three months of hire. Position offers a hybrid work schedule with hourly pay ranging from $25 to $34.

Qualifications

• Two years of Outpatient Coding experience preferred.
• Must obtain CPC Certification within 3 months of position.
• Comprehensive understanding of ICD10 and CPT coding.

Responsibilities

• Assign and group diagnoses and procedure codes based on medical records.
• Ensure coding compliance and reimbursement requirements are met.
• Maintain an accuracy rate of 95% in coding tasks.

Skills

ICD10 coding

CPT coding

Communication in English

Creating relations with physicians

Education

High School Diploma or GED

CPC Certification eligibility

Job description

Purpose of Position

To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix classification and expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications as supported by medical record documentation. To enter diagnoses, procedure and level codes and patient demographic information into computer system.

Description

• Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources.
• Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information.
• Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers.
• Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications.
• Abstracts and enters demographic, clinical and related patient information into the computer system.
• Assesses adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping.
• Reconciles, identifies and retrieves medical records to be coded.
• Maintains a 95% ongoing accuracy rate.
• Consistently achieves daily coding output within the minimal productivity standards set by MACC. Self‑manages and prioritizes work flow to achieve timely submission of claims and optimal productivity.
• Maintains accurate productivity logs and provides this information to management in a timely fashion.
• Assists in the orientation and development of new coding personnel.
• Assumes professional responsibility for development of skills and ongoing education to maintain Active Coding certification.
• Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature.
• Continuously monitors medical record documentation, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues). Communicates with the PB Coding Manager to find solutions and implement changes to increase productivity and department efficiency.
• Performs all duties and interacts with others in a professional manner.
• Performs other related duties as assigned.

Qualifications

• High School Diploma or GED
• Two years of Outpatient Coding experience preferred
• Must meet CPC Certification eligibility requirements and must obtain CPC Certification within 3 months of position
• Ability to read, write and communicate in English
• Comprehensive understanding of ICD10 and CPT coding
• Successful passage of Coding exam, demonstrating understanding of coding and impact on reimbursement with a grade of 80% or higher
• Demonstrated ability to create strong working relations with physicians and practices.
• Capable of working independently as well as in a team environment

Schedule Details

Per Diem Hours, Rotating Days, Monday‑Friday, 8a-4p, Occ. Weekends & Occasional Holidays. Hybrid Candidates Considered.

Job Details

• Organization: Cape Cod Healthcare, Inc.
• Primary Location: Massachusetts-Hyannis
• Department: HCI-PB Health Info Mgmt
• Annual/Hourly: Hourly
• Hiring Pay Range: 25 - 34