Professional Coder (02493)

South Shore Health; Weston (MA); On-site; USD 55,000 - 75,000; Full time

Job summary

South Shore Health is seeking a Professional Surgical Coder I to assign ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. The role reviews documentation, identifies gaps, and queries providers to ensure accurate coding and optimal reimbursement.

Collaborating with physicians and leadership, you will support documentation improvement and maintain high coding standards while staying current with coding rules and AHIMA standards.

Qualifications

• Equivalent to an Associate's Degree in Medical Information Technology with relevant coding coursework.
• CPC or CCS-P certification required or in process with eligible guidelines.
• Strong computer/data entry skills and analytical ability to interpret records.

Responsibilities

• Analyzes medical records to identify diagnoses and procedures performed.
• Codes ICA-10-CM, CPT, and E/M for inpatient, outpatient, and observation settings.
• Reviews documentation to ensure coding accuracy, identifies gaps, and queries providers.
• Retrieves records for surgical cases to ensure accurate ICD-10-CM and CPT coding.
• Enter coded data into Epic and respond to billing review requests as needed.
• Keeps up with coding policy changes and AHIMA/official guidelines.

Skills

Data entry

Computer skills

Analytical skills

Medical terminology

Education

Associate's Degree in Medical Information Technology

CPC - Certified Professional Coder

CCS-P Certified Coding Specialist- Physician Based

Tools

Epic

Job description

Job Description Summary

The Professional Surgical Coder I is responsible for the accurate and timely assignment of ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. This role reviews clinical documentation, assigns appropriate diagnoses and procedures, identifies documentation gaps, and queries providers as needed to ensure coding accuracy, compliance, and optimal reimbursement. The Professional Surgical Coder I collaborates with physicians and leadership to support documentation improvement and maintain high-quality coding standards.

ESSENTIAL FUNCTIONS

• 1 - Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed.
• a - Codes 6-9 (# determined according to type of record coded) records per hour, consistently with 95% accuracy.
• b - Assigns diagnostic and procedural codes for physicians in the inpatient, outpatient, and observation setting.
• 2 - Identifies any and/or all complications or comorbidities.
• a - Applies sequencing guidelines based on medical record information provided according to official coding rules
• 3 - Assesses the appropriateness of medical record documentation to ensure that it supports the procedure(s), diagnosis', as well as complications and/or comorbid conditions documented. Consults with the appropriate provider to clarify medical record information.
• a - Identifies any documentation inadequacies with provider and clarifies medical record information with courtesy and tact.
• b - Retrieves any and all records corresponding to surgical cases including laboratory/path reports to ensure accurate assignment of ICD-10-CM and CPT-4 codes.
• c - Ensures accurate, correctly coded information is entered into Epic
• 4 - Answers provider/clinician questions regarding coding principles,
• a - Assists with coding queries for claims appeals and resolution.
• b - Refer ancillary department coding questions to Professional Coding Manager
• 5 - Remains abreast of developments in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature and so forth.
• a - Utilizes professional affiliations, etc., in order to maintain current in professional developments.
• b - Attends all pertinent coding seminars and manager assigned training.
• c - Utilize all available hospital-provided electronic resources
• 6 - Works collaboratively with appropriate team members to recommend strategies for process improvement
• 7 - Assists in responses to billing review requests
• 8 - Abides by Standards of Ethical Coding as set forth by American Health Information Management Association (AHIMA)
• 9 - Meets coding, quality and productivity standards.
• 10 - Performs all job functions in compliance with applicable federal, state and local laws as well as hospital policy and procedures

JOB REQUIREMENTS

Minimum Education Preferred

Equivalent to an Associate's Degree in Medical Information Technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD-10-CM coding required and prospective payment preferred).

Minimum Work Experience

Two to three (2-3) years in a surgical practice preferred.

Required Certifications

CPC - Certified Professional Coder ORCCS-P Certified Coding Specialist- Physician Based

Required additional Knowledge and Abilities

Strong proficient computer and data entry skills to gather and interpret data.

Strong analytical skills to gather and interpret data.