Surgical Coder I — ICD-10-CM/CPT/E&M Expert

South Shore Health; Weymouth (MA); On-site; USD 60,000 - 90,000; Full time

Job summary

South Shore Health System is seeking a Professional Surgical Coder I in Weymouth, MA to accurately assign ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. You will review clinical documentation, identify gaps, and query physicians to ensure compliant, timely, and optimal reimbursement.

The role requires coding certification (CPC/CCS-P) and experience with surgical coding practices, with emphasis on accuracy and collaboration with physicians and leadership.

Qualifications

• Equivalent to an Associate's Degree in Medical Information Technology with coursework in medical terminology, anatomy, physiology, disease processes, and ICD-10-CM coding.
• Certification as CPC or CCS-P demonstrates coding proficiency and physician-based coding knowledge.

Responsibilities

• Assign ICD-10-CM, CPT, and E/M codes for inpatient and outpatient charts.
• Review clinical documentation to identify diagnoses and procedures.
• Query providers to ensure coding accuracy, compliance, and optimal reimbursement.
• Enter coded data accurately into Epic system.
• Answer provider questions on coding principles and assist with claims appeals.
• Stay current with AHIMA standards and coding developments.
• Collaborate with team to recommend process improvements.
• Assist in responses to billing review requests.
• Maintain compliance with laws, hospital policies and procedures.
• Ensure accurate coding and documentation across surgical cases.

Skills

ICD-10-CM coding

CPT coding

Analytical skills

Data entry

Education

Associate's Degree in Medical Information Technology

CPC Certification

Job description

South Shore Health System is seeking a Professional Surgical Coder I in Weymouth, MA to accurately assign ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. You will review clinical documentation, identify gaps, and query physicians to ensure compliant, timely, and optimal reimbursement.

The role requires coding certification (CPC/CCS-P) and experience with surgical coding practices, with emphasis on accuracy and collaboration with physicians and leadership.