Medical Coding Specialist - ICD-10/CPT & Reimbursement

disABLEDperson Inc; Somerville (MA); Remote; USD 35,000 - 50,000; Full time

Job summary

Mass General Brigham is seeking a Medical Coding Specialist to review patient records, assign ICD-10/CPT/HCPCS codes, and support accurate outpatient billing. You will collaborate with clinicians and staff to resolve coding questions and ensure compliance.

The role emphasizes leadership, problem-solving, and independent work in a fast-paced environment, with on-site duties at 399 Revolution Drive, Somerville, MA.

Qualifications

• Evaluate documentation and coding to optimize reimbursement and ensure compliance.
• Assign ICD-9-CM and CPT codes based on medical data.
• Provide guidance to physicians and staff on coding issues.
• Manage complex coding situations and support peers.
• Peer reviews records for accuracy.
• Audit documentation and coded data for reimbursement and reporting.
• Identify discrepancies and propose corrective actions.
• Identify reportable elements, complications, and other procedures.

Responsibilities

• Evaluate documentation and coding to optimize reimbursement and ensure accuracy.
• Interpret medical information to assign and sequence the correct codes.
• Provide guidance to physicians and staff on resolving coding issues.
• Manage complex coding situations and support peers.
• Peer reviews records for accuracy of information.
• Audit documentation and coded data for reimbursement and reporting.
• Research and implement actions to correct discrepancies.

Skills

ICD-10 knowledge

CPT knowledge

HCPCS knowledge

Leadership

Communication skills

Problem solving

Independent work

Education

High School Diploma or Equivalent

Associate's Degree in Medical Billing & Coding

Tools

Medical billing software

Job description

Mass General Brigham is seeking a Medical Coding Specialist to review patient records, assign ICD-10/CPT/HCPCS codes, and support accurate outpatient billing. You will collaborate with clinicians and staff to resolve coding questions and ensure compliance.

The role emphasizes leadership, problem-solving, and independent work in a fast-paced environment, with on-site duties at 399 Revolution Drive, Somerville, MA.