Remote Surgical Coder: ICD-10/CPT Expert

Mass General Brigham; Somerville (MA); Remote; USD 35,000 - 50,000; Full time

Job summary

Mass General Brigham in Somerville, MA is seeking a Surgical Coder to review patient records and translate into insurers' codes for claims processing. This remote role supports outpatient and inpatient coding and requires collaboration with physicians and staff to ensure accurate documentation.

The position emphasizes adherence to coding guidelines (ICD-10, CPT, HCPCS), audits for accuracy, and guidance to peers.

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

Responsibilities

• Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines.
• Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes.
• Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
• Manages complex coding situations and supports peers through challenging questions.
• Peer reviews records for management to ensure accuracy of information.
• Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
• Identifies reportable elements, complications, and other procedures.

Skills

ICD-10/CPT knowledge

Leadership

Communication skills

Problem-solving

Independent work

Education

High School Diploma or Equivalent

Associate's Degree in Medical Billing and Coding

Tools

HCPCS knowledge

Job description

Mass General Brigham in Somerville, MA is seeking a Surgical Coder to review patient records and translate into insurers' codes for claims processing. This remote role supports outpatient and inpatient coding and requires collaboration with physicians and staff to ensure accurate documentation.

The position emphasizes adherence to coding guidelines (ICD-10, CPT, HCPCS), audits for accuracy, and guidance to peers.